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The Cytomegalovirus (CMV) phosphoprotein 65 (pp65), also known as UL83, is a major tegument protein and the most immunodominant target for the host's cellular immune response during CMV infection (UniProt P06725). Peptides derived from pp65 are processed intracellularly and presented on the cell surface by Major Histocompatibility Complex (MHC) class I molecules, where they are specifically recognized by CD8+ cytotoxic T lymphocytes (PubMed: 15507525). This peptide-MHC complex is a critical target for controlling CMV reactivation in immunocompromised patients, such as those undergoing hematopoietic stem cell or solid organ transplantation (NIH: PMC4110293). Furthermore, CMV pp65 has been identified as a tumor-associated antigen in glioblastoma multiforme, where its expression is restricted to malignant cells, making it a candidate for targeted immunotherapy (PubMed: 24711661). Therapeutic approaches targeting this complex include CMV-specific T-cell therapies, TCR-engineered T cells, and various vaccine platforms like Triplex or peptide-based vaccines (ClinicalTrials.gov: NCT02396134). These therapies work by inducing or providing T cells that recognize the pp65-MHC I complex, leading to the targeted destruction of infected or cancerous cells.
T-cell receptor (TCR) mediated recognition of the peptide-MHC complex, leading to CD8+ T-cell activation and cytotoxic lysis of the target cell.
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