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Cytomegalovirus phosphoprotein 65 (pp65) peptide–Major Histocompatibility Complex (MHC) class I complex (CMV pp65-MHC I complex)

Target
CMV pp65-MHC I complex
Molecular classification
Peptide-MHC (pMHC) complex, Antigen-MHC complex, Receptor
01

Overview

The Cytomegalovirus phosphoprotein 65 (pp65) peptide–Major Histocompatibility Complex (MHC) class I complex is a critical immunological target formed when the pp65 protein, encoded by the UL83 gene, is processed and presented on the surface of infected or malignant cells [UniProt: P06725]. As the most abundant tegument protein of Human Cytomegalovirus (HCMV), pp65 is the primary target for the host's cell-mediated immune response, specifically CD8+ cytotoxic T lymphocytes [PubMed: 28923845]. In the context of infectious disease, this complex serves as a marker for CMV-infected cells, particularly in immunocompromised patients such as transplant recipients. Interestingly, pp65 has also been identified as a tumor-associated antigen in several cancers, most notably glioblastoma multiforme, where it is expressed in tumor cells but absent in healthy brain tissue [PubMed: 21540349]. Therapeutic strategies targeting this complex include adoptive T-cell therapies, TCR-engineered T cells (TCR-T), and TCR-like antibodies or bispecific engagers [AlloVir]. These therapies aim to leverage the high specificity of the TCR-pMHC interaction to selectively eliminate CMV-positive cells while sparing healthy tissue.

Other names
CMV pp65-HLA-A*02:01 complexpp65-MHC complexCMV antigen-MHC class I complexUL83 peptide-MHC complexNLVPMVATV-HLA-A*02:01 complex
02

Mechanism of action

Recognition by specific T-cell receptors (TCRs) on CD8+ cytotoxic T lymphocytes, leading to the activation of the T cell and subsequent lysis of the target cell presenting the CMV pp65 peptide [PubMed: 28923845].

03

Biological functions

Antigen presentationImmune responseT-cell activationImmune surveillanceCellular immunity
04

Disease associations

InfectionCancerGlioblastoma multiformeMedulloblastomaCytomegalovirus infection
05

Safety considerations

Cytokine release syndrome (CRS)Off-target cross-reactivity with self-peptidesHLA restriction (therapy only works for specific HLA types)Neurotoxicity (ICANS)Graft-versus-host disease (GvHD) in transplant settings
06

Interacting drugs

Viralym-M (ALVR105)

4 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypeCMV pp65 protein expression (IHC/PCR)CMV serostatusCMV-specific T-cell frequency

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