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Cytomegalovirus phosphoprotein 65-derived peptide–HLA class I complex (CMV pp65–HLA-I)

Target
CMV pp65–HLA-I
Molecular classification
Peptide-MHC complex, Viral antigen, Major Histocompatibility Complex (MHC) class I, Antigenic complex
01

Overview

The Cytomegalovirus phosphoprotein 65-derived peptide–HLA class I complex is a primary immunological target for the management of Human Cytomegalovirus (HCMV) infection [1]. The pp65 protein, encoded by the UL83 gene, is the most abundant tegument protein of HCMV and serves as a dominant antigen for CD8+ cytotoxic T-lymphocyte (CTL) responses [1][2]. During infection, pp65 is processed by the host cell's proteasome into short peptides, which are then loaded onto HLA class I molecules and presented on the cell surface [2]. These peptide-MHC (pMHC) complexes are specifically recognized by the T-cell receptors (TCRs) of CTLs, leading to the targeted destruction of the infected cell [2]. Therapeutic strategies targeting this complex include the administration of ex vivo expanded CMV-specific T cells (VSTs) and the development of TCR-engineered T-cell therapies, which are particularly vital for immunocompromised patients such as hematopoietic stem cell transplant recipients [3][4]. Additionally, vaccine candidates like Triplex utilize pp65 to elicit protective T-cell responses against these specific complexes to prevent viral reactivation [5]. Monitoring the presence of these complexes and the corresponding T-cell response is essential for assessing immune reconstitution and treatment efficacy in clinical settings [4][6].

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

Mechanism of action

T-cell receptor (TCR) mediated recognition of the peptide-HLA complex, triggering cytotoxic T-lymphocyte (CTL) activation and granzyme/perforin-mediated lysis of the target cell.

03

Biological functions

Antigen presentationT-cell activationImmune recognitionCytolysisImmune response
04

Disease associations

InfectionOther
05

Safety considerations

Graft-versus-host disease (GvHD)Cytokine release syndrome (CRS)Off-target toxicity due to TCR cross-reactivityViral immune evasion via HLA downregulation
06

Interacting drugs

Viralym-M (ALVR106) [3]

4 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypeCMV DNA viral load (PCR)pp65 antigenemia assayCMV-specific T-cell frequency (IFN-gamma ELISPOT)

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