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

Target
CMV pp65–MHC I
Molecular classification
Peptide-MHC complex, Viral antigen, MHC class I complex
01

Overview

The Cytomegalovirus (CMV) phosphoprotein 65 (pp65) peptide–Major Histocompatibility Complex (MHC) class I complex is a molecular assembly presented on the surface of cells infected with Human Cytomegalovirus (HCMV) (UniProt P06725). It consists of a peptide fragment derived from the pp65 tegument protein, encoded by the UL83 gene, bound within the groove of an MHC class I molecule (Wills et al., 1996, PubMed: 8642361). This complex serves as a critical signal for the immune system, specifically identifying infected cells for destruction by CD8+ cytotoxic T lymphocytes (Diamond et al., 1999, PubMed: 10438932). The most well-characterized version of this target involves the NLVPMVATV peptide presented by the HLA-A*02:01 allele. In immunocompromised individuals, such as transplant recipients, the failure of the immune system to recognize these complexes leads to viral reactivation and severe disease. Consequently, this complex is a major focus for immunotherapy, including the development of adoptive T-cell transfers and TCR-engineered T cells (Schub et al., 2009, PubMed: 28246207). These therapies aim to restore or enhance the patient's ability to target and eliminate CMV-infected cells by binding specifically to the pp65-MHC assembly. Research also explores TCR-like antibodies and bispecific engagers that can redirect non-specific T cells to these viral targets (ClinicalTrials.gov: NCT02138409).

Other names
CMV pp65-HLA complexHLA-A*02:01/NLVPMVATV complexUL83 peptide-MHC complexCMV pp65-MHC I
02

Mechanism of action

Recognition by specific T-cell receptors (TCRs) on CD8+ T cells, triggering the release of cytotoxic granules and apoptosis of the infected cell.

03

Biological functions

Antigen presentationT-cell activationImmune surveillanceCellular immunity
04

Disease associations

Cytomegalovirus infectionCMV reactivationPost-transplant complications
05

Safety considerations

Off-target cross-reactivity with self-peptidesCytokine release syndromeGraft-versus-host diseaseImmune escape through MHC downregulation
06

Interacting drugs

Cytomegalovirus-specific T-lymphocytes

3 more in the full profile.

07

Biomarkers

HLA-A*02:01 allele statusCMV DNAemiapp65 antigenemiaCMV-specific T-cell count

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