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Epstein-Barr virus antigen-derived peptide-major histocompatibility complex (EBV pMHC)

Target
EBV pMHC
Molecular classification
Antigen-MHC complex, Protein-peptide complex
01

Overview

Epstein-Barr virus (EBV) antigen-derived peptides presented on major histocompatibility complex (MHC) molecules are critical targets for the immune system to identify and eliminate EBV-infected B cells and plasma cells (Nature Reviews Immunology, 2013). These complexes consist of short viral peptide fragments, derived from latent proteins such as EBNA1, LMP1, and LMP2, or lytic proteins, which are processed and loaded onto MHC Class I or II molecules for presentation on the cell surface (PubMed: 23023382). In EBV-associated malignancies like Nasopharyngeal carcinoma and Post-transplant lymphoproliferative disorder (PTLD), these pMHC complexes serve as highly specific molecular signatures that distinguish infected or transformed cells from healthy tissue (Blood, 2017). Therapeutic strategies, including adoptive T-cell therapies like tabelecleucel (Ebvallo) and investigational TCR-T cells, are designed to recognize these specific pMHC targets to induce apoptosis in the target cells (EMA, 2022). Because EBV is also strongly implicated in autoimmune conditions like multiple sclerosis, targeting these complexes is a major area of research for both oncology and immunology (Science, 2022). The efficacy of these therapies often depends on the patient's specific HLA genotype and the expression levels of the viral antigens within the target cell population (Journal of Clinical Investigation, 2015).

Other names
EBV peptide-HLA complexEBV-specific pMHCEpstein-Barr virus epitope-MHC complexEBV-derived peptide-MHCEBV-Ag-MHC
02

Mechanism of action

Recognition by T-cell receptors (TCRs) on cytotoxic T-lymphocytes (CTLs) or engineered T-cells, leading to the targeted apoptosis and lysis of EBV-infected cells presenting the viral peptides.

03

Biological functions

Antigen presentationImmune recognitionT-cell activationCytotoxic T-lymphocyte mediated lysis
04

Disease associations

Epstein-Barr virus-associated post-transplant lymphoproliferative disorder (EBV+ PTLD)Nasopharyngeal carcinomaHodgkin lymphomaBurkitt lymphomaMultiple sclerosisInfectious mononucleosisGastric carcinoma
05

Safety considerations

Cytokine release syndrome (CRS)Graft-versus-host disease (GvHD) in allogeneic settingsOff-target cross-reactivity with self-peptidesImmune evasion via HLA downregulationNeurotoxicity
06

Interacting drugs

Tabelecleucel

4 more in the full profile.

07

Biomarkers

HLA-A*02:01HLA-A*11:01EBV DNA viral loadLMP1 expressionLMP2 expressionEBNA1 expression

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