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The target consists of peptide fragments derived from the Epstein-Barr virus (EBV) proteins BZLF-1 and EBNA-1, presented on the surface of infected cells by Major Histocompatibility Complex (MHC) molecules. BZLF-1 is an immediate-early lytic protein that triggers the viral replication cycle, while EBNA-1 is a latent nuclear antigen essential for viral genome maintenance and is expressed in all EBV-associated malignancies. These peptide-MHC (pMHC) complexes serve as the primary ligands for EBV-specific T-cell receptors (TCRs), making them critical targets for cellular immunotherapies. Drugs targeting these complexes, such as allogeneic EBV-specific T-cell therapies (e.g., tabelecleucel and ATA188), utilize donor-derived T cells to recognize and eliminate EBV-infected cells in patients with post-transplant lymphoproliferative disorder (PTLD) or multiple sclerosis. The therapeutic strategy aims to restore the host's immune surveillance against the virus, which is often compromised in immunocompromised or autoimmune states.
Adoptive T-cell therapy (T-cell mediated cytotoxicity)
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