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Epstein-Barr virus-derived peptide antigens presented on Major Histocompatibility Complex molecules (EBV-pMHC)

Target
EBV-pMHC
Molecular classification
Antigen, Peptide-MHC complex, Viral protein fragment
01

Overview

Epstein-Barr virus (EBV)-derived peptide antigens presented on Major Histocompatibility Complex (MHC) molecules, also known as Human Leukocyte Antigen (HLA) molecules in humans, represent the molecular interface through which the immune system identifies EBV-infected cells (Taylor et al., 2015, PMID: 25617115). These targets consist of short viral peptides, typically 8-11 amino acids for MHC Class I, derived from latent or lytic viral proteins such as EBNA1, LMP1, and LMP2, which are nested within the peptide-binding groove of the MHC molecule (Long et al., 2011, PMID: 21149605). This presentation is essential for the activation and effector function of EBV-specific cytotoxic T-lymphocytes (CTLs), which recognize the complex via their T-cell receptors (TCRs). In clinical practice, these complexes are the focus of adoptive immunotherapies, such as tabelecleucel (Ebvallo), which utilizes allogeneic EBV-specific T-cells to treat EBV-positive post-transplant lymphoproliferative disorder (EMA, 2022). Furthermore, these antigens are implicated in the pathogenesis of EBV-associated malignancies and autoimmune conditions like multiple sclerosis, where molecular mimicry between EBV peptides and self-antigens is a hypothesized mechanism (Bjornevik et al., 2022, PMID: 35025605). Therapeutic strategies targeting these pMHC complexes include TCR-engineered T-cells and peptide-based vaccines designed to bolster the endogenous immune response against the virus.

Other names
EBV-pHLAEpstein-Barr virus peptide-HLA complexesEBV-specific antigensEBV-pMHC complexesEBV-restricted antigens
02

Mechanism of action

Recognition by T-cell receptors (TCRs) on cytotoxic T-lymphocytes (CTLs) leading to targeted lysis of EBV-infected cells and cytokine production.

03

Biological functions

Antigen presentationImmune responseT-cell activationViral surveillanceCytotoxic T-lymphocyte recognition
04

Disease associations

InfectionCancerPost-transplant lymphoproliferative disorder (PTLD)Nasopharyngeal carcinomaBurkitt lymphomaMultiple sclerosisHodgkin lymphoma
05

Safety considerations

Graft-versus-host disease (GvHD) in allogeneic settingsCytokine release syndrome (CRS)Cross-reactivity with self-antigens (molecular mimicry)Immune evasion via MHC downregulationOff-target toxicity
06

Interacting drugs

Tabelecleucel (Ebvallo)

4 more in the full profile.

07

Biomarkers

HLA-A*02:01HLA-B*07:02EBV DNA viral loadEBV-specific T-cell frequencyLMP1/LMP2 expressionEBNA1 expression

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