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Hepatitis B virus peptide–Human leukocyte antigen class I complex (HBV peptide–HLA-I complex) (HBV peptide–HLA-I complex)

Target
HBV peptide–HLA-I complex
Molecular classification
Peptide-MHC complex, Major histocompatibility complex class I, Antigen-presenting complex
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Overview

The Hepatitis B virus (HBV) peptide–Human leukocyte antigen (HLA) class I complex is a molecular assembly consisting of a viral peptide fragment bound within the groove of an HLA class I molecule on the surface of infected hepatocytes or HBV-related hepatocellular carcinoma (HCC) cells [1]. This complex serves as the primary signal for recognition by CD8+ cytotoxic T lymphocytes (CTLs) via their T-cell receptors (TCRs) [1, 5]. In the context of chronic HBV infection and HBV-HCC, the presentation of these viral antigens is often insufficient to trigger a robust immune response due to T-cell exhaustion or immune evasion [1]. Therapeutic strategies targeting this complex include TCR-engineered T-cell (TCR-T) therapies, such as SCG101 and LioCyx-M, and bispecific T-cell engagers like IMC-HBV, which aim to redirect the immune system to specifically eliminate cells harboring the viral genome or integrated HBV DNA [2, 3, 4]. By focusing on intracellularly derived viral peptides presented on the cell surface, these therapies can target cells that do not necessarily express high levels of surface viral proteins [1]. However, challenges include the high polymorphism of HLA alleles and the risk of severe liver inflammation (hepatitis) resulting from the mass destruction of infected hepatocytes [1, 2].

Other names
HBV pMHC complexHBV-specific peptide-MHC complexHBV-HLA complexHepatitis B virus antigen-HLA class I complexHBV-HLA-A*02:01 complex
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Mechanism of action

The mechanism of action involves the specific recognition of HBV-derived peptides (such as those from HBsAg, HBcAg, or HBV polymerase) presented by HLA class I molecules on the cell surface by engineered T-cell receptors (TCRs) or TCR-like antibodies, leading to the activation of cytotoxic T-cell responses and the subsequent lysis of the target HBV-infected or malignant cell [1, 2].

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Biological functions

Antigen presentationT-cell activationImmune recognitionCellular immunity
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Disease associations

InfectionCancerHepatocellular carcinomaChronic hepatitis B
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Safety considerations

On-target off-tumor toxicity (hepatotoxicity/liver flare)Cytokine release syndrome (CRS)Cross-reactivity with self-peptidesImmune evasion through HLA downregulation
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Interacting drugs

SCG101

3 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypeHBV DNA levelsHBsAg expressionHBV peptide presentation on cell surface

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