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Hepatitis B virus surface antigen S20-28 peptide presented by human leukocyte antigen class I histocompatibility antigen, A-2 alpha chain (HBsAg S20-28–HLA-A*02:01)

Target
HBsAg S20-28–HLA-A*02:01
Molecular classification
Major histocompatibility complex class I ligand complex, Peptide–MHC complex, Receptor/ligand complex (when referenced as immunological target)
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Overview

The "Hepatitis B surface antigen S20-28 peptide presented on HLA-A*02:01" refers to a specific 9-mer epitope (amino acids 20–28 of the hepatitis B virus surface antigen, commonly referred to as HBsAg) bound within the peptide-binding groove of the human major histocompatibility complex class I allele HLA-A*02:01. This peptide–MHC complex is displayed on the surface of hepatocytes infected by hepatitis B virus, where it is recognized by cytotoxic CD8+ T cells as part of the adaptive immune response. Effective T cell recognition of this complex is a central mode of viral clearance and underpins strategies for developing T cell–based immunotherapies and vaccines. This target is being investigated for potential immune-redirecting biologics—such as ImmTAV molecules—that can selectively eliminate infected cells by recognizing the HLA-A*02:01–peptide complex[7]. Its clinical utility is restricted by patient HLA type and immunodominance characteristics of the viral peptide.

Other names
Hepatitis B surface antigen S20-28 epitope–HLA-A*02:01 complexHBsAg S(20-28)/HLA-A*02:01HLA-A*02:01-restricted HBV Env-derived peptide[7]HBV S20-28 epitope–HLA-A*02:01
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Mechanism of action

Antigen-specific CD8+ T cell activation via recognition of the peptide–MHC complex on infected cells Potential recruitment of immune therapeutics (e.g., TCR-mimetic proteins or bispecifics) that target the peptide–MHC complex for selective killing[7]

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Biological functions

Antigen presentationImmune response (specifically, cytotoxic T lymphocyte activation)Viral immune recognition
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Disease associations

Infection (primarily hepatitis B virus infection)Potential role in vaccine development and immunotherapy for hepatitis B[3]
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Safety considerations

Off-target toxicity due to T cell cross-reactivity (possible risk in TCR-mimetic therapies)Immune escape via HLA or epitope mutationsLimited to HLA-A*02:01-positive individuals[7]
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Interacting drugs

Null (no approved drugs directly target this complex; some experimental immunotherapies, including T cell receptor–mimetic agents, are in development[7])
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Biomarkers

The presence of HLA-A*02:01 allele in patients (for eligibility for epitope-targeted therapies)Detection of HBsAg S20-28-specific CD8+ T cells (for immunomonitoring)Peptide–HLA complex density can be a biomarker for effective immune recognition

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