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The HLA-A*02:01–CMV pp65 peptide complex is a specific peptide-major histocompatibility complex (pMHC) consisting of the HLA-A*02:01 molecule and the immunodominant NLVPMVATV peptide (residues 495-503) derived from the Cytomegalovirus (CMV) phosphoprotein 65 (pp65) (PubMed: 15905523). This complex is expressed on the surface of CMV-infected cells and serves as a primary target for CD8+ cytotoxic T lymphocytes (CTLs) (UniProt: P06725). In clinical settings, it is a major focus for monitoring CMV-specific immune reconstitution in hematopoietic stem cell transplant recipients (PubMed: 21835045). Furthermore, because pp65 is often expressed in glioblastoma and other malignancies, this pMHC complex is targeted by novel immunotherapies, including TCR-engineered T cells and peptide vaccines (PubMed: 25705881). Therapeutic strategies aim to leverage the high affinity of specific TCRs for this complex to induce targeted cell lysis while minimizing off-target effects (PubMed: 30201734). The high prevalence of the HLA-A*02:01 allele and the strong immunogenicity of the pp65 peptide make this complex a cornerstone for developing precision immunotherapies.
Binding of T-cell receptors (TCRs) to the pMHC complex to trigger cytotoxic T-lymphocyte activation and targeted cell lysis.
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