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Human cytomegalovirus (HCMV) 65 kDa lower matrix phosphoprotein, encoded by the UL83 gene and commonly known as pp65, is the most abundant tegument protein of the HCMV virion and a primary target of the host immune response (UniProt P06725). It plays a dual role in viral pathogenesis: it facilitates viral entry and assembly while simultaneously acting as a potent immunomodulator that can inhibit the host's interferon response and interfere with MHC class I and II antigen presentation pathways to evade immune detection (PubMed: 16227268). Despite these evasion tactics, pp65-derived peptides are the dominant epitopes recognized by CD8+ cytotoxic T lymphocytes and CD4+ helper T cells in HCMV-seropositive individuals (PubMed: 8523568). Consequently, pp65 is a critical target for the development of diagnostic assays (such as the pp65 antigenemia test), prophylactic vaccines (e.g., mRNA-1647), and adoptive T-cell therapies (e.g., Posoleucel) designed to restore CMV-specific immunity in immunocompromised patients, such as hematopoietic stem cell or solid organ transplant recipients (ClinicalTrials.gov: NCT04356612). Therapeutic interventions typically focus on using these epitopes to expand T-cell populations ex vivo or to prime the immune system to recognize and eliminate CMV-infected cells.
Stimulation of T-cell receptor (TCR) recognition of pp65-derived epitopes presented on MHC molecules to induce a targeted cytotoxic and helper T-cell immune response against HCMV-infected cells.
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