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Human cytomegalovirus (HCMV) antigens are a comprehensive set of viral proteins that serve as the primary interface between the virus and the host immune system, as well as the targets for therapeutic intervention (PMID: 31906344). Key structural antigens include Glycoprotein B (gB) and the Pentameric Complex (gH/gL/UL128/UL130/UL131A), which are essential for viral entry into diverse cell types and are the primary targets for neutralizing antibodies and modern vaccines like mRNA-1647 (UniProt: P06473, Moderna 2024). Non-structural antigens such as the DNA polymerase (UL54), the UL97 kinase, and the terminase complex (UL56) are the direct targets of small-molecule antivirals including ganciclovir, maribavir, and letermovir (FDA, 2023). Furthermore, internal proteins like phosphoprotein 65 (pp65) and immediate-early proteins (IE1/IE2) are critical for eliciting T-cell mediated immunity, which is vital for controlling latent infection and preventing reactivation (PMID: 27511315). These antigens are central to the pathogenesis of HCMV, particularly in the context of congenital transmission and life-threatening infections in immunocompromised individuals (PMID: 29198912).
The mechanisms include inhibition of viral DNA polymerase (UL54), inhibition of the viral terminase complex (UL56), inhibition of the UL97 protein kinase, neutralization of viral entry via glycoproteins (gB, gH/gL/UL128-131A), and induction of active or passive immunity (PMID: 31906344, FDA 2023).
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