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Human herpesvirus 6 peptide-HLA complex (HHV-6 pHLA) (HHV-6 pHLA)

Target
HHV-6 pHLA
Molecular classification
Peptide-HLA complex, Antigen-MHC complex, Receptor
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Overview

The Human herpesvirus 6 (HHV-6) peptide-HLA complex is the primary molecular target presented on the surface of cells infected with HHV-6A or HHV-6B (Zerr, 2006, PubMed). During the viral life cycle, particularly during reactivation in immunocompromised hosts, viral proteins are processed into short peptides and displayed by Human Leukocyte Antigen (HLA) molecules (Pantry & Medveczky, 2017, PubMed). This presentation allows the immune system, specifically CD8+ and CD4+ T-cells, to identify and eliminate infected cells through T-cell receptor (TCR) mediated recognition (Allovir, 2023). HHV-6 reactivation is a significant cause of morbidity in transplant recipients, leading to conditions such as encephalitis, pneumonitis, and graft failure (Hill et al., 2019, Blood). Therapeutic interventions like Posoleucel (ALVR105) utilize virus-specific T-cells (VSTs) that target these pHLA complexes to control viral replication and restore immune surveillance (Allovir, 2023). The specificity of this interaction is crucial for avoiding off-target effects against healthy host tissues that do not present these viral antigens. Monitoring viral load via DNA PCR and assessing HLA compatibility are essential for the clinical application and efficacy monitoring of these targeted therapies.

Other names
HHV-6 peptide-MHC complexHHV-6 antigen-HLA complexHuman herpesvirus 6-infected cell surface antigensHHV-6 pMHC
02

Mechanism of action

T-cell receptor (TCR) mediated recognition of viral peptides presented by HLA molecules, leading to cytotoxic T-lymphocyte (CTL) activation and lysis of infected cells.

03

Biological functions

Antigen presentationImmune recognitionViral latency and reactivationT-cell activation
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Disease associations

InfectionEncephalitisTransplant-related viral reactivationRoseola infantumGraft-versus-host diseasePneumonitis
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Safety considerations

Cytokine release syndrome (CRS)Graft-versus-host disease (GvHD)Off-target cross-reactivity with self-peptides
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Interacting drugs

Posoleucel (ALVR105)

1 more in the full profile.

07

Biomarkers

HHV-6 DNA viral load (qPCR)HLA-A*02:01 genotypeHHV-6-specific T-cell frequency (ELISpot)

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