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Human leukocyte antigen-peptide complex presenting Epstein-Barr virus latent membrane protein 1 and 2 epitopes (HLA-LMP1/2 pMHC)

Target
HLA-LMP1/2 pMHC
Molecular classification
MHC class I complex, Antigen-presenting complex, Receptor, Viral antigen target
01

Overview

The target consists of Human Leukocyte Antigen (HLA) molecules, primarily Class I, presenting specific peptide epitopes derived from the Epstein-Barr Virus (EBV) Latent Membrane Proteins 1 and 2 (LMP1 and LMP2) (Source: Taylor et al., 2015, J Gen Virol). These complexes are expressed on the surface of B cells and epithelial cells during EBV latency programs (Latency II and III), which are associated with various malignancies such as Nasopharyngeal Carcinoma (NPC), Hodgkin Lymphoma, and Post-transplant lymphoproliferative disorder (PTLD) (Source: Young et al., 2016, Nat Rev Cancer). Because LMP1 and LMP2 are intracellular proteins, they are not accessible to standard monoclonal antibodies; however, their presentation as peptide-MHC (pMHC) complexes allows them to be targeted by T-cell receptor (TCR)-based therapies (Source: Heslop et al., 2013, Blood). Therapeutic interventions include adoptive transfer of EBV-specific cytotoxic T lymphocytes (CTLs), TCR-engineered T cells (TCR-T), and TCR-like antibodies or CAR-Ts designed to recognize the pMHC complex with high affinity (Source: Smith et al., 2017, Cancer Res). This target is highly specific to EBV-infected cells, offering a pathway for precision immunotherapy that exploits the viral origin of the tumor while sparing healthy, non-infected tissues (Source: Atara Biotherapeutics, 2023).

Other names
HLA-LMP1/2 pMHCEBV LMP peptide-MHC complexesLMP1/2-restricted HLA complexesEpstein-Barr virus latent membrane protein epitopesMHC-peptide complexes (LMP1/2)
02

Mechanism of action

Recognition of specific viral peptide-HLA complexes by T-cell receptors (TCRs) or TCR-like chimeric antigen receptors (CARs), leading to the activation of cytotoxic signaling pathways (granzyme/perforin) and apoptosis of the target EBV-infected cell (Source: Cho et al., 2018, Clin Cancer Res).

03

Biological functions

Antigen presentationImmune recognitionT-cell activationImmune surveillance
04

Disease associations

InfectionCancerNasopharyngeal carcinomaHodgkin lymphomaPost-transplant lymphoproliferative disorder (PTLD)Burkitt lymphoma
05

Safety considerations

Off-target toxicity due to cross-reactivity with self-peptides (Source: Lin et al., 2022, Front. Immunol.)Cytokine release syndrome (CRS) (Source: Atara Biotherapeutics)Immune escape via HLA downregulation (Source: Thorley-Lawson, 2015, Annu Rev Pathol)
06

Interacting drugs

Tabelecleucel

3 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotype (Source: Hislop et al., 2007, Annu Rev Immunol)LMP1/LMP2 mRNA or protein expression (Source: Kanakry et al., 2016, Blood)EBV-encoded small RNA (EBER) statusPlasma EBV DNA levels

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