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Major histocompatibility complex molecule (peptide-bound form) (MHC (when peptide-bound, often pMHC))

Target
MHC (when peptide-bound, often pMHC)
Molecular classification
Receptor (immune receptor), Glycoprotein, Antigen-presenting molecule, Member of the immunoglobulin superfamily
01

Overview

Major histocompatibility complex molecules, when bound to peptide antigens (peptide-MHC complexes), are crucial cell-surface receptors involved in the adaptive immune response; they present processed peptide fragments to T cell receptors, thereby enabling the immune system to distinguish self from non-self and to initiate targeted immune responses against pathogens, tumors, or allogeneic cells[1][2][3][4][5]. In humans, these molecules are referred to as HLA (human leukocyte antigen) classes I and II, and are characterized by extraordinary genetic polymorphism, which allows a broad display of peptides[4][5]. Peptide-MHC class I complexes present endogenous peptides to CD8+ cytotoxic T lymphocytes, whereas peptide-MHC class II complexes present exogenous peptides to CD4+ helper T cells[1][4][5]. Polymorphisms in these molecules strongly influence disease susceptibility, resistance, and outcomes, notably in infection, autoimmunity, and transplantation[3][4][5]. As central elements in immune modulation and patient stratification, peptide-MHC complexes are targets for vaccines, immunotherapies, and diagnostics, and their genetic diversity complicates both therapeutic development and clinical implementation[3][4][5].

Other names
peptide-MHC complexpMHCMHC-peptide complexHLA-peptide complex (for humans)peptide-bound MHC class Ipeptide-bound MHC class II
02

Mechanism of action

Modulation of antigen presentation to T cells; Indirect mechanisms via enhancement or inhibition of T cell recognition

03

Biological functions

Antigen presentationImmune response initiationSelf/non-self recognitionT cell activation
04

Disease associations

InfectionCancerAutoimmune diseaseInflammationTransplant rejection
05

Safety considerations

Risk of autoimmunity (certain MHC types predispose to autoimmune disease)Graft-versus-host disease or rejection in transplant settings due to MHC disparityTumor immune evasion by downregulation of MHC
06

Interacting drugs

Immune checkpoint inhibitors (e.g., pembrolizumab, nivolumab indirectly depend on MHC for antigen presentation)

2 more in the full profile.

07

Biomarkers

HLA typing (e.g., HLA-B27 for ankylosing spondylitis risk)MHC expression levels (especially on tumor or infected cells)Peptide-MHC tetramer staining (for antigen-specific T cells)

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