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The **major histocompatibility complex (MHC) pathway** refers to the cellular and molecular processes responsible for the presentation of peptide antigens to T cells, a central mechanism in adaptive immunity. MHC class I molecules present endogenous antigens (including viral or tumor antigens) to **CD8+ cytotoxic T cells**, whereas MHC class II molecules present exogenous antigens to **CD4+ helper T cells**. This pathway determines immune recognition of self and non-self, impacts organ transplant compatibility, and is a critical modulator of both autoimmunity and anti-tumor immunity[1][3][5][7][8]. Therapies targeting the MHC pathway aim to enhance or suppress antigen presentation, to modulate the immune response in cancer immunotherapy or autoimmune diseases[2][4][6][8]. However, the "MHC pathway" is a **biological process, not a single molecular target**, and includes multiple proteins (e.g., MHC class I/II, TAP, chaperones), so this entry is semantically not a proper molecular target. **Note:** - "MHC pathway" is not a molecular entity but a pathway/process, so the entry is technically incorrect for a target database and should be flagged as such. - Canonical targets would include "MHC class I molecule," "MHC class II molecule," or specific HLA gene products, rather than the pathway itself[1][5][7].
Modulate or restore antigen presentation Block antigen presentation (e.g., glatiramer acetate competes for MHC binding to block autoantigen presentation) Epigenetic reprogramming to upregulate MHC expression Targeting MHC-peptide complexes with therapeutic antibodies or cell therapies
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