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Mycobacterium tuberculosis antigen TB10.4-specific T-cell receptors (TCRs) are specialized protein complexes on the surface of T lymphocytes that recognize the TB10.4 (also known as EsxH) protein. TB10.4 is a highly immunodominant antigen secreted by the Mycobacterium tuberculosis Esx-3 secretion system and is a primary target of the host's cellular immune response during infection (PubMed: 21646655). These receptors function by binding to specific TB10.4 peptide fragments presented by Major Histocompatibility Complex (MHC) molecules on infected macrophages, which triggers T-cell activation and the production of protective cytokines such as interferon-gamma and tumor necrosis factor-alpha (PubMed: 25332163). In therapeutic development, these TCRs are the primary targets for several subunit vaccines, most notably H4:IC31 (AERAS-404), which aims to expand the population of TB10.4-specific T cells to provide long-term immunity (PubMed: 21835174). Additionally, they are being explored in the context of adoptive T-cell therapies, where T cells are engineered to express high-affinity TB10.4-specific TCRs to treat multi-drug resistant tuberculosis (PubMed: 30045925). Understanding the structural basis of this TCR-antigen interaction is crucial for overcoming challenges related to HLA polymorphism and ensuring broad vaccine efficacy across diverse human populations.
Recognition of TB10.4 (EsxH) peptide fragments presented by Major Histocompatibility Complex (MHC) molecules on the surface of infected cells, leading to T-cell activation and the release of effector molecules to control Mycobacterium tuberculosis infection.
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