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Pathogen-derived peptide–Human Leukocyte Antigen complexes from influenza and respiratory viruses (pHLA complexes)

Target
pHLA complexes
Molecular classification
Major Histocompatibility Complex, Antigen-presenting complex, Receptor-ligand complex
01

Overview

Pathogen-derived peptide–Human Leukocyte Antigen (pHLA) complexes are molecular structures formed by the association of intracellularly processed viral protein fragments with host HLA molecules. These complexes are transported to the cell surface, where they act as signals indicating the presence of an intracellular infection to the adaptive immune system (PubMed: 25108026). In respiratory infections like influenza or COVID-19, CD8+ cytotoxic T cells recognize specific pHLA complexes via their T-cell receptors (TCRs), leading to the destruction of the infected cell and the limitation of viral spread (PubMed: 32473127). Because these complexes are highly specific to the viral strain and the host's genetic HLA profile, they are central to the development of T-cell-inducing vaccines and advanced immunotherapies. Current therapeutic approaches include TCR-engineered T cells (TCR-T) and bispecific molecules that bridge the pHLA complex with T-cell activating receptors. However, the high diversity of HLA alleles in the human population and the potential for viruses to mutate their epitopes (antigenic drift) present significant hurdles for universal therapy design (Janeway's Immunobiology).

Other names
Peptide-MHC complexespMHCViral peptide-HLA complexesHLA-restricted viral antigensAntigen-presenting complexes
02

Mechanism of action

Recognition by T-cell receptors (TCRs) on CD8+ or CD4+ T cells, triggering cytokine release and programmed cell death of the infected host cell.

03

Biological functions

Antigen presentationT-cell activationImmune surveillanceCellular immunityCytotoxic T-lymphocyte response
04

Disease associations

InfectionInfluenzaCOVID-19Respiratory Syncytial Virus infectionPneumonia
05

Safety considerations

Off-target cross-reactivity with self-peptides (molecular mimicry)Cytokine release syndrome (CRS)HLA downregulation by viruses (immune evasion)MHC polymorphism-related restriction of patient population
06

Interacting drugs

mRNA-1273 (induces pHLA presentation)

4 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotypePeptide-specific CD8+ T-cell countMHC multimer stainingInterferon-gamma release assay (IGRA)

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