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T-cell receptor recognizing Cytomegalovirus 65 kDa phosphoprotein-derived peptides (TCR-CMV-pp65) (TCR-CMV-pp65)

Target
TCR-CMV-pp65
Molecular classification
Receptor, T-cell receptor, Antigen-specific receptor
01

Overview

T-cell receptors (TCRs) recognizing Cytomegalovirus (CMV) 65 kDa phosphoprotein (pp65) are essential for controlling CMV infection and maintaining viral latency [1]. The pp65 protein is a major structural component of the CMV tegument and serves as the primary target for the host's cellular immune response [1, 2]. These TCRs recognize pp65-derived peptides, such as the immunodominant NLVPMVATV epitope, when presented by Major Histocompatibility Complex (MHC) Class I or Class II molecules on the surface of infected cells [3, 4]. In clinical settings, particularly following hematopoietic stem cell transplantation (HSCT) or solid organ transplantation, the loss of these specific T-cell populations can lead to CMV reactivation and severe organ damage [2, 5]. Therapeutic interventions often utilize adoptive T-cell therapy, where donor-derived or engineered T cells expressing these TCRs are transferred to the patient to re-establish viral control [3, 6]. These therapies leverage the high specificity of the TCR for viral antigens to minimize off-target effects while providing robust antiviral activity through direct cytotoxicity and cytokine release [5, 6]. Monitoring of CMV viral load and HLA restriction is critical for the successful application of these TCR-based therapies [2, 4].

Other names
CMV-specific T-cell receptorpp65-specific TCRCytomegalovirus pp65-specific T-cell receptorAnti-CMV pp65 TCRCMV pp65-restricted T-cell receptor
02

Mechanism of action

Recognition of CMV pp65 peptides presented by MHC Class I or II molecules, triggering T-cell activation and targeted destruction of CMV-infected cells [1, 3, 4].

03

Biological functions

Immune responseAntigen recognitionT-cell activationCytotoxicityCytokine production
04

Disease associations

InfectionCytomegalovirus infectionImmunodeficiencyPost-transplant complications
05

Safety considerations

Graft-versus-host disease (GvHD) [2, 3]Cytokine release syndrome (CRS) [6]Off-target toxicity due to TCR cross-reactivity [5]Immune escape through viral mutations [1]
06

Interacting drugs

Posoleucel (ALVR105)

3 more in the full profile.

07

Biomarkers

CMV DNA PCR (viral load) [2]pp65 antigenemia assay [1]HLA-A*02:01 genotyping [4]CMV-specific T-cell frequency [5]IFN-gamma release [6]

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