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T-cell receptor recognizing Hepatitis B surface antigen-derived peptide–MHC class II complexes (HBsAg-specific MHC-II-restricted TCR)

Target
HBsAg-specific MHC-II-restricted TCR
Molecular classification
T-cell receptor, Antigen receptor, Immunoglobulin superfamily protein
01

Overview

The T-cell receptor (TCR) recognizing HBsAg-derived peptide–MHC class II complexes is a specialized immune receptor engineered to target Hepatitis B virus (HBV) surface antigens presented by Major Histocompatibility Complex (MHC) class II molecules. While most TCR-based therapies for HBV focus on MHC class I to engage CD8+ cytotoxic T cells, MHC class II-restricted TCRs are designed to harness CD4+ T cells, which are essential for orchestrating a durable and effective immune response (Bertoletti & Tan, 2020). These receptors typically recognize specific epitopes, such as HBsAg 161–180, presented by alleles like HLA-DPB1*04:01, which is highly prevalent in certain populations (Koh et al., 2018). Upon binding, the TCR triggers CD4+ T cell activation, leading to the secretion of antiviral cytokines like interferon-gamma (IFN-γ) and tumor necrosis factor-alpha (TNF-α), as well as providing help to B cells and CD8+ T cells (Wisskirchen et al., 2019). This target is primarily utilized in the development of adoptive T-cell therapies (TCR-T) for patients with chronic hepatitis B (CHB) and HBV-related hepatocellular carcinoma (HCC). The therapeutic goal is to overcome the T-cell exhaustion characteristic of chronic infection and achieve a functional cure or tumor regression (Tan et al., 2015).

Other names
HBsAg-specific MHC class II-restricted T-cell receptorMHC-II restricted HBV TCRCD4+ HBV-specific T-cell receptorHBsAg-specific TCR
02

Mechanism of action

Recognition of HBsAg-derived peptides presented by MHC class II molecules on the surface of HBV-infected cells or antigen-presenting cells, leading to the activation of CD4+ T cells and the subsequent release of antiviral cytokines (e.g., IFN-gamma, TNF-alpha) and coordination of the broader immune response.

03

Biological functions

Immune responseAntigen recognitionCD4+ T-cell activationCytokine productionAntiviral activity
04

Disease associations

Chronic Hepatitis BHepatocellular CarcinomaHepatitis B virus infection
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Safety considerations

Cytokine release syndrome (CRS)Hepatotoxicity (ALT/AST flares)On-target off-tumor toxicityImmune effector cell-associated neurotoxicity syndrome (ICANS)
06

Interacting drugs

TCR-engineered T-cell therapy
07

Biomarkers

HBsAg expressionHLA-DPB1*04:01HLA-DRB1HBV DNA levelsSerum HBsAg levels

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