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TCR recognition of peptide-HLA class II complexes in autoimmunity: Structural insights for therapeutic targeting - PubMed

5 hours ago
  • #Therapeutic targeting
  • #Autoimmunity
  • #HLA class II
  • Autoimmune diseases involve self-reactive T and B cells breaking immune tolerance, leading to chronic inflammation.
  • Current treatments like immunosuppressants and biologics often fail to achieve long-term drug-free remission.
  • HLA class II genes, highly polymorphic, are major risk factors for autoimmune diseases.
  • Polymorphisms in HLA class II affect the peptide-binding groove, influencing self-peptide presentation and autoreactive T-cell activation.
  • Only 38 resolved human TCR-pHLA II complexes linked to autoimmunity exist, with 19 related to celiac disease.
  • Structural insights are guiding new therapies like pHLA II-based nanomedicines, engineered Tregs, and TCR-like antibodies.
  • AI and machine learning could enable personalized therapies by integrating HLA genotype, peptide presentation, and T-cell repertoire data.