Review Article

Peptide-MHC I regulatory mechanisms and intervention strategies in anti-tumor T cell immunity

Zhi-chao Zhang1,2, Ying Shen1,2,3, Yu-shen Lin1,2, Bo Yang1,2,3,4, Ji Cao1,2,3,5, Jun Li5,6,7,8, Wen-bin Zhao1,2,3
1 Innovation Institute for Artificial Intelligence in Medicine, Zhejiang University, Hangzhou 310018, China
2 Institute of Pharmacology and Toxicology, Zhejiang Province Key Laboratory of Anti-Cancer Drug Research, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China
3 Engineering Research Center of Innovative Anticancer Drugs, Ministry of Education, Hangzhou 310018, China
4 School of Medicine, Hangzhou City University, Hangzhou 310015, China
5 Cancer Center, Zhejiang University, Hangzhou 310058, China
6 Department of Colorectal Surgery and Oncology (Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Key Laboratory of Molecular Biology in Medical Sciences, Hangzhou 310009, China
7 Center for Medical Research and Innovation in Digestive System Tumors, Ministry of Education, Hangzhou 310000, China
8 The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
Correspondence to: Zhi-chao Zhang: caoji88@zju.edu.cn, Ji Cao: caoji88@zju.edu.cn, Jun Li: 2307016@zju.edu.cn, Wen-bin Zhao: pharmacy_zwb@zju.edu.cn,
DOI: 10.1038/s41401-025-01574-y
Received: 25 November 2024
Accepted: 22 April 2025
Advance online: 16 May 2025

Abstract

T cell immune responses are triggered by antigenic peptides presented through major histocompatibility complex class Is (pMHC-Is), which play an important role in the genesis, development, and therapy of tumors. The capacity of a specific pMHC-I to elicit T cell responses is deeply influenced by its expression level (quantity) and its immunogenicity (quality). Tumor cells can evade T cell immunity by down-regulating the quantity of pMHC-Is or selectively eliminating highly immunogenic antigenic peptides. Augmenting the quantity or quality of pMHC-Is is essential for tumor immunotherapy. However, the complexity of pMHC-I regulation and tumor heterogeneity pose challenges to clinical strategies. Consequently, developing approaches grounded in comprehensive analyses of pMHC-I regulatory mechanisms remains a focal point in the research of T cell immunity. In this review, we discuss how tumors modulate their surface pMHC-Is through genetic, epigenetic, and proteomic mechanisms and summarize potential therapeutic strategies targeting these mechanisms, which may provide a valuable reference for the development of novel tumor immunotherapies based on pMHC-I modulation.
Keywords: immunotherapy; T cell immunity; pMHC-I; gene level regulation; epigenetic level regulation; protein level regulation

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