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Journal of Virology, September 2008, p. 8246-8252, Vol. 82, No. 17
0022-538X/08/$08.00+0 doi:10.1128/JVI.00207-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
Viral Proteins Interfering with Antigen Presentation Target the Major Histocompatibility Complex Class I Peptide-Loading Complex 
Gustav Røder,1
Linda Geironson,1,2
Iain Bressendorff,1 and
Kajsa Paulsson1,3*
Department of Experimental Immunology, Institute of International Health, Immunology and Microbiology, University of Copenhagen, Panum Institute Bldg. 18.3.20, Blegdamsvej 3B, DK-2200 Copenhagen, Denmark,1
Rausing Laboratory, Division of Neurosurgery, Department of Clinical Sciences, Lund University, BMC-D14, SE-221 84 Lund, Sweden,2
Immunology Section, Lund University, BMC-I13, SE-221 84 Lund, Sweden3

INTRODUCTION
The adaptive immune system is responsible for the final clearance
and long lasting immunological memory of invading pathogens.
Major histocompatibility complex class I (MHC-I) molecules play
a central role in this defense as reporters of cellular content
by presenting peptides derived from interior proteins in the
cell. When recirculating cytotoxic T lymphocytes recognize MHC-I-presented
peptides as foreign (e.g., derived from viral proteins), the
presenting cell is killed by cytotoxic T lymphocytes, thereby
hindering the spread of the virus. Thus, the key to efficient
viral clearance by cytotoxic T lymphocytes lies within both
the quality of the T-cell-receptor repertoire and the efficient
processing and presentation of MHC-I-bound peptides. From the
initial synthesis and folding to the final presentation on the
cell surface, the MHC-I molecule gradually matures through multiple
steps, most of which take place inside the endoplasmic reticulum
(ER). The final stage of maturation for most MHC-I molecules
takes place in the peptide-loading complex. The immune system
and pathogens have evolved side by side for millions of years,
and invading pathogens have developed several escape mechanisms
to cripple the immune system. Among them are viral proteins
that interfere with antigen presentation (VIPRs), which target
both MHC-I and MHC-II antigen processing in order to skew or
totally inhibit a functional immune response toward the virus.
In this review, we discuss the main discoveries and latest developments
concerning VIPRs that target the MHC-I peptide-loading complex.

NORMAL PHYSIOLOGY OF MHC-I ANTIGEN PROCESSING AND THE PEPTIDE-LOADING COMPLEX
MHC-I antigen processing starts with the degradation of intracellular
proteins into small peptides. This is mainly accomplished by
the proteasome in the cytosol, and the peptides are then transported
into the ER by the transporter associated with antigen processing
(TAP) in order to be loaded onto peptide-receptive MHC-I molecules.
The MHC-I molecule is made up of a transmembrane-spanning heavy
chain non-covalently bound to β
2-microglobulin. The nascent
heavy chain is synthesized directly into the ER, where it is
initially bound by the general ER chaperones immunoglobulin-binding
protein (BiP) and calnexin. After BiP is released, β
2-microglobulin
binds to the heavy chain and the soluble lectin calreticulin
replaces calnexin (
41) (Fig.
1A). Subsequently, the MHC-I molecule
is integrated into the peptide-loading complex (
17,
41,
60,
82). An essential part of the peptide-loading complex is the
heterodimeric TAP composed of the TAP1 and TAP2 subunits, both
containing an N-terminal transmembrane domain and a C-terminal
cytosolic nucleotide binding domain. TAP1 and TAP2 have 10 and
9 transmembrane helices, respectively, where the 6 C-terminal
helices from each subunit build together to form the so-called
6 + 6 TM core complex, which has been shown to be essential
and sufficient for ER targeting, assembly of the heterodimer,
binding of peptides, and peptide translocation (
33). The translocation
is a multistep process, beginning with the association of peptides
with TAP in an ATP-independent manner (
4,
48,
76). Peptides
with a length of 8 to 16 amino acids are preferentially bound
to TAP (
76). Peptides with 8 to 12 amino acids are transported
most efficiently, although peptides longer than 40 amino acids
are also transported, albeit with a lower level of efficiency
(
4,
35). The C-terminal amino acid and the first three N-terminal
residues of the peptide have been shown to play key roles in
TAP recognition (
68). Peptides with basic or hydrophobic amino
acids at the C terminus are particularly preferred by human
TAP. Peptide binding to TAP is followed by a slow isomerization
of the TAP complex that triggers an ATP-dependent peptide translocation
across the ER membrane (
3,
47,
70).
TAP binds to the MHC-I-dedicated chaperone tapasin, and together
they form the core of the peptide-loading complex. The TAP-tapasin
complex interacts with MHC-I, calreticulin, ERp57, and protein
disulfide isomerase to form a fully functional peptide-loading
complex capable of loading peptides into the peptide-receptive
MHC-I binding groove (
53) (Fig.
1A). Tapasin is a type I transmembrane
protein with a large N-terminal ER luminal region, a single
transmembrane-spanning domain, and a short cytoplasmic tail.
The precise site at which it binds to TAP has not yet been mapped,
but it has been suggested that the first N-terminal transmembrane
helix of TAP binds to the transmembrane domain of tapasin (
34),
which is supported by the fact that soluble human tapasin variants
are defective in TAP association, resulting in impaired MHC-I
surface expression (
73). In the absence of tapasin, MHC-I is
not found in association with TAP (
66). Tapasin-deficient cells
have decreased levels of cell surface expression of MHC-I, with
alterations in their presented peptide repertoire and an impaired
cytotoxic-T-lymphocyte response (
20,
22,
61,
66). The ensurance
that high-stability mature MHC-I molecules will be transported
to the cell surface in wild-type cells has generally been attributed
to the retention of immature MHC-I molecules in the ER, and
indeed, results from different experimental systems have shown
that tapasin retains MHC-I molecules in the ER until optimal
peptides have been loaded (
22,
67). In addition, a mechanism
that recycles MHC-I molecules from late secretory compartments
back to the ER has been suggested by several studies (
14,
29,
52,
55). Vesicles with a protein coat composed of coatomer and
ARF1 (COP-I-coated vesicles) recognize and bind to C-terminal
KKXX motifs in membrane proteins that function as ER retrieval
signals for proteins (
16). That tapasin contains a C-terminal
KKXX motif (
55) and has been shown to have prolonged association
with non-optimally loaded MHC-I molecules (
14,
54,
55) led to
the investigation of tapasin involvement in COP-I transport.
Indeed, tapasin was demonstrated to bind to COP-I via its KKXX
motif (
54). In cells expressing tapasin with the KKXX motif
mutated to AAXX, neither tapasin nor MHC-I was detected in association
with COP-I, indicating a direct role for the tapasin KKXX motif
in mediating the MHC-I transport by COP-I-coated vesicles. In
the same cells, cell surface expression of MHC-I molecules was
significantly increased, but MHC-I molecule degradation was
also increased, suggesting that immature MHC-I molecules escape
to the cell surface.
In the presence of tapasin, MHC-I molecules have been shown to improve their peptide cargo over time, both quantitatively and qualitatively (reviewed in reference 56). Tapasin has been proposed to act as a peptide editor that alters the conformation of the peptide binding pocket in MHC-I. This alteration improves and facilitates the efficient loading with optimal peptides that confers high conformational stability and a long half-life at the cell surface. Different MHC-I alleles depend to different degrees on tapasin for efficient peptide loading (Fig. 1A). The amino acid of human leukocyte antigen class I (HLA-I, human MHC-I) at position 114 has been shown to be of crucial importance to tapasin dependence: the higher the acidity of this amino acid, the higher the tapasin dependence (51). Both HLA-B*2705 and HLA-B*2702 have histidine at position 114, and both have been shown to be tapasin independent, while HLA-B*4402 and HLA-B*3501 have aspartic acid at residue 114 and have been demonstrated to be dependent on tapasin (51, 58).
Several studies have indicated that complete oxidation of the MHC-I heavy chain is a prerequisite for binding to the peptide-loading complex. ERp57 is a thiol oxidoreductase that forms a disulfide conjugate with tapasin within the peptide-loading complex (57). Studies have shown that this interaction is crucial for protection from reduction of the
2 disulfide bond in the peptide-binding groove on MHC-I (32, 79). Cooperation of ERp57 with tapasin has been suggested to significantly boost the efficiency whereby tapasin promotes MHC-I peptide binding (79). Recently, Ahn and coworkers presented the protein disulfide isomerase as the newest member of the peptide-loading complex, with a role in regulating the oxidation of the
2 disulfide bond of MHC-I (53).
Viruses have evolved strategies to prevent the generation and presentation of antigenic peptides, resulting in their ability to escape from the immune system. Viruses have evolved to target many crucial steps of antigen processing simultaneously, and many of the VIPRs directly assault the peptide-loading complex per se.

PREVENTION OF PEPTIDE BINDING TO TAP BY INDUCTION OF A CONFORMATIONAL ARREST AND DIRECT BLOCKAGE OF THE PEPTIDE BINDING SITE
In order for a peptide to be transported from the cytosol to
the ER by TAP, it has to bind to the peptide binding site on
TAP (
6). Preventing this binding will inevitably result in a
reduced pool of peptides in the ER available for association
with MHC-I, ultimately resulting in a reduced level of MHC-I
cell surface expression in accordance with the results found
in TAP-deficient cells. Herpes simplex virus type 1 encodes
an 88-amino-acid-long cytoplasmic protein called ICP47, which
was originally observed to retain MHC-I in the ER (
27). It was
observed that these MHC-I molecules lack peptide, and it was
suggested that ICP47 somehow blocks the translocation of peptides
into the ER (
83), and later, TAP was identified by immunoprecipitation
as the ICP47 target (
19). By using recombinant ICP47 and microsomes,
it was shown that ICP47 binds strongly to TAP and remains stably
associated (
1,
74). Furthermore, the same study showed that
ICP47 competes with the binding of peptides to TAP, suggesting
that ICP47 binds to the same TAP peptide binding site or partly
overlaps it (Fig.
1B).
High-affinity peptides are known to stabilize the TAP heterodimer (75). Based on chemical cross-linking of the two TAP subunits, it was demonstrated that peptides stabilize the TAP heterodimer whereas ICP47 actually causes its destabilization (39). The destabilizing effect offers an explanation for an additional mechanism by which ICP47 prevents peptide binding to TAP, since a functional TAP heterodimer is required for peptide binding and translocation (6, 75). The peptide-loading complex components are able to form around only one of the TAP subunits (5, 62, 65), so ICP47 is not expected to prevent formation of the peptide-loading complex: due to the fact that it destabilizes the TAP heterodimer, it merely prevents peptide binding to TAP by the previously described mechanism. Furthermore, it was shown that the six core transmembrane helices of each TAP subunit are sufficient for peptide translocation and also for ICP47 blocking (33). Since only the first N-terminal membrane-spanning helix of TAP is necessary for tapasin binding (34) and tapasin and other peptide-loading complex components are observed to bind to TAP simultaneously with ICP47 (19), it can be inferred that ICP47 modulates TAP only in such a way that it becomes incapable of binding peptides. A complete analysis of the impact of ICP47 on the functional integrity of the peptide-loading complex remains to be done.

INHIBITING TAP-DEPENDENT PEPTIDE TRANSLOCATION BY PREVENTING ATP BINDING TO TAP
TAP depends on ATP-derived energy for the translocation of peptides
into the ER, and the disruption of ATP binding to the nucleotide
binding domain on TAP represents another way of inhibiting TAP
function by VIPRs. The human cytomegalovirus US6 gene product
was first identified in 1997 as a 2-kDa, ER-restricted glycoprotein
with the major part consisting of an ER luminal domain but which
also contains a transmembrane and a cytosolic domain (
25,
40).
It was also observed that cells expressing this protein produced
peptide-deficient MHC-I molecules and that US6 alone is sufficient
to inhibit TAP-dependent peptide translocation into the ER.
Later, it was shown that US6 effectively inhibits ATP, but not
ADP, from binding to TAP by arresting TAP in a conformation
able to bind peptide and ADP but not ATP (
26,
38) (Fig.
1E).
By using recombinant US6, it was also demonstrated that the
ER luminal domain is sufficient for TAP inhibition, suggesting
that no transmembrane domain-transmembrane domain interactions
between US6 and TAP are necessary. However, the Lehner and Tampé
studies did not totally agree on the detailed mechanism. The
Lehner group (
26) found that US6 prevents ATP binding only to
the TAP1 subunit and actually promotes ATP binding to TAP2.
Tampé and coworkers found that US6 prevented ATP binding
to both the TAP1 and TAP2 subunits (
38). However, a similar
functional outcome was achieved by both models, since by preventing
ATP from binding to TAP, US6 cuts off the energy source required
for structural rearrangements and the following peptide translocation.
US6 interaction sites on TAP were mapped to C-terminal transmembrane
domain loops on TAP1 and an N-terminal loop on TAP2 (
24). By
immunoprecipitation experiments, it was also shown that US6
coprecipitated the peptide-loading complex components TAP, tapasin,
calreticulin, MHC-I heavy chain, and β
2-microglobulin (
25,
40). However, they also showed that US6 does not need MHC-I
heavy chain and tapasin to effectively block TAP. Further experiments
need to be carried out to see if US6 interacts only with TAP
or if it also interacts with or influences other components
of the peptide-loading complex.

ABROGATING BOTH PEPTIDE AND ATP BINDING TO TAP
The lytic cycle of Epstein-Barr virus was previously found to
be associated with decreased MHC-I cell surface expression due
to a diminished peptide pool in the ER (
23,
31). The steady-state
level of TAP was unaffected by Epstein-Barr virus transformation,
and it was suggested that VIPRs downmodulate TAP at the functional
level (
63). Very recently, a more detailed mechanism was elucidated.
It was found that the Epstein-Barr virus lytic cycle BNLF2a
protein coimmunoprecipitated TAP, tapasin, and MHC-I heavy chain
(
28). The same report also demonstrated by peptide cross-linking
and ATP-agarose binding that BNLF2a abrogates the binding of
both peptides and ATP to TAP, thereby combining the actions
of both ICP47 and US6 and thus ensuring efficient inhibition
of peptide translocation (Fig.
1F). A further characterization
of BNLF2a will be interesting, including studies of possible
additional mechanisms targeting other peptide-loading complex
components.

DYSFUNCTIONAL TAP THAT STILL CAN BIND PEPTIDES AND ATP
Bovine herpesvirus type 1 was initially observed to downregulate
cell surface-expressed MHC-I and interfere with TAP-dependent
peptide translocation into the ER (
37). Bovine herpesvirus type
1 encodes a viral envelope protein termed UL49.5 (
8,
64) that
was recently found to have an inhibitory effect on TAP (
36).
The same study also showed by cross-linking peptides and binding
to ATP-agarose that UL49.5 does not prevent the binding of peptides
or ATP to TAP (Fig.
1D). This finding suggests an inhibitory
mechanism different from that of BNFL2a, but the mechanism that
inhibits TAP function is still unknown. New findings have shown
that bovine herpesvirus type 1 glycoprotein M binds directly
to UL49.5, which results in less UL49.5 available for TAP inhibition
(
43). However, the same study showed that since UL49.5 is normally
produced in excessive amounts, there is still a reduction of
TAP activity during bovine herpesvirus type 1 infection.

ABROGATION OF MHC-I/TAPASIN INTERACTION: PREVENTING MHC-I INTEGRATION INTO THE PEPTIDE-LOADING COMPLEX
The adenovirus expresses a set of early transcription unit 3
(E3) proteins during replication (reviewed in reference
81).
The E3-19 kDa protein, also termed E19, is an ER resident protein
with VIPR properties. E19 was initially shown to bind MHC-I
in the ER and downmodulate MHC-I cell surface expression (
2,
15,
18,
69). Recently, amino acid position 56 located on the
MHC-I
1-helix of the peptide binding groove has been shown to
be critical for E19 binding to the MHC-I and thus represents
a putative binding site (
44). Several years after the initial
discoveries, it was found by coimmunoprecipitation that E19
is also able to bind to TAP (
9). By using MHC-I- and tapasin-deficient
cell lines, the same study showed that the TAP-E19 interaction
is independent of the presence of MHC-I and tapasin. Furthermore,
the study also showed no difference in the association of tapasin
with TAP in the presence of E19 but a clearly abrogated TAP-MHC-I
interaction, which could most likely be attributed to disruption
of the tapasin-MHC-I interaction, since tapasin has been shown
to bridge MHC-I to TAP in the peptide-loading complex (
59,
73)
(Fig.
1C). The absence of tapasin has been shown to result in
a decreased half-life for TAP (
21,
49,
62), but since E19 does
not abrogate the tapasin-TAP interaction, we speculate here
that E19 does not destabilize TAP.

INTERFERENCE WITH TAPASIN-MEDIATED QUALITY CONTROL IN THE PEPTIDE-LOADING COMPLEX
Human cytomegalovirus encodes an US3 ER-expressed glycoprotein,
and by using flow cytometry it was observed that US3 results
in MHC-I downregulation; pulse-chase experiments further established
that the reason is degradation of the MHC-I heavy chain (
30).
Subsequently, it was shown that US3 disrupts the tapasin-mediated
peptide-loading quality control process (
50) (Fig.
1G). A direct
interaction between tapasin and US3 was demonstrated, and the
study showed that the US3-mediated downregulation was MHC-I
allele specific, targeting only the tapasin-dependent MHC-I
alleles that are integrated into the peptide-loading complex
to a high degree. It was demonstrated that the presence of US3
decreases the thermostability of tapasin-dependent MHC-I molecules,
indicating that tapasin-mediated quality control in the peptide-loading
complex is negatively affected by US3. The exact mechanism by
which tapasin exerts this quality control is still under debate,
but further studies of the quality control process in combination
with US3 might shed some more light on the underlying tapasin
optimization mechanism.

VIPR-INDUCED PEPTIDE-LOADING COMPLEX DEGRADATION
Many VIPRs, such as human cytomegalovirus US2 and US11, target
MHC-I for degradation outside the peptide-loading complex (
7).
However, murine gamma-2 herpesvirus 68 produces a VIPR called
mK3, which targets only peptide-loading complex-incorporated
MHC-I for degradation (
71,
72). Interestingly, mK3 has a PHD/LAP
finger motif, which ubiquitinates MHC-I and thereby targets
it for proteasomal degradation (
12,
71,
84). One study showed
that the mK3 PHD/LAP finger motif is required for MHC-I ubiquitination
but not for mK3 association with MHC-I (
12). Subsequently, it
was shown that the mK3-MHC-I association takes place only in
the peptide-loading complex, suggesting that peptide-loading
complex chaperones are required for MHC-I ubiquitination by
mK3 (
84) (Fig.
1H). Later, it was revealed that both TAP and
tapasin interact with mK3 and are required for MHC-I ubiquitination
(
46). The same study also showed that mK3 associates only with
β
2-microglobulin-associated MHC-I heavy chains, probably
because only β
2-microglobulin-associated MHC-I heavy chains
are integrated into the peptide-loading complex. By introducing
the T134K mutation in MHC-I, the interaction with tapasin is
abrogated, and only tapasin-interacting MHC-I was found to be
degraded in the presence of mK3 (
46), which further supports
the requirement of tapasin interactions for mK3 to exert ubiquitination.
An effect of mK3 MHC-I ubiquitination is that tapasin and TAP
also become ubiquitinated and subsequently degraded (
10). It
was suggested by Wang et al. and Wearsch et al. that mK3 integration
into the peptide-loading complex orients mK3 in such a way that
it becomes able to ubiquitinate MHC-I (
77,
78). These studies
suggested that mK3 interacts with the C-terminal domains of
TAP and tapasin and the N-terminal domain of MHC-I. These structural
requirements are proposed to result in proper orientation of
the mK3 ubiquitination domain with respect to MHC-I. Further
studies supporting this theory showed that intact tapasin is
required to degrade MHC-I, whereas only the TM and cytosolic
regions of tapasin are required to degrade TAP (
11). As described
in the previous section, human cytomegalovirus encodes the US3
protein which interferes directly with tapasin-mediated quality
control. In addition to its functional interference with tapasin,
it was recently found that US3 mediates the degradation of the
newly discovered peptide-loading complex component protein disulfide
isomerase (
53). Protein disulfide isomerase has been proposed
to be important for disulfide isomerization of the disulfide
bond located in the MHC-I peptide binding groove. The US3-mediated
degradation of protein disulfide isomerase is thus another way
of interfering with optimal peptide loading in the peptide-loading
complex.

PERSPECTIVES
Downregulation of cell surface-expressed MHC-I during viral
infection and replication is a frequently used viral strategy
to avoid immune recognition. This renders the infected cell
invisible to cytotoxic T lymphocytes but in some cases still
leaves it susceptible to NK cells (
13), although a diverse set
of strategies to prevent NK cell recognition has also evolved.
Viruses have different ways of interfering with the MHC-I antigen-processing
machinery by transcriptional downregulation of vital antigen-processing
machinery components (reviewed in references
42 and
45), but
as we have described in this review, VIPRs have also evolved
to directly target the functionality of the peptide-loading
complex at the protein level. Peptide availability in the ER
is a key requirement for subsequent MHC-I antigen presentation
at the cell surface. Limiting the peptide pool in the ER results
in reduced and altered antigen presentation, and indeed, the
major peptide supplier to the ER, TAP, has been shown to be
the target of a number of different VIPRs. Another key component
for efficient antigen presentation is tapasin. Deficient tapasin
function results in both qualitatively and quantitatively altered
MHC-I peptide presentation, and hence tapasin is an obvious
target for viral interference, as illustrated by the discovery
of a number of VIPRs acting on tapasin. Interference with TAP
or tapasin thus prevents virus epitopes from being presented
for recognition by cytotoxic T lymphocytes. Even though all
MHC-I molecules, including those classified as tapasin independent,
are to some degree optimized in the peptide-loading complex
(
80), the effect of many VIPRs that target the peptide-loading
complex is exclusively on the so called tapasin-dependent alleles.
Therefore, HLA polymorphism and codominant expression are likely
to play a major role in our capability to fight many viral infections.
A detailed understanding of the evolutionary pressures on both
the host and the viruses targeting the MHC-I peptide-loading
complex will be of great benefit to understanding antigen processing
and presentation, as well as other cellular processes such as
intracellular transport. Similarly to tapasin, the adenoviral
protein E19, for example, has been suggested to mediate COP-I
recycling of MHC-I molecules back to the ER. A further characterization
of E19 might both elucidate the mechanism for MHC-I optimization
by tapasin and bring light to the complex field of intracellular
transport. Continued research in the field of peptide-loading
complex VIPRs has obvious implications for developing medical
strategies to fight viruses as well as to prevent immune recognition
in autoimmune diseases, transplantation, and viral vector-based
gene therapies.

ACKNOWLEDGMENTS
This work was supported by grants from the Swedish Medical Research
Council (grant diarie 2006-6500) and the Alfred Benzon, Novo
Nordisk, and Lundbeck foundations.

FOOTNOTES
* Corresponding author. Mailing address: Department of Experimental Immunology, Institute of International Health, Immunology and Microbiology, University of Copenhagen, Panum Institute Bldg. 18.3.20, Blegdamsvej 3B, DK-2200 Copenhagen, Denmark. Phone: (45) 35 32 76 97. Fax: (45) 35 32 76 96. E-mail:
Kajsa_M.Paulsson{at}med.lu.se 
Published ahead of print on 30 April 2008. 

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Journal of Virology, September 2008, p. 8246-8252, Vol. 82, No. 17
0022-538X/08/$08.00+0 doi:10.1128/JVI.00207-08
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