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Major Histocompatibility Complex

Complexus histocompatibilitatis major

For medical students3 min readUpdated 2026-10-10

The Major Histocompatibility Complex (MHC) is a set of genes encoding cell-surface glycoproteins that present peptide antigens to T lymphocytes. These proteins determine an individual's immunological identity and biological individuality.

GeneticsThe gene complex is located on the short arm of chromosome 6
PolymorphismA single gene can have a massive number of alleles — from 300 to 500 variants
AbbreviationThe term HLA is used exclusively in medicine when referring to humans
ExceptionMHC class I molecules are absent on anucleated erythrocytes

Origin of the Terms MHC and HLA

Historically, the study of these surface glycoproteins began with the development of transplantation. Researchers noticed that the rejection of grafted tissues depends on mismatched structures on donor and recipient cells—foreign tissues were recognized by lymphocytes and destroyed. In general biological English-language literature, the term MHC (Major Histocompatibility Complex) became standard.

For humans, the medical abbreviation HLA (Human Leukocyte Antigens) is more commonly used, as these marker proteins were first discovered on leukocytes. Later, it turned out that the primary physiological role of these complexes is not transplant rejection at all, but rather participation in immune responses—presenting antigens to the body's own defense cells.

Genetically, this complex is localized on the short arm of chromosome 6. A characteristic feature of MHC genes is their colossal variability: each gene has dozens to hundreds (300–500) of allelic variants. Consequently, every individual possesses a unique combination of cell-surface proteins, forming their distinct "biological passport".

Classification of MHC Molecules

All products of histocompatibility genes are divided into three major classes, which differ significantly in their bodily localization and functions:

Antigen-Presenting Cells and Their Role

The primary task of membrane-bound MHC proteins is the presentation of antigenic determinants to T lymphocytes. There is a strict division of labor: MHC class I molecules present antigens to cytotoxic T cells (CD8+ T cells), whereas MHC class II molecules work exclusively with helper T cells (CD4+ T cells).

Cells that express MHC class II on their surface are called antigen-presenting cells (APCs). These include:

  1. Macrophages and their derivatives (interdigitating cells, dendritic cells, Kupffer cells in the liver, Langerhans cells in the skin).
  2. B lymphocytes.
  3. Specialized epithelium (e.g., M cells of the gastrointestinal tract, as well as thymic stromal epithelial cells, which are critical for the proper selection of maturing T lymphocytes). Under certain conditions, endothelial cells and other epithelial cells can also assume this function.

Endogenous Antigen Presentation Pathway (MHC Class I)

Every nucleated cell continuously performs an immunological "checkpoint," displaying fragments of its cytoplasmic contents on its surface. This mechanism is known as the endogenous pathway of presentation. The sources of antigens include the cell's own proteins, proteins from intracellular parasites (such as viruses), or tumor markers.

The assembly process proceeds as follows:

If a normal self-peptide is displayed, the immune system ignores it. However, if the cell is infected and displays a foreign viral or tumor fragment, it is immediately recognized by lymphocyte receptors and targeted for destruction by cytotoxic T cells.

Mnemonic

To easily remember localization: MHC-I (class I) is basic, found on the membranes of all nucleated somatic cells. MHC-II (class II) is "elite," present only on specialized antigen-presenting cells (macrophages, B lymphocytes).

Frequently asked questions

How does the exogenous pathway of antigen presentation by MHC class II molecules occur?

The exogenous pathway of antigen presentation by MHC class II molecules involves the capture of foreign proteins and their intracellular processing. The process consists of the following stages:

  • Antigen endocytosis — proteins are captured by the cell, enter the endosome, and are cleaved into peptides.
  • MHC-II synthesis — molecules are synthesized in the endoplasmic reticulum, with the invariant chain blocking the peptide-binding groove.
  • Transport — the complex passes through the Golgi apparatus into vesicles (MIIC granules).
  • Fusion and loading — MIIC granules fuse with late endosomes. With the participation of the HLA-DM molecule, the invariant chain remnant (CLIP) is replaced by the exogenous peptide.
  • Exocytosis — the assembled complex is transported to the cell membrane for presentation to helper T cells.
What other proteins, besides complement system components, belong to MHC class III?

In addition to complement system components, MHC class III includes:

  • tumor necrosis factors — genes TNF (LTA, LTB);
  • MICB gene.

MHC class III does not participate in antigen presentation; these are soluble proteins of extracellular fluids and are not located on cell membranes.

What is the structural difference between the protein chains of MHC class I and MHC class II molecules?

Structural differences between MHC class I and class II molecules:

CharacteristicMHC Class IMHC Class II
SymmetryAsymmetric moleculeSymmetric molecule
Polypeptide chainsHeavy α-chain and light chainTwo chains: α and β
Domainsα1 and α2α1, α2, β1, and β2
Peptide-binding cleft formationα1 and α2 domainsα1 and β1 domains
Obligate structural componentβ2-microglobulinα- and β-chains

Both classes of MHC molecules feature a peptide-binding cleft at the top of the molecule, with sidewalls formed by α-helix structures.

Why are MHC class I molecules absent on mature erythrocytes?

Class I antigens are synthesized and expressed only on the surface of nucleated cells. Since mature human erythrocytes lose their nuclei, they lack these membrane complexes as well.

What is the TAP protein and what is its function?

It is a specialized transporter protein that mediates the transport of short cleaved peptides (8–11 amino acids) into the lumen of the endoplasmic reticulum, where they bind to MHC class I molecules.

Where does protein cleavage occur during the endogenous antigen presentation pathway?

The processing of endogenous (viral, tumor, or self) proteins occurs in proteasomes—non-membranous protein cylinders with high protease activity, rather than in lysosomes.

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