The number of gene alleles and peptides of each MHC locus of human MHC I and II, as reported by the WHO Nomenclature Committee for Factors of the HLA System [30].

The number of gene alleles and peptides of each MHC locus of human MHC I and II, as reported by the WHO Nomenclature Committee for Factors of the HLA System [30].

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Major Histocompatibility Complex (MHC) molecules play a crucial role in inducing an adaptive immune response. T-cell epitopes require compatible MHC molecules to form MHC-peptide Complexes (pMHC) that activate the T-cell Receptors (TCR) of T-lymphocyte clones. MHCs are polymorphic molecules with wide varieties of gene alleles. There are two classes...

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... combination of the alpha and beta peptides of HLA-II results in the possible variants of HLA-II molecules more than HLA-I molecules. The numbers of alleles and proteins of MHC class I and II, as reported by the WHO Nomenclature Committee for Factors of the HLA System, are shown in Table 1 [30]. ...

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After exposure to SARS-CoV-2, varying symptoms of COVID-19 ranging from asymptomatic symptoms to morbidity and mortality have been exhibited in each individual. SARS-CoV-2 requires various cellular molecules for penetration into a target host cell. Angiotensin-converting enzyme2 (ACE2) acts as the viral receptor molecule. After attachment, SARS-CoV-2 also requires the transmembrane protease serine-2 (TMPRSS-2) and furin molecules, which serve as co-receptors for penetration into the target cell and for subsequent replication. In the meantime, a major histocompatibility complex (MHC) is required for the induction of adaptive immune cells, especially cytotoxic T cells and helper T cells, to clear the virally infected cells. This perspective review article proposes different aspects to explain the varying symptoms of the individuals who have been exposed to SARS-CoV-2, which relates to the polymorphisms of these involved molecules.