Summary
Effective immune surveillance by CD8+ cytotoxic T cells of intracellular microbes and cancer depends upon the antigen presentation pathway. This pathway produces an optimal peptide repertoire for presentation by MHC class I molecules (pMHC I) on the cell surface. We have known for years that the pMHC I repertoire is a reflection of the intracellular protein pool. However, many studies have revealed that pMHC I present peptides not only from precursors encoded in open-reading frames of mRNA transcripts but also cryptic peptides encoded in apparently “untranslated” regions. These sources vastly increase the availability of peptides for presentation and immune evasion. Here, we review studies on the composition of the cryptic pMHC I repertoire, the immunological significance of these pMHC I, and the novel translational mechanisms that generate cryptic peptides from unusual sources.