Hydrogen bonds (H-bonds) are crucial for the stability of the peptide-major histocompatibility complex (MHC) complex. In particular, the H-bonds formed between the peptide ligand and the MHC class II binding site appear to have a great influence on the half-life of the complex. Here we show that functional groups with the capacity to disrupt hydrogen bonds (e.g. -OH) can efficiently catalyze ligand exchange reactions on HLA-DR molecules. In conjunction with simple carrier molecules (such as propyl or benzyl residues), they trigger the release of low affinity ligands, which permits the rapid binding of peptides with higher affinity. Similar to HLA-DM, these compounds are able to influence the MHC class II ligand repertoire. In contrast to HLA-DM, however, these simple small molecules are still active at neutral pH. Under physiological conditions, they increase the number of "peptide-receptive" MHC class II molecules and facilitate exogenous peptide loading of dendritic cells. The drastic acceleration of the ligand exchange on these antigen presenting cells suggests that, in general, availability of H-bond donors in the extracellular milieu controls the rate of MHC class II ligand exchange reactions on the cell surface. These molecules may therefore be extremely useful for the loading of antigens onto dendritic cells for therapeutic purposes.Peptide ligands bind to the peptide-binding groove of MHC 1 class II molecules by an array of intermolecular hydrogen bonds (H-bonds). These hydrogen bonds are mostly formed between the backbone of the peptide and conserved residues of the MHC class II molecule. Some of these H-bonds are particularly crucial for the stability of the ligand complex (1). It has been shown for a murine MHC class II molecule that the elimination of H-bonds between the ligand and residues His-81 or Asp-82 of the I-A d -chain results in a rapid loss of the bound peptide (2). Detailed kinetic studies with these mutated MHC molecules revealed peptide dissociation rates that were increased up to 200-fold (3). This increase was in the same range observed after addition of HLA-DM to the peptide complex of the nonmutated I-A d molecule. It was therefore proposed that HLA-DM-mediated ligand release (4, 5) is also accomplished by the disruption of H-bonds (6), a hypothesis also introduced when the crystal structure of HLA-DM was published (7).Because H-bonds appear to be fundamental in maintaining the stability of the MHC class II peptide complexes, we started to investigate small molecules capable of disrupting H-bonds with the goal of achieving an HLA-DM-like catalytic effect on the kinetics of peptide binding. H-bonds require a hydrogen donor and an acceptor group, which provides a free electron pair. Some of the functional groups that can fulfill this function are hydroxyl or amino groups. They are present in a variety of natural and synthetic molecules, such as lipids, metabolites, amino acids, and pharmaceutical drugs. One example is ethanol, where the well known physiological effects appear to resul...