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The Keystone Epitope Theory is published in full and open access. Everything below is readable without a subscription unless marked otherwise.

  1. review Open access

    Keystone Epitope Theory: Implications for Hypersensitivity, Autoimmunity, and Transplantation

    Simon Mallal, Amir Asiaee, Elizabeth Phillips

    Pathogens and Immunity 11(2):16–38, 2026

    Sets out the Keystone Epitope Theory: persistent, human-adapted pathogens focus postnatal immune memory on conserved epitopes in the tissue niches where viral control happens, and that focusing shapes susceptibility to drug hypersensitivity, autoimmunity and transplant rejection.

    doi:10.20411/pai.v11i2.1016

  2. review Open access

    Keystone Epitope Theory: An Ecological Perspective on RNA Viruses, Tumor Immunoediting, and Vaccine Design

    Simon Mallal, Amir Asiaee

    Pathogens and Immunity 11(2):39–65, 2026

    Uses HIV as the primary model to separate mechanisms of HLA-associated viral adaptation, extends the argument to HCV, influenza, SARS-CoV-2 and tumor immunoediting, and derives three principles for vaccine design: prioritize epitopes whose substitutions carry measurable fitness costs, avoid immunogens dominated by mutable targets, and account for presentation context and inhibitory NK signaling when choosing epitopes.

    doi:10.20411/pai.v11i1.1011

  3. chapter in proof

    What HIV and SARS-CoV-2 have taught about biologic, cultural, and medical-scientific coevolution

    Simon Mallal

    On Human Nature, Chapter 50 (Elsevier), 2027

    A book chapter placing the immunogenetics of two pandemics in the wider frame of biological and cultural coevolution.