HLA class II antigen presentation is key for controlling and triggering T cell immune responses. Characterizing this event is hence of critical importance for our understanding of immune system reactions. HLA-DQ is believed to play a major role in autoimmune diseases, although so far limited progress has been made for predicting HLA-DQ antigen presentation. HLA-DQ molecules are heterodimers that can be formed as both cis and trans variants depending on whether the two chains are encoded on the same (cis) or opposite (trans) chromosomes. Still, the contribution of trans-only variants (i.e. variants not observed as cis) in shaping the HLA-DQ immunopeptidome remains largely unresolved. Here, we seek to address these issues by integrating state-of-the-art immunoinformatics data mining models with large volumes of high quality HLA-DQ specific MS-immunopeptidomics data. The analysis demonstrated a highly improved predictive power and molecular coverage for models trained including these novel HLA-DQ data. More importantly, investigating the role of trans-only HLA-DQ variants revealed a limited to no contribution to the overall HLA-DQ immunopeptidome. In conclusion, this study has furthered our understanding of HLA-DQ specificities, and has for the first time cast light on the relative role of cis versus trans-only HLA-DQ variants in the HLA class II antigen presentation space. The developed method, NetMHCIIpanDQ, is available at https://services.healthtech.dtu.dk/services/NetMHCIIpanDQ-1.0.