Perspectives for preventive and therapeutic HPV vaccines.

Perspectives for preventive and therapeutic HPV vaccines.
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DOI:
10.1016/s0929-6646(10)60017-4
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发表时间:
2010-01
影响因子:
3.2
通讯作者:
Wu, T. C.
Wu, T. C.
中科院分区:
医学3区
文献类型:
--
作者:
Lin, Ken;Doolan, Kimberley;Hung, Chien-Fu;Wu, T. C.

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宫颈癌是全球女性癌症死亡的第二大常见原因。“高危”HPV基因型的持续感染是宫颈癌的主要病因,因此针对HPV的有效疫苗接种提供了降低与HPV相关的发病率和死亡率的机会。FDA已经批准了两种预防性疫苗来限制HPV的传播。然而,这些不太可能影响HPV流行率和宫颈癌发病率多年。此外,预防性疫苗对先前存在的HPV感染和HPV相关病变不发挥治疗作用。为了进一步影响全球HPV感染的负担,正在开发治疗性疫苗。这些疫苗的目的是产生细胞介导的免疫反应,以感染细胞。本文综述了目前预防和治疗HPV疫苗及其未来的发展方向。
Cervical cancer is the second most common cause of female cancer death worldwide. Persistent infection with `high risk' HPV genotypes is the major etiological factor in cervical cancer and thus effective vaccination against HPV provides an opportunity to reduce the morbidity and mortality associated with HPV. The FDA has approved two preventive vaccines to limit the spread of HPV. However, these are unlikely to impact upon HPV prevalence and cervical cancer rates for many years. Furthermore, preventive vaccines do not exert therapeutic effects on pre-existing HPV infections and HPV-associated lesions. In order to further impact upon the burden of HPV infections worldwide, therapeutic vaccines are being developed. These vaccines aim to generate a cell-mediated immune response to infected cells. This review discusses current preventive and therapeutic HPV vaccines and their future directions.
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