The human papillomavirus (HPV) is an important causal agent of premalignant cervical epithelial changes and cervical cancers. These cancers account for ∼5% of all cancers globally and kill more than a quarter million women annually. HPV infections also associate with certain anogenital and oropharyngeal cancers. Events leading to the development of HPV vaccines to prevent associated cancers are described, with a further discussion of goals that must be met to achieve full virus eradication.
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References
1.
Future II Study Group. Quadrivalent vaccine against human papillomavirus to prevent high-grade cervical lesions. N Engl J Med, 2007; 356:1915–1927.
2.
ArnoldAW, and HofbauerGF. Human papillomavirus and squamous cell cancer of the skin—epidermodysplasia verruciformis-associated human papillomavirus revisited. Curr Probl Dermatol, 2012; 43:49–56.
3.
BaayMF, DukJM, GroenierKH, et al.Relation between HPV-16 serology and clinico-pathological data in cervical carcinoma patients: prognostic value of anti-E6 and/or anti-E7 antibodies. Cancer Immunol Immunother, 1997; 44:211–215.
4.
BarbosaMS, and SchlegelR. The E6 and E7 genes of HPV-18 are sufficient for inducing two-stage in vitro transformation of human keratinocytes. Oncogene, 1989; 4:1529–1532.
5.
BasemanJG, and KoutskyLA. The epidemiology of human papillomavirus infections. J Clin Virol, 2005; 32Suppl 1:S16–S24.
6.
BellJA, SundbergJP, GhimSJ, et al.A formalin-inactivated vaccine protects against mucosal papillomavirus infection: a canine model. Pathobiology, 1994; 62:194–198.
7.
BernardHU, BurkRD, ChenZ, et al.Classification of papillomaviruses (PVs) based on 189 PV types and proposal of taxonomic amendments. Virology, 2010; 401:70–79.
8.
BishopB, DasguptaJ, KleinM, et al.Crystal structures of four types of human papillomavirus L1 capsid proteins: understanding the specificity of neutralizing monoclonal antibodies. J Biol Chem, 2007; 282:31803–31811.
9.
BoschFX, BurchellAN, SchiffmanM, et al.Epidemiology and natural history of human papillomavirus infections and type-specific implications in cervical neoplasia. Vaccine, 2008; 26Suppl 10:K1–K16.
10.
BoshartM, GissmannL, IkenbergH, et al.A new type of papillomavirus DNA, its presence in genital cancer biopsies and in cell lines derived from cervical cancer. EMBO J, 1984; 3:1151–1157.
11.
BreitburdF, KirnbauerR, HubbertNL, et al.Immunization with viruslike particles from cottontail rabbit papillomavirus (CRPV) can protect against experimental CRPV infection. J Virol, 1995; 69:3959–3963.
12.
BrothertonJM, WinchKL, BicknellL, et al.HPV vaccine coverage is increasing in Australia. Med J Aust, 2017; 206:262.
13.
BrowneHM, ChurcherMJ, StanleyMA, et al.Analysis of the L1 gene product of human papillomavirus type 16 by expression in a vaccinia virus recombinant. J Gen Virol, 1988; 69 (Pt 6):1263–1273.
14.
BruniL, DiazM, Barrionuevo-RosasL, et al.Global estimates of human papillomavirus vaccination coverage by region and income level: a pooled analysis. Lancet Glob Health, 2016; 4:e453–e463.
15.
CastellsagueX. Natural history and epidemiology of HPV infection and cervical cancer. Gynaecol Oncol, 2008; 110:S4–S7.
16.
ChengG, IcenogleJP, KirnbauerR, et al.Divergent human papillomavirus type 16 variants are serologically cross-reactive. J Infect Dis, 1995; 172:1584–1587.
17.
ChowLT, BrokerTR, and SteinbergBM. The natural history of human papillomavirus infections of the mucosal epithelia. APMIS, 2010; 118:422–449.
18.
ChristensenND, DillnerJ, EklundC, et al.Surface conformational and linear epitopes on HPV-16 and HPV-18 L1 virus-like particles as defined by monoclonal antibodies. Virology, 1996; 223:174–184.
19.
de MartelC, PlummerM, VignatJ, et al.Worldwide burden of cancer attributable to HPV by site, country and HPV type. Int J Cancer, 2017; 141:664–670.
20.
de QuadrosCA. Is global measles eradication feasible?. Curr Top Microbiol Immunol, 2006; 304:153–163.
21.
De VincenzoR, RicciC, ConteC, et al.HPV vaccine cross-protection: highlights on additional clinical benefit. Gynecol Oncol, 2013; 130:642–651.
22.
DillnerJ. The serological response to papillomaviruses. Semin Cancer Biol, 1999; 9:423–430.
23.
DorjiT, TshomoU, PhuntshoS, et al.Introduction of a National HPV vaccination program into Bhutan. Vaccine, 2015; 33:3726–3730.
24.
DroletM, BenardE, BoilyMC, et al.Population-level impact and herd effects following human papillomavirus vaccination programmes: a systematic review and meta-analysis. Lancet Infect Dis, 2015; 15:565–580.
25.
DurstM, GissmannL, IkenbergH, et al.A papillomavirus DNA from a cervical carcinoma and its prevalence in cancer biopsy samples from different geographic regions. Proc Natl Acad Sci U S A, 1983; 80:3812–3815.
26.
EmenyRT, WheelerCM, JansenKU, et al.Priming of human papillomavirus type 11-specific humoral and cellular immune responses in college-aged women with a virus-like particle vaccine. J Virol, 2002; 76:7832–7842.
27.
FergusonM, WilkinsonDE, HeathA, et al.The first international standard for antibodies to HPV 16. Vaccine, 2011; 29:6520–6526.
28.
GallagherKE, HowardN, KabakamaS, et al.Lessons learnt from human papillomavirus (HPV) vaccination in 45 low- and middle-income countries. PLoS One, 2017; 12:e0177773.
29.
GanzenmuellerT, YakushkoY, KlubaJ, et al.Next-generation sequencing fails to identify human virus sequences in cutaneous squamous cell carcinoma. Int J Cancer, 2012; 131:E1173–E1179.
30.
GertigDM, BrothertonJM, BuddAC, et al.Impact of a population-based HPV vaccination program on cervical abnormalities: a data linkage study. BMC Med, 2013; 11:227.
31.
GiroglouT, SappM, LaneC, et al.Immunological analyses of human papillomavirus capsids. Vaccine, 2001; 19:1783–1793.
32.
GissmannL, and HausenHZ. Human papilloma virus DNA: physical mapping and genetic heterogeneity. Proc Natl Acad Sci U S A, 1976; 73:1310–1313.
33.
HaffarO, GarriguesJ, TravisB, et al.Human immunodeficiency virus-like, nonreplicating, gag-env particles assemble in a recombinant vaccinia virus expression system. J Virol, 1990; 64:2653–2659.
34.
HemminkiK, and ChenB. Familial risks for cervical tumors in full and half siblings: etiologic apportioning. Cancer Epidemiol Biomarkers Prev, 2006; 15:1413–1414.
35.
HofmannKJ, CookJC, JoyceJG, et al.Sequence determination of human papillomavirus type 6a and assembly of virus-like particles in Saccharomyces cerevisiae. Virology, 1995; 209:506–518.
36.
JaguS, KwakK, KaranamB, et al.Optimization of multimeric human papillomavirus L2 vaccines. PLoS One, 2013; 8:e55538.
37.
JarrettWF, O'NeilBW, GaukrogerJM, et al.Studies on vaccination against papillomaviruses: a comparison of purified virus, tumour extract and transformed cells in prophylactic vaccination. Vet Rec, 1990; 126:449–452.
38.
JiangRT, WangJW, PengS, et al.Spontaneous and vaccine-induced clearance of mus musculus papillomavirus 1 infection. J Virol, 2017; 91:e00699–17.
39.
KirnbauerR, BooyF, ChengN, et al.Papillomavirus L1 major capsid protein self-assembles into virus-like particles that are highly immunogenic. Proc Natl Acad Sci U S A, 1992; 89:12180–12184.
40.
KjellbergL, HallmansG, AhrenAM, et al.Smoking, diet, pregnancy and oral contraceptive use as risk factors for cervical intra-epithelial neoplasia in relation to human papillomavirus infection. Br J Cancer, 2000; 82:1332–1338.
41.
KoutskyL. The epidemiology behind the HPV vaccine discovery. Ann Epidemiol, 2009; 19:239–244.
42.
KreimerAR, StruyfF, Del Rosario-RaymundoMR, et al.Efficacy of fewer than three doses of an HPV-16/18 AS04-adjuvanted vaccine: combined analysis of data from the Costa Rica Vaccine and PATRICIA Trials. Lancet Oncol, 2015; 16:775–786.
43.
LeoPJ, MadeleineMM, WangS, et al.Defining the genetic susceptibility to cervical neoplasia—a genome-wide association study. PLoS Genet, 2017; 13:e1006866.
44.
LinYL, BorensteinLA, SelvakumarR, et al.Effective vaccination against papilloma development by immunization with L1 or L2 structural protein of cottontail rabbit papillomavirus. Virology, 1992; 187:612–619.
45.
MachH, VolkinDB, TroutmanRD, et al.Disassembly and reassembly of yeast-derived recombinant human papillomavirus virus-like particles (HPV VLPs). J Pharm Sci, 2006; 95:2195–2206.
46.
MarianiL, PretiM, CristoforoniP, et al.Overview of the benefits and potential issues of the nonavalent HPV vaccine. Int J Gynaecol Obstet, 2017; 136:258–265.
47.
MarkowitzLE, DunneEF, SaraiyaM, et al.Quadrivalent Human Papillomavirus Vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep, 2007; 56:1–24.
48.
MüllerM, GausepohlH, De MartynoffG, et al.Identification of seroreactive regions of the human papillomavirus type 16 proteins E4, E6, E7 and L1. J Gen Virol, 1990; 71:2709–2717.
49.
MunozN, and BoschFX. Epidemiology of cervical cancer. IARC Sci Publ, 1989; 119:9–39.
50.
PeñaLD, and LaiminsLA. Differentiation-dependent chromatin rearrangement coincides with activation of human papillomavirus type 31 late gene expression. J Virol, 2001; 75:10005–10013.
51.
PetroskyE, BocchiniJAJr., HaririS, et al.Use of 9-valent human papillomavirus (HPV) vaccine: updated HPV vaccination recommendations of the advisory committee on immunization practices. MMWR Morb Mortal Wkly Rep, 2015; 64:300–304.
52.
PyeonD, PearceSM, LankSM, et al.Establishment of human papillomavirus infection requires cell cycle progression. PLoS Pathog, 2009; 5:e1000318.
53.
RichardsonH, KelsallG, TellierP, et al.The natural history of type-specific human papillomavirus infections in female university students. Cancer Epidemiol Biomarkers Prev, 2003; 12:485–490.
54.
RobertsC, GreenT, HessE, et al.Development of a human papillomavirus competitive luminex immunoassay for 9 HPV types. Human Vaccin Immunother, 2014; 10:2168–2174.
55.
RoseRC, BonnezW, Da RinC, et al.Serological differentiation of human papillomavirus types 11, 16 and 18 using recombinant virus-like particles. J Gen Virol, 1994; 75:2445–2449.
56.
SchadlichL, SengerT, GerlachB, et al.Analysis of modified HPV 16 L1 capsomeres: the ability to assemble into larger particles correlates with higher immunogenicity. J Virol, 2009; 83:7690–7705.
57.
SchillerJT, CastellsagueX, and GarlandSM. A review of clinical trials of human papillomavirus prophylactic vaccines. Vaccine, 2012; 30Suppl 5:F123–F138.
58.
ScottoJOSE, and Bailar JCIII. Rigoni-Stern and medical statistics. A nineteenth-century approach to cancer research. J Hist Med Allied Sci, 1969; 24:65–75.
59.
SehrP, MullerM, HopflR, et al.HPV antibody detection by ELISA with capsid protein L1 fused to glutathione S-transferase. J Virol Methods, 2002; 106:61–70.
60.
SmithEM, ParkerMA, RubensteinLM, et al.Evidence for vertical transmission of HPV from mothers to infants. Infect Dis Obstet Gynecol, 2010; 2010:326369.
61.
SmithJF, KowalskiR, EsserMT, et al.Evolution of type-specific immunoassays to evaluate the functional immune response to Gardasil: a vaccine for human papillomavirus types 16, 18, 6 and 11. Hum vaccin, 2008; 4:134–142.
62.
StanleyMA, and SterlingJC. Host responses to infection with human papillomavirus. Curr Probl Dermatol, 2014; 45:58–74.
63.
van BogaertL. Are the currently existing anti-human papillomavirus vaccines appropriate for the developing world?. Ann Med Health Sci Res, 2013; 3:306–312.
64.
Van DoorslaerK. Evolution of the papillomaviridae. Virology, 2013; 445:11–20.
65.
Van DoorslaerK, LiZ, XirasagarS, et al.The Papillomavirus Episteme: a major update to the papillomavirus sequence database. Nucleic Acids Res, 2017; 45:D499–D506.
ViscidiRP, KotloffKL, ClaymanB, et al.Prevalence of antibodies to human papillomavirus (HPV) type 16 virus-like particles in relation to cervical HPV infection among college women. Clin Diagn Lab Immunol, 1997; 4:122–126.
68.
WangJW, JaguS, WangC, et al.Measurement of neutralizing serum antibodies of patients vaccinated with human papillomavirus L1 or L2-based immunogens using furin-cleaved HPV Pseudovirions. PLoS One, 2014; 9:e101576.
69.
WheelerCM. The natural history of cervical human papillomavirus infections and cervical cancer: gaps in knowledge and future horizons. Obstet Gynecol Clin North Am, 2013; 40:165–176.
70.
YangA, FarmerE, LinJ, et al.The current state of therapeutic and T cell-based vaccines against human papillomaviruses. Virus Res, 2017; 231:148–165.
71.
ZhaoQ, ModisY, HighK, et al.Disassembly and reassembly of human papillomavirus virus-like particles produces more virion-like antibody reactivity. Virol J, 2012; 9:52.
72.
ZhouJ, LiuWJ, PengSW, et al.Papillomavirus capsid protein expression level depends on the match between codon usage and tRNA availability. J Virol, 1999; 73:4972–4982.
73.
ZhouJ, StenzelDJ, SunXY, et al.Synthesis and assembly of infectious bovine papillomavirus particles in vitro. J Gen Virol, 1993; 74 (Pt 4):763–768.
74.
ZhouJ, SunXY, and FrazerIH. Glycosylation of human papillomavirus type 16 L1 protein. Virology, 1993; 194:210–218.
75.
ZhouJ, SunXY, StenzelDJ, et al.Expression of vaccinia recombinant HPV 16 L1 and L2 ORF proteins in epithelial cells is sufficient for assembly of HPV virion-like particles. Virology, 1991; 185:251–257.