Novel Antigenic Targets of HPV Therapeutic Vaccines

Human papillomavirus (HPV) infection is the cause of the majority of cervical cancers and head and neck cancers worldwide. Although prophylactic vaccines and cervical cancer screening programs have shown efficacy in preventing HPV-associated cervical cancer, cervical cancer is still a major cause of...

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Main Authors: Ditte Rahbæk Boilesen, Karen Nørgaard Nielsen, Peter Johannes Holst
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/11/1262
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author Ditte Rahbæk Boilesen
Karen Nørgaard Nielsen
Peter Johannes Holst
author_facet Ditte Rahbæk Boilesen
Karen Nørgaard Nielsen
Peter Johannes Holst
author_sort Ditte Rahbæk Boilesen
collection DOAJ
description Human papillomavirus (HPV) infection is the cause of the majority of cervical cancers and head and neck cancers worldwide. Although prophylactic vaccines and cervical cancer screening programs have shown efficacy in preventing HPV-associated cervical cancer, cervical cancer is still a major cause of morbidity and mortality, especially in third world countries. Furthermore, head and neck cancer cases caused by HPV infection and associated mortality are increasing. The need for better therapy is clear, and therapeutic vaccination generating cytotoxic T cells against HPV proteins is a promising strategy. This review covers the current scene of HPV therapeutic vaccines in clinical development and discusses relevant considerations for the design of future HPV therapeutic vaccines and clinical trials, such as HPV protein expression patterns, immunogenicity, and exhaustion in relation to the different stages and types of HPV-associated lesions and cancers. Ultimately, while the majority of the HPV therapeutic vaccines currently in clinical testing target the two HPV oncoproteins E6 and E7, we suggest that there is a need to include more HPV antigens in future HPV therapeutic vaccines to increase efficacy and find that especially E1 and E2 could be promising novel targets.
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spelling doaj.art-86f668f39411417a8880bbb18c185db92023-11-23T01:51:57ZengMDPI AGVaccines2076-393X2021-11-01911126210.3390/vaccines9111262Novel Antigenic Targets of HPV Therapeutic VaccinesDitte Rahbæk Boilesen0Karen Nørgaard Nielsen1Peter Johannes Holst2Centre for Medical Parasitology, Institute for Immunology, University of Copenhagen, 2200 Copenhagen, DenmarkInProTher APS, 2200 Copenhagen, DenmarkCentre for Medical Parasitology, Institute for Immunology, University of Copenhagen, 2200 Copenhagen, DenmarkHuman papillomavirus (HPV) infection is the cause of the majority of cervical cancers and head and neck cancers worldwide. Although prophylactic vaccines and cervical cancer screening programs have shown efficacy in preventing HPV-associated cervical cancer, cervical cancer is still a major cause of morbidity and mortality, especially in third world countries. Furthermore, head and neck cancer cases caused by HPV infection and associated mortality are increasing. The need for better therapy is clear, and therapeutic vaccination generating cytotoxic T cells against HPV proteins is a promising strategy. This review covers the current scene of HPV therapeutic vaccines in clinical development and discusses relevant considerations for the design of future HPV therapeutic vaccines and clinical trials, such as HPV protein expression patterns, immunogenicity, and exhaustion in relation to the different stages and types of HPV-associated lesions and cancers. Ultimately, while the majority of the HPV therapeutic vaccines currently in clinical testing target the two HPV oncoproteins E6 and E7, we suggest that there is a need to include more HPV antigens in future HPV therapeutic vaccines to increase efficacy and find that especially E1 and E2 could be promising novel targets.https://www.mdpi.com/2076-393X/9/11/1262human papillomavirustherapeutic vaccines
spellingShingle Ditte Rahbæk Boilesen
Karen Nørgaard Nielsen
Peter Johannes Holst
Novel Antigenic Targets of HPV Therapeutic Vaccines
Vaccines
human papillomavirus
therapeutic vaccines
title Novel Antigenic Targets of HPV Therapeutic Vaccines
title_full Novel Antigenic Targets of HPV Therapeutic Vaccines
title_fullStr Novel Antigenic Targets of HPV Therapeutic Vaccines
title_full_unstemmed Novel Antigenic Targets of HPV Therapeutic Vaccines
title_short Novel Antigenic Targets of HPV Therapeutic Vaccines
title_sort novel antigenic targets of hpv therapeutic vaccines
topic human papillomavirus
therapeutic vaccines
url https://www.mdpi.com/2076-393X/9/11/1262
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