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Author Spotlight: Dermatopathology and the Treatment of Sexually Transmitted Diseases
Published on: November 8, 2024
Advancements in Pharmacotherapy for Noncancerous Manifestations of HPV
Ramya Kollipara1, Erfon Ekhlassi2, Christopher Downing3
1Center for Clinical Studies, Houston 77004, TX, USA. rkollipara@ccstexas.com.
Abstract:
Human papillomavirus (HPV) is the most common sexually transmitted disease. Via infection of the basal epithelial cells, HPV causes numerous malignancies and noncancerous cutaneous manifestations. Noncancerous cutaneous manifestations of HPV, including common, plantar, plane, and anogenital warts, are among the most common reasons for an office visit. Although there are various therapies available, they are notoriously difficult to treat. HPV treatments can be grouped into destructive (cantharidin, salicylic acid), virucidal (cidofovir, interferon-α), antimitotic (bleomycin, podophyllotoxin, 5-fluorouracil), immunotherapy (Candida antigen, contact allergen immunotherapy, imiquimod) or miscellaneous (trichloroacetic acid, polyphenon E). The mechanism of action, recent efficacy data, safety profile and recommended regimen for each of these treatment modalities is discussed.
Insights
Human papillomavirus (HPV) causes warts and cancers. This review details various HPV treatments, including destructive, virucidal, antimitotic, and immunotherapy options, to aid in managing this common infection.
Area of Science:
- Dermatology
- Infectious Diseases
- Oncology
Background:
- Human papillomavirus (HPV) is a prevalent sexually transmitted infection.
- HPV infection leads to various cancers and noncancerous skin conditions like warts.
- Warts are a common reason for medical consultations.
Purpose of the Study:
- To review current therapeutic strategies for HPV infections.
- To categorize HPV treatments based on their mechanisms of action.
- To provide recent efficacy, safety, and regimen data for various treatment modalities.
Main Methods:
- Literature review of HPV treatment modalities.
- Categorization of treatments into destructive, virucidal, antimitotic, immunotherapy, and miscellaneous groups.
- Discussion of mechanism of action, efficacy, safety, and recommended regimens for each treatment.
Main Results:
- Multiple treatment categories exist for HPV, including destructive (e.g., cantharidin), virucidal (e.g., cidofovir), antimitotic (e.g., bleomycin), and immunotherapy (e.g., imiquimod).
- Each modality has a distinct mechanism of action, varying efficacy, and safety profiles.
- Challenges in treatment underscore the need for comprehensive understanding of available options.
Conclusions:
- Effective management of HPV-related conditions requires knowledge of diverse treatment approaches.
- The choice of therapy depends on the specific manifestation, patient factors, and treatment goals.
- Further research may refine existing treatments and explore novel therapeutic avenues for HPV.
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