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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Therapeutic Vaccination for HPV-Mediated Cancers
Flora Yan1, Lindsay G Cowell2, Anna Tomkies3
1Department of Otolaryngology-Head and Neck Surgery, Temple University, Philadelphia, PA USA.
Purpose Of Review:
The goal of this narrative review is to educate clinicians regarding the foundational concepts, efficacy, and future directions of therapeutic vaccines for human papillomavirus (HPV)-mediated cancers.
Recent Findings:
Therapeutic HPV vaccines deliver tumor antigens to stimulate an immune response to eliminate tumor cells. Vaccine antigen delivery platforms are diverse and include DNA, RNA, peptides, proteins, viral vectors, microbial vectors, and antigen-presenting cells. Randomized, controlled trials have demonstrated that therapeutic HPV vaccines are efficacious in patients with cervical intraepithelial neoplasia. In patients with HPV-mediated malignancies, evidence of efficacy is limited. However, numerous ongoing studies evaluating updated therapeutic HPV vaccines in combination with immune checkpoint inhibition and other therapies exhibit significant promise.
Summary:
Therapeutic vaccines for HPV-mediated malignancies retain a strong biological rationale, despite their limited efficacy to date. Investigators anticipate they will be most effectively used in combination with other regimens, such as immune checkpoint inhibition.
Insights
Therapeutic vaccines show promise for human papillomavirus (HPV)-mediated cancers, particularly when combined with other treatments. Ongoing research aims to improve efficacy for HPV-related malignancies.
Area of Science:
- Oncology
- Immunology
- Vaccinology
Background:
- Human papillomavirus (HPV) is a major cause of various cancers.
- Therapeutic vaccines aim to eliminate existing tumor cells by stimulating an immune response.
- Current treatment strategies for HPV-mediated malignancies require novel approaches.
Purpose of the Study:
- To review the fundamental concepts of therapeutic vaccines for HPV-mediated cancers.
- To discuss the current efficacy and delivery platforms of therapeutic HPV vaccines.
- To explore future directions and potential combinations for HPV vaccine therapy.
Main Methods:
- This is a narrative review.
- Literature search on therapeutic HPV vaccines and their clinical applications.
- Analysis of randomized controlled trials and ongoing studies.
Main Results:
- Therapeutic HPV vaccines utilize diverse antigen delivery platforms (DNA, RNA, peptides, proteins, vectors, APCs).
- Efficacy is demonstrated in cervical intraepithelial neoplasia.
- Limited efficacy in established HPV-mediated malignancies, but promising results in ongoing trials, especially in combination therapies.
Conclusions:
- Therapeutic HPV vaccines have a strong biological basis for treating HPV-mediated malignancies.
- Combination therapies, including immune checkpoint inhibitors, are anticipated to enhance vaccine effectiveness.
- Further research and clinical trials are crucial for optimizing therapeutic HPV vaccine strategies.
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