Best Simon R, Niparko Kevin J, Pai Sara I
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, 601 North Caroline Street, JHOC 6th floor, Baltimore, MD 21287, USA.
Otolaryngol Clin North Am. 2012 Aug;45(4):807-22. doi: 10.1016/j.otc.2012.04.005.
This article outlines the biology of human papillomavirus (HPV) infection of human mucosa and the cellular pathways that are altered through viral infection. The article provides a conceptual framework with which to understand the 2 major immunologic strategies to address HPV-related diseases: (1) prevention of primary HPV infection through the use of prophylactic vaccines and (2) treatment of established infection and diseases through therapeutic vaccines. Nonimmunologic therapy that targets cellular dysregulation induced by HPV infection is also discussed. The challenges in actualizing these conceptually attractive therapies on both a societal and biological level are examined.
本文概述了人乳头瘤病毒(HPV)对人体黏膜的感染生物学以及病毒感染后发生改变的细胞途径。本文提供了一个概念框架,用以理解应对HPV相关疾病的两种主要免疫策略:(1)通过使用预防性疫苗预防HPV原发性感染;(2)通过治疗性疫苗治疗已确诊的感染和疾病。本文还讨论了针对HPV感染引起的细胞失调的非免疫疗法。研究了在社会和生物学层面实现这些理论上颇具吸引力的疗法所面临的挑战。