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人乳头瘤病毒相关癌症疫苗策略

Human Papillomavirus-Related Cancer Vaccine Strategies.

作者信息

Cai Xia, Xu Ling

机构信息

Department of Gynaecology, Minhang Hospital, Fudan University, Shanghai 201199, China.

出版信息

Vaccines (Basel). 2024 Nov 19;12(11):1291. doi: 10.3390/vaccines12111291.

Abstract

BACKGROUND

Human papillomavirus (HPV) persistent infection is a major pathogenic factor for HPV-related cancers, such as cervical cancer (CC), vaginal cancer, vulvar cancer, anal cancer, penile cancer, and head and neck cancer (HNC). Since the introduction of the world's first prophylactic HPV vaccine, there has been a decline in the incidence of HPV infections and associated cancers. This article reviews the latest literature on the research progress, efficacy, and safety of HPV vaccines for these cancers, providing a reference for HPV vaccination strategy.

METHODS

By utilizing databases such as PubMed, Google Scholar, CNKI, and Wanfang, we conducted a literature search on research papers related to HPV vaccines from 2014 to 2024, employing keywords such as "HPV", "HPV vaccine", "CC", "vaginal cancer", "vulvar cancer", "anal cancer", "penile cancer" and "HNC". Additionally, we reviewed the latest information available on official websites, including the World Health Organization (WHO). Based on the quality and relevance of the papers, we selected over 100 of the most representative articles for further summarization and analysis.

RESULTS

Vaccination against HPV can effectively block the transmission of the virus and prevent HPV-related cancers. Current studies have confirmed the efficacy and safety of prophylactic HPV vaccination. However, numerous challenges remain. The global vaccination rate for preventive vaccines remains low, particularly in low- and middle-income countries. Nonetheless, in the future, we can enhance the accessibility, affordability, and coverage of HPV vaccines by expanding the indications of already licensed vaccines, continuously developing new vaccines.

CONCLUSIONS

The HPV vaccine is an extremely effective measure for the prevention and treatment of HPV-related cancers. Although there are many challenges in expanding the coverage of the HPV vaccine. It is believed that in the not-too-distant future, both prophylactic and therapeutic HPV vaccines will achieve commendable results.

摘要

背景

人乳头瘤病毒(HPV)持续感染是宫颈癌(CC)、阴道癌、外阴癌、肛门癌、阴茎癌和头颈癌(HNC)等HPV相关癌症的主要致病因素。自全球首款预防性HPV疫苗问世以来,HPV感染及相关癌症的发病率有所下降。本文综述了HPV疫苗在这些癌症方面的研究进展、疗效和安全性的最新文献,为HPV疫苗接种策略提供参考。

方法

利用PubMed、谷歌学术、中国知网和万方等数据库,对2014年至2024年与HPV疫苗相关的研究论文进行文献检索,使用“HPV”、“HPV疫苗”、“CC”、“阴道癌”、“外阴癌”、“肛门癌”、“阴茎癌”和“HNC”等关键词。此外,我们还查阅了包括世界卫生组织(WHO)在内的官方网站上的最新信息。根据论文的质量和相关性,我们挑选了100多篇最具代表性的文章进行进一步总结和分析。

结果

接种HPV疫苗可有效阻断病毒传播,预防HPV相关癌症。目前的研究已证实预防性HPV疫苗接种的疗效和安全性。然而,仍存在诸多挑战。预防性疫苗的全球接种率仍然很低,尤其是在低收入和中等收入国家。尽管如此,未来我们可以通过扩大已获许可疫苗的适应症、持续研发新疫苗来提高HPV疫苗的可及性、可负担性和覆盖率。

结论

HPV疫苗是预防和治疗HPV相关癌症的极其有效的措施。尽管在扩大HPV疫苗接种覆盖率方面存在诸多挑战。相信在不久的将来,预防性和治疗性HPV疫苗都将取得值得称赞的成果。

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Human Papillomavirus-Related Cancer Vaccine Strategies.人乳头瘤病毒相关癌症疫苗策略
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Prophylactic HPV vaccination: past, present, and future.预防性人乳头瘤病毒疫苗:过去、现在与未来
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