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Printable Handouts
Navigable Slide Index
- Introduction
- Disclosure
- Outline of presentation
- Cancers attributable to HPV infection
- HPV types associated with cervical cancer
- Progression of cervical HPV infections to cancer
- Natural history of cervical HPV infection
- Key features of HPV pathogenesis
- Genital warts
- Laboratory of cellular oncology, CCR, NCI
- Developing preventive HPV vaccine challenges
- A prophylactic vaccine
- Formation of papillomavirus virions
- L1 self-assembles to form virus-like particles
- L1 VLP induction of neutralizing antibodies
- Systemic VLP vaccination in animal models
- Two HPV VLP vaccines are under development
- Merck: phase III prophylactic efficacy results
- Possible long term protection by HPV vaccine
- Cross-protection against other HPV types
- Preventing HPV cervical disease efficacy
- HPV life cycle
- How could vaccine prevent mucosal infection
- How could vaccine prevent cutaneous infection
- L1 VLPs are unlikely to be directly therapeutic
- Will the vaccines influence prevalent infection?
- Outstanding medical issues
- Regulatory status of HPV VLP vaccines
- Gardasil phase III adolescent study
- Percentage of sexually active teenagers in USA
- Disease progression by HPV status at entry
- We can't give up screening
- Cervical cancer prevention by Pap screening
- HPV-based cervical cancer prevention strategy
- HPV vaccination in developing nations
- Limitations of current VLP vaccines
- Potential reduction in cervical cancer
- Papillomaviruses neutralized by BPV1 L2
- Vaccination with L1-Salmonella live vaccine
- Summary and conclusions
Topics Covered
- Cervical cancer is attributable to multiple HPV types; HPV16 predominates
- Cervical cancer: time line of cervical HPV infections, progression and natural history
- Key features of HPV pathogenesis
- Challenges to development of a preventive HPV vaccine
- A prophylactic vaccine
- Formation of papillomavirus virions
- Two distinct HPV VLP vaccines are under commercial development
- Partial crossprotection against incident infection by other high risk HPV types
- Overall efficacy in preventing HPV cervical disease attributable to incident infection
- HPV life cycle
- How could IM injection of a VLP vaccine prevent mucosal or cutaneous infection at the cervix?
- Outstanding medical issues
- Regulatory status of HPV VLP vaccines
- Pap smear screening without vaccination would prevent more cervical cancer deaths than HPV16/18 vaccination without pap screening
- Limitations of current VLP vaccines
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Talk Citation
Lowy, D. (2007, October 1). Papillomaviruses and HPV vaccination to prevent cervical cancer and other HPV-associated diseases [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 3, 2024, from https://doi.org/10.69645/YOLG3023.Export Citation (RIS)
Publication History
Financial Disclosures
- Dr. Douglas Lowy has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Papillomaviruses and HPV vaccination to prevent cervical cancer and other HPV-associated diseases
A selection of talks on Gynaecology & Obstetrics
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