HPV vaccination: are we overlooking additional opportunities to control HPV infection and transmission?

Human papillomavirus virus-like particles (HPV VLPs) have distinctive immunogenic properties that generate a durable antibody response, producing high-quality neutralizing antibodies. By vaccination, i.e., intramuscular injection of these HPV VLPs, the viral survival strategy of avoiding exposure to...

ver descrição completa

Detalhes bibliográficos
Autores: Vorsters, Alex, Van Damme, Pierre, BOSCH JOSÉ, FRANCESC XAVIER
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Recursos:Universitat Oberta de Catalunya (UOC)
Repositorio:O2, repositorio institucional de la UOC
OAI Identifier:oai:openaccess.uoc.edu:10609/146587
Acesso em linha:https://hdl.handle.net/10609/146587
https://doi.org/10.1016/j.ijid.2019.09.006
Access Level:acceso abierto
Palavra-chave:HPV vaccines
additional opportunities
transmission
control HPV infection
vacunes VPH
oportunitats adicionals
transmissió
control infecció VPH
vacunas VPH
oportunidades adicionales
transmisión
control infección VPH
papillomaviruses
papil·lomavirus
papilomavirus
Descrição
Resumo:Human papillomavirus virus-like particles (HPV VLPs) have distinctive immunogenic properties that generate a durable antibody response, producing high-quality neutralizing antibodies. By vaccination, i.e., intramuscular injection of these HPV VLPs, the viral survival strategy of avoiding exposure to the systemic immune system is completely overruled, and large amounts of vaccine-induced systemic antibodies are generated. These systemic circulating antibodies are easily transuded to the genital mucosa and are detectable in female genital secretions. It is well accepted that these antibodies interact with the virions presented by an infected partner and inhibit infection. However, much less attention has been paid to the role of anti-HPV vaccine-induced antibodies in an HPV-infected individual where infectious virions are encountered by neutralizing antibodies in mucosal secretions. There is a clear need to further investigate and document this role. Indeed, if HPV vaccination of HPV-infected women has an effect on HPV transmission, auto-inoculation, and relapse after treatment, this may influence how we model, assess, and implement HPV vaccination programmes.