Human Papillomavirus Vaccines - Immune Responses

被引:125
作者
Stanley, Margaret [1 ]
Pinto, Ligia A. [2 ]
Trimble, Connie [3 ,4 ,5 ]
机构
[1] Univ Cambridge, Dept Pathol, Cambridge CB2 1QP, England
[2] NCI Frederick, HPV Immunol Lab, SAIC Frederick Inc, Frederick, MD 21702 USA
[3] Johns Hopkins Univ Hosp, Dept Obstet Gynecol, Baltimore, MD 21287 USA
[4] Johns Hopkins Univ Hosp, Dept Oncol, Baltimore, MD 21287 USA
[5] Johns Hopkins Univ Hosp, Dept Pathol, Baltimore, MD 21287 USA
关键词
HPV; virus like particle; VLP; antibody; B cells; L1; protein; L2; cell mediated immunity; VIRUS-LIKE PARTICLES; HPV VACCINATION PROGRAM; INTRAEPITHELIAL NEOPLASIA; ANTIBODY-RESPONSES; NATURAL-HISTORY; YOUNG-WOMEN; T-CELLS; INFECTION; L1; TYPE-16;
D O I
10.1016/j.vaccine.2012.04.106
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Prophylactic human papillomavirus (HPV) virus-like particle (VLP) vaccines are highly effective. The available evidence suggests that neutralising antibody is the mechanism of protection. However, despite the robust humoral response elicited by VLP vaccines, there is no immune correlate, no minimum level of antibody, or any other immune parameter, that predicts protection against infection or disease. The durability of the antibody response and the importance of antibody isotype, affinity and avidity for vaccine effectiveness are discussed. Once infection and disease are established, then cellular immune responses are essential to kill infected cells. These are complex processes and understanding the local mucosal immune response is a prerequisite for the rational design of therapeutic HPV vaccines. This article forms part of a special supplement entitled "Comprehensive Control of HPV Infections and Related Diseases" Vaccine Volume 30, Supplement 5, 2012. (C) 2012 Published by Elsevier Ltd.
引用
收藏
页码:F83 / F87
页数:5
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