Human Papillomavirus (HPV) is a common sexually transmitted infection affecting both men and women. It can lead to various health issues, including genital warts and an increased risk of developing cervical, anal, and throat cancers. Vaccination is a key preventive measure against HPV.
Human Papillomavirus (HPV) infections are often cleared by the immune system, preventing complications. However, persistent HPV infection with oncogenic proteins E6 and E7 can lead to cervical cancer, evading T-cell killing. Immunotherapies target HPV to enhance immune responses. Preventive vaccines are effective, but therapeutic ones targeting HPV-transformed cells show promise in treating pre-cancerous lesions only. In advanced cervical cancer, vaccine efficacy is lower, possibly due to immune resistance. Combining therapies to overcome suppression is crucial.
As a strategy to reverse tumor-mediated immune resistance, Immune checkpoint inhibitors like pembrolizumab show promise, with ongoing trials investigating combinations for improved outcomes in locally advanced cases.
Adoptive cell therapies involve infusing antigen-specific T cells. Studies explore tumor-infiltrating lymphocytes and genetically modified T cells, showing promising responses in metastatic and advanced cervical cancer.
Surface proteins in tumor cells offer targets for antibodies providing an opportunity for development of antibodies and antibody-drug conjugates targeting these antigens. Tisotumab vedotin, targeting tissue factor, demonstrated promising results in pretreated cervical cancer patients.
Radiation therapy is important for locally advanced cervical cancer, involving external beam radiation with cisplatin and brachytherapy. Advancements like image-guided adaptive brachytherapy enhance precision, but global implementation challenges persist.
Efforts in cervical cancer management involve a multidimensional approach, combining vaccines, radiation therapy, adoptive cell therapies, antibody-drug conjugates, and immune checkpoint inhibitors. Challenges include global accessibility and economic feasibility, emphasizing the need for collaborative efforts.