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New HPV cancer vaccine has worldwide potential

Broad spectrum drug is cheap and effective against all HPV variants

OnMedica staff

Tuesday, 26 May 2009

An easy to manufacture broad spectrum vaccine could provide protection against all variants of the human papillomavirus (HPV) that causes cervical cancers according to new research.

The vaccine has shown promising results in laboratory trails and doctors hope that it may be the key to making effective, cheap vaccines available worldwide.

In trials mice and rabbits immunised with a multimeric-L2 protein vaccine had robust antibody responses and were protected from infection when exposed to human papillomavirus (HPV) type 16 four months after vaccination, according to the study published today in the online issue of the Journal of the National Cancer Institute.

Current HPV L1-based vaccines are almost 100% protective against infection by the two HPV types that are responsible for 70% of all cervical cancer cases worldwide.

However, the existing vaccines provide limited protection against the other HPV types that cause cancer.

Richard Roden, Ph.D., of the Johns Hopkins University in Baltimore, and colleagues have been working on an alternate vaccine that is based on the HPV minor capsid protein L2, which is highly conserved between HPV types.

Previous experiments showed that the L2 protein induced only a weak antibody response in animals.

Roden and colleagues linked together a short segment of the L2 protein from several HPV types to generate a single multimeric L2 fusion protein. They tested the ability of this multimeric-L2 protein to induce antibody responses in animals and its ability to protect them from subsequent infection with HPV type 16.

Mice immunised with the multimeric L2 vaccine developed robust antibody responses against all of the HPV types tested, although the antibody titer was still lower than the type-restricted responses following vaccination with an existing HPV L1-based vaccine. When a multimeric L2 vaccine was delivered with a potent adjuvant to stimulate the immune response, such as alum, the vaccinated animals were able to resist infection by HPV16.

“Clinical studies are warranted to assess the safety and immunogenicity of multitype L2 vaccines in alum and other adjuvant formulations,” the authors write.

“If an L2 vaccine were proven effective in people, its simpler manufacturing process could make the local production of such a vaccine highly feasible, which might achieve the goal of producing it at sustainable prices in emerging countries and lead to its widespread implementation in the developing world.”

In an accompanying editorial, F. Xavier Bosch, M.D., Ph.D., of the Catalan Institute of Oncology, in Barcelona, Spain, reviews the strengths of the current HPV vaccines but notes that they are too expensive to be used in much of the world and do not protect against enough HPV types.

A broad spectrum vaccine, such as the one being developed by Roden and colleagues, could solve those problems. The new data represent a meaningful step forward, Bosch says.

“The results open the door to a novel family of second generation HPV vaccines with significant potential value in the public health horizon,” the editorialist writes. “As soon as appropriate, Phase 1 trials in humans should be initiated.”

The clinical evaluation of new products, however, will likely take years. During this time, the currently available vaccines should be used as widely as possible, according to the editorial.

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