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Erschienen in: Der Hautarzt 6/2007

01.06.2007 | Leitthema

Humorale und zelluläre Immunantwort im Rahmen der HPV-Impfung

verfasst von: Dr. rer. nat. E. Glastetter, A.M. Kaufmann

Erschienen in: Die Dermatologie | Ausgabe 6/2007

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Zusammenfassung

Humane Papillomaviren (HPV) infizieren Hautepithelien und erzeugen dort Warzen und Läsionen. Im anogenitalen Bereich können Infektionen mit bestimmten Hochrisiko-HPV-Typen zur malignen Transformation des Gewebes führen. Das Zervixkarzinom ist die zweithäufigste, krebsbedingte Todesursache bei jungen Frauen mit weltweit ca. 275.000 Todesfällen jährlich. Über die Hälfte aller Menschen infizieren sich im Laufe ihres Lebens mit HPV. Bei etwa 80% verläuft die HPV-Infektion subklinisch und wird vom Immunsystem geklärt. Nun stehen erstmals Impfstoffe für die prophylaktische Immunisierung gegen die beiden häufigsten Hochrisikotypen HPV16 und 18 bzw. zusätzlich die Niedrigrisikotypen HPV6 und 11 zur Verfügung. Dieser Beitrag fasst die aktuellsten Erkenntnisse zur natürlichen und impfstoffvermittelten Immunantwort zusammen.
Literatur
1.
Zurück zum Zitat Block SL, Nolan T, Sattler C et al. (2006) Comparison of the immunogenicity and reactogenicity of a prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in male and female adolescents and young adult women. Pediatrics 118: 2135–2145CrossRefPubMed Block SL, Nolan T, Sattler C et al. (2006) Comparison of the immunogenicity and reactogenicity of a prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in male and female adolescents and young adult women. Pediatrics 118: 2135–2145CrossRefPubMed
2.
Zurück zum Zitat Booy FP, Roden RB, Greenstone HL et al. (1998) Two antibodies that neutralize papillomavirus by different mechanisms show distinct binding patterns at 13 A resolution. J Mol Biol 281: 95–106CrossRefPubMed Booy FP, Roden RB, Greenstone HL et al. (1998) Two antibodies that neutralize papillomavirus by different mechanisms show distinct binding patterns at 13 A resolution. J Mol Biol 281: 95–106CrossRefPubMed
3.
Zurück zum Zitat Bosch FX, Manos MM, Munoz N et al. (1995) Prevalence of human papillomavirus in cervical cancer: a worldwide perspective. International biological study on cervical cancer (IBSCC) Study Group. J Natl Cancer Inst 87: 796–802PubMed Bosch FX, Manos MM, Munoz N et al. (1995) Prevalence of human papillomavirus in cervical cancer: a worldwide perspective. International biological study on cervical cancer (IBSCC) Study Group. J Natl Cancer Inst 87: 796–802PubMed
4.
Zurück zum Zitat Carter JJ, Koutsky LA, Hughes JP et al. (2000) Comparison of human papillomavirus types 16, 18, and 6 capsid antibody responses following incident infection. J Infect Dis 181: 1911–1919CrossRefPubMed Carter JJ, Koutsky LA, Hughes JP et al. (2000) Comparison of human papillomavirus types 16, 18, and 6 capsid antibody responses following incident infection. J Infect Dis 181: 1911–1919CrossRefPubMed
5.
Zurück zum Zitat Coleman N, Birley HD, Renton AM et al. (1994) Immunological events in regressing genital warts. Am J Clin Pathol 102: 768–774PubMed Coleman N, Birley HD, Renton AM et al. (1994) Immunological events in regressing genital warts. Am J Clin Pathol 102: 768–774PubMed
6.
Zurück zum Zitat Jong A de, Poelgeest MI van, Hulst JM van der et al. (2004) Human papillomavirus type 16-positive cervical cancer is associated with impaired CD4+ T-cell immunity against early antigens E2 and E6. Cancer Res 64: 5449–5455CrossRefPubMed Jong A de, Poelgeest MI van, Hulst JM van der et al. (2004) Human papillomavirus type 16-positive cervical cancer is associated with impaired CD4+ T-cell immunity against early antigens E2 and E6. Cancer Res 64: 5449–5455CrossRefPubMed
7.
Zurück zum Zitat Fausch SC, Fahey LM, Da Silva DM et al. (2005) Human papillomavirus can escape immune recognition through Langerhans cell phosphoinositide 3-kinase activation. J Immunol 174: 7172–7178PubMed Fausch SC, Fahey LM, Da Silva DM et al. (2005) Human papillomavirus can escape immune recognition through Langerhans cell phosphoinositide 3-kinase activation. J Immunol 174: 7172–7178PubMed
8.
Zurück zum Zitat Ferenczy A, Coutlee F, Franco E et al. (2003) Human papillomavirus and HIV coinfection and the risk of neoplasias of the lower genital tract: a review of recent developments. CMAJ 169: 431–434PubMed Ferenczy A, Coutlee F, Franco E et al. (2003) Human papillomavirus and HIV coinfection and the risk of neoplasias of the lower genital tract: a review of recent developments. CMAJ 169: 431–434PubMed
9.
Zurück zum Zitat Fife KH, Wheeler CM, Koutsky LA et al. (2004) Dose-ranging studies of the safety and immunogenicity of human papillomavirus Type 11 and Type 16 virus-like particle candidate vaccines in young healthy women. Vaccine 22: 2943–2952CrossRefPubMed Fife KH, Wheeler CM, Koutsky LA et al. (2004) Dose-ranging studies of the safety and immunogenicity of human papillomavirus Type 11 and Type 16 virus-like particle candidate vaccines in young healthy women. Vaccine 22: 2943–2952CrossRefPubMed
10.
Zurück zum Zitat Giannini SL, Hanon E, Moris P et al. (2006) Enhanced humoral and memory B cellular immunity using HPV16/18 L1 VLP vaccine formulated with the MPL/aluminium salt combination (AS04) compared to aluminium salt only. Vaccine 24: 5937–5949CrossRefPubMed Giannini SL, Hanon E, Moris P et al. (2006) Enhanced humoral and memory B cellular immunity using HPV16/18 L1 VLP vaccine formulated with the MPL/aluminium salt combination (AS04) compared to aluminium salt only. Vaccine 24: 5937–5949CrossRefPubMed
11.
Zurück zum Zitat Harper DM, Franco EL, Wheeler C et al. (2004) Efficacy of a bivalent L1 virus-like particle vaccine in prevention of infection with human papillomavirus types 16 and 18 in young women: a randomised controlled trial. Lancet 364: 1757–1765CrossRefPubMed Harper DM, Franco EL, Wheeler C et al. (2004) Efficacy of a bivalent L1 virus-like particle vaccine in prevention of infection with human papillomavirus types 16 and 18 in young women: a randomised controlled trial. Lancet 364: 1757–1765CrossRefPubMed
12.
Zurück zum Zitat Harper DM, Franco EL, Wheeler CM et al. (2006) Sustained efficacy up to 4.5 years of a bivalent L1 virus-like particle vaccine against human papillomavirus types 16 and 18: follow-up from a randomised control trial. Lancet 367: 1247–1255CrossRefPubMed Harper DM, Franco EL, Wheeler CM et al. (2006) Sustained efficacy up to 4.5 years of a bivalent L1 virus-like particle vaccine against human papillomavirus types 16 and 18: follow-up from a randomised control trial. Lancet 367: 1247–1255CrossRefPubMed
13.
Zurück zum Zitat Kaufmann AM, Nieland J, Schinz M et al. (2001) HPV16 L1E7 chimeric virus-like particles induce specific HLA-restricted T cells in humans after in vitro vaccination. Int J Cancer 92: 285–293CrossRefPubMed Kaufmann AM, Nieland J, Schinz M et al. (2001) HPV16 L1E7 chimeric virus-like particles induce specific HLA-restricted T cells in humans after in vitro vaccination. Int J Cancer 92: 285–293CrossRefPubMed
14.
Zurück zum Zitat Kirnbauer R, Booy F, Cheng N et al. (1992) Papillomavirus L1 major capsid protein self-assembles into virus-like particles that are highly immunogenic. Proc Natl Acad Sci U S A 89: 12180–12184CrossRefPubMed Kirnbauer R, Booy F, Cheng N et al. (1992) Papillomavirus L1 major capsid protein self-assembles into virus-like particles that are highly immunogenic. Proc Natl Acad Sci U S A 89: 12180–12184CrossRefPubMed
15.
Zurück zum Zitat Koutsky LA (1997) Epidemiology of genital human papillomavirus infection. Am J Med 102: 3–8CrossRef Koutsky LA (1997) Epidemiology of genital human papillomavirus infection. Am J Med 102: 3–8CrossRef
16.
Zurück zum Zitat Koutsky LA, Ault KA, Wheeler CM et al. (2002) A controlled trial of a human papillomavirus type 16 vaccine. N Engl J Med 347: 1645–1651CrossRefPubMed Koutsky LA, Ault KA, Wheeler CM et al. (2002) A controlled trial of a human papillomavirus type 16 vaccine. N Engl J Med 347: 1645–1651CrossRefPubMed
17.
Zurück zum Zitat Levi F, Lucchini F, Negri E et al. (2000) Cancer mortality in young women in Europe: patterns and trends. Eur J Cancer 36: 2266–2271CrossRefPubMed Levi F, Lucchini F, Negri E et al. (2000) Cancer mortality in young women in Europe: patterns and trends. Eur J Cancer 36: 2266–2271CrossRefPubMed
18.
Zurück zum Zitat Mao C, Koutsky LA, Ault KA et al. (2006) Efficacy of human papillomavirus-16 vaccine to prevent cervical intraepithelial neoplasia: a randomized controlled trial. Obstet Gynecol 107: 18–27PubMed Mao C, Koutsky LA, Ault KA et al. (2006) Efficacy of human papillomavirus-16 vaccine to prevent cervical intraepithelial neoplasia: a randomized controlled trial. Obstet Gynecol 107: 18–27PubMed
19.
Zurück zum Zitat Muller M, Zhou J, Reed TD et al. (1997) Chimeric papillomavirus-like particles. Virology 234: 93–111CrossRefPubMed Muller M, Zhou J, Reed TD et al. (1997) Chimeric papillomavirus-like particles. Virology 234: 93–111CrossRefPubMed
20.
Zurück zum Zitat Munger K, Phelps WC, Bubb V et al. (1989) The E6 and E7 genes of the human papillomavirus type 16 together are necessary and sufficient for transformation of primary human keratinocytes. J Virol 63: 4417–4421PubMed Munger K, Phelps WC, Bubb V et al. (1989) The E6 and E7 genes of the human papillomavirus type 16 together are necessary and sufficient for transformation of primary human keratinocytes. J Virol 63: 4417–4421PubMed
21.
Zurück zum Zitat Nardelli-Haefliger D, Wirthner D, Schiller JT et al. (2003) Specific antibody levels at the cervix during the menstrual cycle of women vaccinated with human papillomavirus 16 virus-like particles. J Natl Cancer Inst 95: 1128–1137PubMed Nardelli-Haefliger D, Wirthner D, Schiller JT et al. (2003) Specific antibody levels at the cervix during the menstrual cycle of women vaccinated with human papillomavirus 16 virus-like particles. J Natl Cancer Inst 95: 1128–1137PubMed
22.
Zurück zum Zitat Nees M, Geoghegan JM, Hyman T et al. (2001) Papillomavirus type 16 oncogenes downregulate expression of interferon-responsive genes and upregulate proliferation-associated and NF-kappaB-responsive genes in cervical keratinocytes. J Virol 75: 4283–4296CrossRefPubMed Nees M, Geoghegan JM, Hyman T et al. (2001) Papillomavirus type 16 oncogenes downregulate expression of interferon-responsive genes and upregulate proliferation-associated and NF-kappaB-responsive genes in cervical keratinocytes. J Virol 75: 4283–4296CrossRefPubMed
23.
Zurück zum Zitat Ohlschlager P, Osen W, Dell K et al. (2003) Human papillomavirus type 16 L1 capsomeres induce L1-specific cytotoxic T lymphocytes and tumor regression in C57BL/6 mice. J Virol 77: 4635–4645CrossRefPubMed Ohlschlager P, Osen W, Dell K et al. (2003) Human papillomavirus type 16 L1 capsomeres induce L1-specific cytotoxic T lymphocytes and tumor regression in C57BL/6 mice. J Virol 77: 4635–4645CrossRefPubMed
24.
Zurück zum Zitat Pinto LA, Viscidi R, Harro CD et al. (2006) Cellular immune responses to HPV-18, –31, and –53 in healthy volunteers immunized with recombinant HPV-16 L1 virus-like particles. Virology 353: 451–462CrossRefPubMed Pinto LA, Viscidi R, Harro CD et al. (2006) Cellular immune responses to HPV-18, –31, and –53 in healthy volunteers immunized with recombinant HPV-16 L1 virus-like particles. Virology 353: 451–462CrossRefPubMed
25.
Zurück zum Zitat Schafer K, Muller M, Faath S et al. (1999) Immune response to human papillomavirus 16 L1E7 chimeric virus-like particles: induction of cytotoxic T cells and specific tumor protection. Int J Cancer 81: 881–888CrossRefPubMed Schafer K, Muller M, Faath S et al. (1999) Immune response to human papillomavirus 16 L1E7 chimeric virus-like particles: induction of cytotoxic T cells and specific tumor protection. Int J Cancer 81: 881–888CrossRefPubMed
26.
Zurück zum Zitat Schneider A, Koutsky LA (1992) Natural history and epidemiological features of genital HPV infection. IARC Sci Publ 119: 25–52PubMed Schneider A, Koutsky LA (1992) Natural history and epidemiological features of genital HPV infection. IARC Sci Publ 119: 25–52PubMed
27.
Zurück zum Zitat Schreckenberger C, Kaufmann AM (2004) Vaccination strategies for the treatment and prevention of cervical cancer. Curr Opin Oncol 16: 485–491CrossRefPubMed Schreckenberger C, Kaufmann AM (2004) Vaccination strategies for the treatment and prevention of cervical cancer. Curr Opin Oncol 16: 485–491CrossRefPubMed
28.
Zurück zum Zitat Sillman FH, Sentovich S, Shaffer D (1997) Anogenital neoplasia in renal transplant patients. Ann Transplant 2: 59–66PubMed Sillman FH, Sentovich S, Shaffer D (1997) Anogenital neoplasia in renal transplant patients. Ann Transplant 2: 59–66PubMed
29.
Zurück zum Zitat Smith JF, Brownlow MK, Brown MJ et al. (2006) GardasilTM antibodies cross-neutralize pseudovirion infection of vaccine related HPV types. Vortrag 23rd IPVC, Prag Smith JF, Brownlow MK, Brown MJ et al. (2006) GardasilTM antibodies cross-neutralize pseudovirion infection of vaccine related HPV types. Vortrag 23rd IPVC, Prag
31.
Zurück zum Zitat Valdespino V, Gorodezky C, Ortiz V et al. (2005) HPV16-specific cytotoxic T lymphocyte responses are detected in all HPV16-positive cervical cancer patients. Gynecol Oncol 96: 92–102CrossRefPubMed Valdespino V, Gorodezky C, Ortiz V et al. (2005) HPV16-specific cytotoxic T lymphocyte responses are detected in all HPV16-positive cervical cancer patients. Gynecol Oncol 96: 92–102CrossRefPubMed
32.
Zurück zum Zitat Poelgeest MI van, Nijhuis ER, Kwappenberg KM et al. (2006) Distinct regulation and impact of type 1 T-cell immunity against HPV16 L1, E2 and E6 antigens during HPV16-induced cervical infection and neoplasia. Int J Cancer 118: 675–683CrossRefPubMed Poelgeest MI van, Nijhuis ER, Kwappenberg KM et al. (2006) Distinct regulation and impact of type 1 T-cell immunity against HPV16 L1, E2 and E6 antigens during HPV16-induced cervical infection and neoplasia. Int J Cancer 118: 675–683CrossRefPubMed
33.
Zurück zum Zitat Villa LL, Costa RL, Petta CA et al. (2005) Prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in young women: a randomised double-blind placebo-controlled multicentre phase II efficacy trial. Lancet Oncol 6: 271–278CrossRefPubMed Villa LL, Costa RL, Petta CA et al. (2005) Prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in young women: a randomised double-blind placebo-controlled multicentre phase II efficacy trial. Lancet Oncol 6: 271–278CrossRefPubMed
34.
Zurück zum Zitat Villa LL, Costa RL, Petta CA et al. (2006) High sustained efficacy of a prophylactic quadrivalent human papillomavirus types 6/11/16/18 L1 virus-like particle vaccine through 5 years of follow-up. Br J Cancer 95: 1459–1466CrossRefPubMed Villa LL, Costa RL, Petta CA et al. (2006) High sustained efficacy of a prophylactic quadrivalent human papillomavirus types 6/11/16/18 L1 virus-like particle vaccine through 5 years of follow-up. Br J Cancer 95: 1459–1466CrossRefPubMed
35.
Zurück zum Zitat Viscidi RP, Schiffman M, Hildesheim A et al. (2004) Seroreactivity to human papillomavirus (HPV) types 16, 18, or 31 and risk of subsequent HPV infection: results from a population-based study in Costa Rica. Cancer Epidemiol Biomarkers Prev 13: 324–327CrossRefPubMed Viscidi RP, Schiffman M, Hildesheim A et al. (2004) Seroreactivity to human papillomavirus (HPV) types 16, 18, or 31 and risk of subsequent HPV infection: results from a population-based study in Costa Rica. Cancer Epidemiol Biomarkers Prev 13: 324–327CrossRefPubMed
36.
Zurück zum Zitat Welters MJ, Jong A de, Eeden SJ van den et al. (2003) Frequent display of human papillomavirus type 16 E6-specific memory t-Helper cells in the healthy population as witness of previous viral encounter. Cancer Res 63: 636–641PubMed Welters MJ, Jong A de, Eeden SJ van den et al. (2003) Frequent display of human papillomavirus type 16 E6-specific memory t-Helper cells in the healthy population as witness of previous viral encounter. Cancer Res 63: 636–641PubMed
Metadaten
Titel
Humorale und zelluläre Immunantwort im Rahmen der HPV-Impfung
verfasst von
Dr. rer. nat. E. Glastetter
A.M. Kaufmann
Publikationsdatum
01.06.2007
Verlag
Springer-Verlag
Erschienen in
Die Dermatologie / Ausgabe 6/2007
Print ISSN: 2731-7005
Elektronische ISSN: 2731-7013
DOI
https://doi.org/10.1007/s00105-007-1339-4

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