HPV Vaccination: Basic and Clinical Research

A special issue of Vaccines (ISSN 2076-393X). This special issue belongs to the section "Human Papillomavirus Vaccines".

Deadline for manuscript submissions: closed (31 January 2024) | Viewed by 4782

Special Issue Editors


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Guest Editor
Institution of Azienda USL Toscana Nord Ovest, 56121 Pisa, Italy
Interests: HPV natural history and immunobiology; HPV veterinary research; HPV diseases and sexuality; HPV in men: diagnosis, treatment and research; adjuvant HPV vaccination; lower genital tract malignancies; cervical cancer screening; colposcopy; vulvoscopy; anoscopy; peniscopy; gynecologic oncology surgery

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Guest Editor
Department of Clinical and Experimental Medicine, Università di Pisa, 56126 Pisa, Italy
Interests: pelvic floor reconstructive surgery and to mini-invasive laparoscopic and robotic techniques in gynecology, urogynecology and gynecologic oncology

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Guest Editor
Woman's Health Sciences Department, Universita Politecnica delle Marche, 60121 Ancona, Italy
Interests: cervical intraepithelial neoplasia; HPV-related diseases; gynecological oncology
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Special Issue Information

Dear Colleagues,

We are soliciting articles for a Special Issue of the MDPI journal Vaccines, entitled “Feature Paper of Vaccines and Women's Health”.

Persistent infection with a high-risk human papillo­mavirus (HPV) genotypes is necessary for the develop­ment of cervical cancer. More than 15 years have elapsed since HPV vaccination was implemented and more than 100 countries have introduced HPV vaccination programs.

Although the HPV vaccines currently available have been shown in trial settings to have nearly 100% clinical efficacy against cervical disease caused by vaccine-specific high-risk HPV genotypes, cervical cancer is still the fourth most frequent cancer in women worldwide, with an estimated >600,000 cases diagnosed each year and >300,000 cervical-cancer-related deaths occurring in 2020.

We know that HPV vaccines are immunogenic and safe, and that efficacy data from clinical trials suggest that vaccination strongly protects against both persistent HPV infection and cervical precancerous lesions.

The clinical knowledge about HPV vaccination is growing year after year: we have moved from primary prevention in girls, opening to gender neutral vaccination, and reaching new scenarios such as adult women vaccination. Clinicians and epidemiologists imagine a world of new perspectives with HPV eradication, but we have to face the truth: despite the benefits of reducing HPV diseases that vaccines offer, in too many countries the coverage in girls and boys is still very far from the 95% coverage target.

Future studies about HPV vaccination are needed to evaluate clinical protection against disease recurrence in treated patients for all HPV-related diseases, with comprehensive postvaccination surveillance evaluating the reduction of recurrence risk.

Long-term surveillance data of vaccinated populations is needed to determine the clinical effectiveness of vaccination, the herd immunity effect, the clear evidence for no-type replacement, the long-term safety, and the psychological impact of vaccination in patients treated with HPV-related diseases. Many issues remain to be addressed; most importantly, trials are necessary to evaluate a better knowledge of the immune system response, pathways and mechanism of progression of HPV diseases, viral latency/reactivation, and the possible impact of the HPV vaccine with these concerns.

Three prophylactic vaccines against HPV infection are available and have been shown to prevent persistent HPV infection and precancerous cervical abnormalities, while therapeutic vaccines are not yet commercially available. Our call is addressed to papers covering any and all of these issues, focusing primarily on HPV vaccination from both clinical and basic research points of view.

Dr. Alessandro Ghelardi
Prof. Dr. Tommaso Simoncini
Dr. Andrea Ciavattini
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Vaccines is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Published Papers (2 papers)

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Research

10 pages, 252 KiB  
Article
HPV Opportunistic Vaccination: A Literature Review and a Single-Center Experience in Northern Italy through the COVID-19 Pandemic
by Francesco Cantatore, Nadia Agrillo, Alessandro Camussi and Massimo Origoni
Vaccines 2023, 11(9), 1435; https://doi.org/10.3390/vaccines11091435 - 31 Aug 2023
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Abstract
The World Health Organization (WHO) set the goal of 90% HPV vaccination coverage in the population to eliminate cervical cancer. Opportunistic vaccination is performed outside the free vaccination or catch-up programs. Both free and opportunistic HPV vaccination programs experienced slowdowns during the COVID-19 [...] Read more.
The World Health Organization (WHO) set the goal of 90% HPV vaccination coverage in the population to eliminate cervical cancer. Opportunistic vaccination is performed outside the free vaccination or catch-up programs. Both free and opportunistic HPV vaccination programs experienced slowdowns during the COVID-19 pandemic. In this retrospective study, we aimed to identify the benefits and the obstacles of opportunistic vaccination among male and female individuals who took advantage of the “on-demand” service offered by San Raffaele Hospital in Milan from April 2018 to May 2023. The impact that the COVID-19 pandemic had on vaccination adherence was also analyzed. Data on a total of 527 subjects were collected from an in-house database and through personal interviews. Women in the cohort of older patients (over 25) adhered to the vaccination schedule more than younger women. Opportunistic vaccination request is influenced by the need of a gynecologist, a general practitioner, or public health clinic availability. Women also showed good adherence to screening, demonstrating awareness of the importance of cervical cancer secondary prevention despite vaccination. Opportunistic vaccination offers the possibility of including individuals excluded from the free vaccination campaigns, often already affected by lesions caused by HPV, providing increased viral clearance and faster lesion regression. The main limit remains the economic burden. Full article
(This article belongs to the Special Issue HPV Vaccination: Basic and Clinical Research)
11 pages, 656 KiB  
Article
Outcomes of High-Grade Cervical Dysplasia with Positive Margins and HPV Persistence after Cervical Conization
by Andrea Giannini, Violante Di Donato, Francesco Sopracordevole, Andrea Ciavattini, Alessandro Ghelardi, Enrico Vizza, Ottavia D’Oria, Tommaso Simoncini, Francesco Plotti, Jvan Casarin, Tullio Golia D’Augè, Ilaria Cuccu, Maurizio Serati, Ciro Pinelli, Alice Bergamini, Barbara Gardella, Andrea Dell’Acqua, Ermelinda Monti, Paolo Vercellini, Giovanni D’Ippolito, Lorenzo Aguzzoli, Vincenzo Dario Mandato, Luca Giannella, Cono Scaffa, Antonino Ditto, Francesca Falcone, Chiara Borghi, Mario Malzoni, Alessandra Di Giovanni, Maria Giovanna Salerno, Viola Liberale, Biagio Contino, Cristina Donfrancesco, Michele Desiato, Anna Myriam Perrone, Pierandrea De Iaco, Simone Ferrero, Giuseppe Sarpietro, Maria G. Matarazzo, Antonio Cianci, Stefano Cianci, Sara Bosio, Simona Ruisi, Lavinia Mosca, Raffaele Tinelli, Rosa De Vincenzo, Gian Franco Zannoni, Gabriella Ferrandina, Marco Petrillo, Giampiero Capobianco, Annunziata Carlea, Fulvio Zullo, Barbara Muschiato, Stefano Palomba, Stefano Greggi, Arsenio Spinillo, Fabio Ghezzi, Nicola Colacurci, Roberto Angioli, Pierluigi Benedetti Panici, Ludovico Muzii, Giovanni Scambia, Francesco Raspagliesi and Giorgio Boganiadd Show full author list remove Hide full author list
Vaccines 2023, 11(3), 698; https://doi.org/10.3390/vaccines11030698 - 18 Mar 2023
Cited by 38 | Viewed by 2814
Abstract
The objective of this work is to assess the 5-year outcomes of patients undergoing conization for high-grade cervical lesions that simultaneously present as risk factors in the persistence of HPV infection and the positivity of surgical resection margins. This is a retrospective study [...] Read more.
The objective of this work is to assess the 5-year outcomes of patients undergoing conization for high-grade cervical lesions that simultaneously present as risk factors in the persistence of HPV infection and the positivity of surgical resection margins. This is a retrospective study evaluating patients undergoing conization for high-grade cervical lesions. All patients included had both positive surgical margins and experienced HPV persistence at 6 months. Associations were evaluated with Cox proportional hazard regression and summarized using hazard ratio (HR). The charts of 2966 patients undergoing conization were reviewed. Among the whole population, 163 (5.5%) patients met the inclusion criteria, being at high risk due to the presence of positive surgical margins and experiencing HPV persistence. Of 163 patients included, 17 (10.4%) patients developed a CIN2+ recurrence during the 5-year follow-up. Via univariate analyses, diagnosis of CIN3 instead of CIN2 (HR: 4.88 (95%CI: 1.10, 12.41); p = 0.035) and positive endocervical instead of ectocervical margins (HR: 6.44 (95%CI: 2.80, 9.65); p < 0.001) were associated with increased risk of persistence/recurrence. Via multivariate analyses, only positive endocervical instead of ectocervical margins (HR: 4.56 (95%CI: 1.23, 7.95); p = 0.021) were associated with worse outcomes. In this high-risk group, positive endocervical margins is the main risk factor predicting 5-year recurrence. Full article
(This article belongs to the Special Issue HPV Vaccination: Basic and Clinical Research)
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