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The precision prevention and therapy of HPV‐related cervical cancer: new concepts and clinical implications

Cervical cancer is the third most common cancer in women worldwide, with concepts and knowledge about its prevention and treatment evolving rapidly. Human papillomavirus (HPV) has been identified as a major factor that leads to cervical cancer, although HPV infection alone cannot cause the disease....

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Detalles Bibliográficos
Autores principales: Hu, Zheng, Ma, Ding
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198240/
https://www.ncbi.nlm.nih.gov/pubmed/30589505
http://dx.doi.org/10.1002/cam4.1501
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author Hu, Zheng
Ma, Ding
author_facet Hu, Zheng
Ma, Ding
author_sort Hu, Zheng
collection PubMed
description Cervical cancer is the third most common cancer in women worldwide, with concepts and knowledge about its prevention and treatment evolving rapidly. Human papillomavirus (HPV) has been identified as a major factor that leads to cervical cancer, although HPV infection alone cannot cause the disease. In fact, HPV‐driven cancer is a small probability event because most infections are transient and could be cleared spontaneously by host immune system. With persistent HPV infection, decades are required for progression to cervical cancer. Therefore, this long time window provides golden opportunity for clinical intervention, and the fundament here is to elucidate the carcinogenic pattern and applicable targets during HPV‐host interaction. In this review, we discuss the key factors that contribute to the persistence of HPV and cervical carcinogenesis, emerging new concepts and technologies for cancer interventions, and more urgently, how these concepts and technologies might lead to clinical precision medicine which could provide prediction, prevention, and early treatment for patients.
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spelling pubmed-61982402018-10-31 The precision prevention and therapy of HPV‐related cervical cancer: new concepts and clinical implications Hu, Zheng Ma, Ding Cancer Med Cancer Prevention Cervical cancer is the third most common cancer in women worldwide, with concepts and knowledge about its prevention and treatment evolving rapidly. Human papillomavirus (HPV) has been identified as a major factor that leads to cervical cancer, although HPV infection alone cannot cause the disease. In fact, HPV‐driven cancer is a small probability event because most infections are transient and could be cleared spontaneously by host immune system. With persistent HPV infection, decades are required for progression to cervical cancer. Therefore, this long time window provides golden opportunity for clinical intervention, and the fundament here is to elucidate the carcinogenic pattern and applicable targets during HPV‐host interaction. In this review, we discuss the key factors that contribute to the persistence of HPV and cervical carcinogenesis, emerging new concepts and technologies for cancer interventions, and more urgently, how these concepts and technologies might lead to clinical precision medicine which could provide prediction, prevention, and early treatment for patients. John Wiley and Sons Inc. 2018-09-14 /pmc/articles/PMC6198240/ /pubmed/30589505 http://dx.doi.org/10.1002/cam4.1501 Text en © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Cancer Prevention
Hu, Zheng
Ma, Ding
The precision prevention and therapy of HPV‐related cervical cancer: new concepts and clinical implications
title The precision prevention and therapy of HPV‐related cervical cancer: new concepts and clinical implications
title_full The precision prevention and therapy of HPV‐related cervical cancer: new concepts and clinical implications
title_fullStr The precision prevention and therapy of HPV‐related cervical cancer: new concepts and clinical implications
title_full_unstemmed The precision prevention and therapy of HPV‐related cervical cancer: new concepts and clinical implications
title_short The precision prevention and therapy of HPV‐related cervical cancer: new concepts and clinical implications
title_sort precision prevention and therapy of hpv‐related cervical cancer: new concepts and clinical implications
topic Cancer Prevention
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198240/
https://www.ncbi.nlm.nih.gov/pubmed/30589505
http://dx.doi.org/10.1002/cam4.1501
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