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Cervical Cancer

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Cervical Cancer

Cancers attributable to HPV

HPV cancers

HIV genome

Virion

HPV life cycle

HPV infection

Cervical cancer

HPV carcinogenesis

Cellular proteins

HPV pathways

HPV infection time line

HPV infection

Pap screening

Primary prevention

Virus like particles

Three vaccines

Timeline of HPV Association

Precursor Lesions

Efficacy of HPV Vaccine

Gardasil-9

Clinical Trial Evidence

Protection from Initial Infection

HPC vaccine

Safety record

Vaccine effectiveness

Vaccination

Reduction of CIN2+ cervical dysplasia

Prevention of cervical cancer

HPV vaccines

Non-vaccine scenario

Worldvide HPV vaccine uptake

US girls vaccination rate

Increasing Uptake, Particularly in Low Resource Settings

Post hoc analysis

One dose clinical trial results

Single dose HPV vaccination

One or two doses of the HPV vaccine

Why do HPV VLP vaccines work so well?

Antibody responses to VLPs

Persistence of antibodies

Durability of VLP Ab response

VLP Ab response

B cells recognize dense repetitive protein arrays

Repetitive antigen display

Vaginal HPV infection

Cervix Ab response

Antibody titers and protection

Passive transfer

Gardasil sera protection

Mechanisms of in vivo infection

Conclusions

Exploiting HPV’s unexpected infection mechanism

Binding to divergent tissue types

VLPs bind to most tumor cell lines

Can HPV infect tumors in vivo?

HPV capsids for cancer

HPV VLP-IR700 conjugates

Occular/uveal melanoma

Xenograft model of uveal melanoma

Xenograft model of uveal melanoma

Clinical trial of uveal melanoma

Preliminary clinical trial results

Most optimistic projection for the technology

A broadly applicable, “off the shelf” cancer therapy. What cancer should be tried next?

Key Collaborators