IL-15联合HPV 基因疫苗治疗宫颈癌的前景探讨
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1.南京医科大学附属常州妇幼保健院妇产科;2.上海交通大学附属上海市第一人民医院妇产科

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The prospect of IL-15 Combined With HPV Gene Vaccine for Cervical Cancer
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1.Department of Obstetrics and Gynecology, Affiliated Changzhou Maternal and Child Care Service Center of NJMU;2.Department of Obstetrics and Gynecology,Shanghai First People's Hospital of NJMU

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    摘要:

    【摘要】宫颈癌是妇科三大恶性肿瘤之一,其高发生率、高复发率、高转移率使其成为很多研究的重点。研究已明确持续性人类乳头瘤状病毒(Human Papilloma Virus,HPV)感染,尤其是高危型HPV感染是宫颈癌发生的主要病因。目前常用的治疗方法包括:手术、放疗、化疗、免疫治疗等。而HPV 基因疫苗,尤其是以E7基因为靶基因的疫苗,能够诱导特异性细胞免疫反应,控制肿瘤生长,成为目前宫颈癌治疗方法的研究热点[1]。但是基因疫苗应用于人体时往往存在免疫应答减弱的问题,而利用IL-15作为基因疫苗的佐剂,促进抗原特异性免疫应答,能够显著提高免疫原性[2]。本文就IL-15联合HPV基因疫苗治疗宫颈癌的应用进展进行综述,探讨其应用的可行性及对宫颈癌免疫治疗的价值。

    Abstract:

    【Abstract】Cervical cancer is one of the three gynecological malignancies, its high incidence, high recurrence rate and high transfer rate makes a lot of research. Research has clearly confirmed that infection of persistent human papilloma virus (HPV) especially the high-risk HPV infection is the major cause of cervical cancer. The most commonly used treatments include:surgery, radiotherapy, chemotherapy, immunetherapy, etc. The HPV gene vaccine, particularly in the target of E7 gene, can induce an specific immune response to control tumor growth and it has been been a researchShotspot on the treatment of cervical cancer[1]. But there is often a problem of reduced immunogenicity of gene vaccine when it is applied to the human body. Using IL-15 gene as a vaccine adjuvant to promote antigen-specific immune responses can significantly improve immunogenicity[2]. The prospect of IL-15 combined with HPV gene vaccine in the treatment of cervical cancer is reviewed and the feasibility of its application and the value of immunotherapy in the treatment of cervical cancer are discussed after consulting literature.

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  • 收稿日期:2017-04-22
  • 最后修改日期:2018-09-25
  • 录用日期:2019-03-04
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