中华皮肤科杂志 ›› 2026, Vol. 59 ›› Issue (10): 1002-1008.doi: 10.35541/cjd.20260403

• 专题笔谈 • 上一篇    下一篇

人乳头瘤病毒疫苗与免疫治疗:从一级预防到全病程免疫干预的整合策略

马璟玥    王惠平   

  1. 天津医科大学总医院皮肤性病科/天津性传播疾病研究所,天津  300052
  • 收稿日期:2026-07-22 修回日期:2026-09-20 发布日期:2026-10-07
  • 通讯作者: 王惠平 E-mail:huiping1208@163.com

Human papillomavirus vaccines and immunotherapy: an integrated strategy from primary prevention to whole-course immunologic intervention

Ma Jingyue, Wang Huiping   

  1. Department of Dermatovenereology, Tianjin Medical University General Hospital/Tianjin Institute of Sexually Transmitted Disease, Tianjin 300052, China
  • Received:2026-07-22 Revised:2026-09-20 Published:2026-10-07
  • Contact: Wang Huiping E-mail:huiping1208@163.com

摘要: 【摘要】 人乳头瘤病毒(HPV)持续感染是宫颈癌及多种生殖器与口咽部恶性肿瘤的主要致病因素。预防性疫苗接种可显著降低HPV相关疾病的发生率,但其无法清除已存在的感染。HPV编码的E6/E7癌蛋白在宫颈癌细胞中持续表达,是理想的免疫治疗靶点。本文围绕预防性HPV疫苗的接种策略与保护效果、治疗性疫苗各技术平台的临床研究进展、免疫检查点抑制剂在复发/转移性宫颈癌中的应用证据、过继性细胞疗法的探索现状,以及靶向单克隆抗体的联合治疗策略进行系统梳理,并提出将联合治疗、分层防控以及将免疫干预前移至癌前病变阶段是提升宫颈癌疗效的关键路径。

关键词: 乳头状瘤病毒疫苗, 宫颈肿瘤, 癌前状态, 接种, 预防性疫苗, 免疫治疗, 治疗性疫苗, 联合治疗

Abstract: 【Abstract】 Persistent human papillomavirus (HPV) infection is a major causative factor for cervical cancer and various malignant tumors of the genital and oropharyngeal regions. Although prophylactic vaccination can significantly reduce the incidence of HPV-related diseases, it cannot clear pre-existing infections. The HPV?encoded E6/E7 oncoproteins, which are constitutively expressed in cervical cancer cells, represent ideal targets for immunotherapy. This article systematically summarizes vaccination strategies and the protective effectiveness of prophylactic HPV vaccines, clinical research progress across diverse therapeutic vaccine platforms, clinical evidence for immune checkpoint inhibitors in recurrent/metastatic cervical cancer, the current status of adoptive cell therapy, and combination therapeutic strategies with targeted monoclonal antibodies. It further proposes that combination therapy, stratified prevention and control, and shifting immune intervention to the precancerous stage are key approaches to improving the efficacy of cervical cancer treatment.

Key words: Papillomavirus vaccines, Uterine cervical neoplasms, Precancerous conditions, Vaccination, Prophylactic vaccine, Immunotherapy, Therapeutic vaccine, Combination therapy

引用本文

马璟玥 王惠平. 人乳头瘤病毒疫苗与免疫治疗:从一级预防到全病程免疫干预的整合策略[J]. 中华皮肤科杂志, 2026,59(10):1002-1008. doi:10.35541/cjd.20260403

Ma Jingyue, Wang Huiping. Human papillomavirus vaccines and immunotherapy: an integrated strategy from primary prevention to whole-course immunologic intervention[J]. Chinese Journal of Dermatology, 2026, 59(10): 1002-1008.doi:10.35541/cjd.20260403