Genital infection with high-risk human papillomaviruses (HPV) has been
etiologically linked with the development of cervical and other anoge
nital cancers. There is therefore a need for an effective HPV vaccine
with the potential to significantly reduce the burden of more than hal
f a million new cervical cancer cases in women worldwide each year. Th
e L1 major capsid protein of papillomaviruses expressed in eukaryotic
cells self-assembles into virus-like particles (VLP). VLP are attracti
ve subunit vaccine candidates since they lack potentially oncogenic pa
pillomavirus DNA and express the conformationally dependent epitopes n
ecessary to induce high-titer neutralizing antibodies. Prophylactic VL
P vaccination has achieved a high degree of protection in animal studi
es. Thus VLP are now considered the immunogen of choice for human vacc
ine trials to prevent genital HPV infection. VLP of different HPV have
been developed to study the serologic relationship between HPV types.
VLP-based ELISA are able to detect antibodies in human sera and are n
ow widely used in epidemiologic studies of the natural history of HPV
infection and the associated risk of developing neoplasia.