HPV types are carcinogenic agents in cervical cancer. This view is supporte
d by epidemiological and biological evidence. The oncogenic products and ca
psid proteins of high risk HPV Spes are potential targets against which eff
ective immunity may be generated by vaccination. Both therapeutic and proph
lylactic immunisation are potential strategies to deal with the widespread
problem of HPV infection and possibly established cervical neoplasia. Clini
cal trials are now underway to evaluate candidate vaccines.