2024, Number 1
<< Back Next >>
salud publica mex 2024; 66 (1)
Prophylactic cancer vaccines: development and challenges for HBV and HPV vaccines in Latin America
Ramírez-López LX, Carnalla-Cortés M, Barrientos-Gutiérrez T, Coursaget P, Muñoz N
Language: English
References: 65
Page: 95-103
PDF size: 281.51 Kb.
ABSTRACT
Vaccines against hepatitis B virus (HBV) and human papillomaviruses
(HPV) are two safe and highly effective vaccines
that were developed at the end of the 20th century and can
prevent human cancer. HBV vaccine prevents liver cancer, and
HPV prevents cervical and other HPV-related cancers. Starting
with the immunogen identification, 15 years were necessary
to reach the industrial production of HBV vaccine, and 20
years, for the HPV vaccines. However, while HBV vaccines
have been commercially available for over 40 years and are
used in most countries, there are still significant challenges
to achieve universal childhood immunization against hepatitis
B. Similarly, HPV vaccines have been commercially available
for 17 years, and yet, countries with higher cervical cancer
still have the lowest HPV vaccination rates. We describe
the development of HBV and HPV vaccines and discuss the
challenges to reaching equitable access to these vaccines in
Latin America.
REFERENCES
Ni YH, Chang MH, Huang LM, Chen HL, Hsu HY, Chiu TY, et al.Hepatitis B virus infection in children and adolescents in a hyperendemicarea: 15 years after mass hepatitis B vaccination. Ann Intern Med. 2001;135(9):796-800. https://doi.org/10.7326/0003-4819-135-9-200111060-00009
Garland SM, Kjaer SK, Muñoz N, Block SL, Brown DR, Dinubile MJ, et al.Impact and effectiveness of the quadrivalent human papillomavirus vaccine:a systematic review of 10 years of real-world experience. Clin Infect Dis.2016;63(4):519-27. https://doi.org/10.1093/CID/CIW354
Blumberg BS, Gerstley BJ, Hungerford DA, London WT, Sutnick AI.A serum antigen (Australia antigen) in Down’s syndrome, leukemia,and hepatitis. Ann Intern Med. 1967;66(5):924-31. https://doi.org/10.7326/0003-4819-66-5-924
Trichopoulos D, Gerety RJ, Sparros L, Tabor E, Xirouchaki E, Muñoz N,et al. Hepatitis B and primary hepatocellular carcinoma in a europeanpopulation. Lancet. 1978;312(8102):1217-19. https://doi.org/10.1016/S0140-6736(78)92097-4
Maupas P, Larouzé B, London WT, Werner B, Millman I, O’Connell A, etal. Antibody to hepatitis-B core antigen in patients with primary hepaticcarcinoma. Lancet. 1975;306(7923):9-11. https://doi.org/10.1016/S0140-
6736(75)92951-76. World Health Organization, International Agency for Research onCancer. Monographs on the evaluation of carcinogenic risks to humans.Lyon: WHO/IARC, 1994 [cited Apr 1, 2023]. Available from: https://monographs.iarc.who.int/wp-content/uploads/2018/06/mono77.pdf
Maupas P, Coursaget P, Goudeau A, Drucker J, Bagros P. Immunizationagainst hepatitis B in man. Lancet. 1976;307(7974):1367-70. https://doi.org/10.1016/S0140-6736(76)93023-3
Maupas P, Goudeau A, Coursaget P, Drucker J, Bagros P. Hepatitis Bvaccine: efficacy in high-risk settings, a two-year study. Intervirology.1978;10(3):196-208. https://doi.org/10.1159/000148983
Maupas P, Barin F, Chiron JP, Coursaget P, Goudeau A, Perrin J, et al.Efficacy of hepatitis B vaccine in prevention of early HBsAg carrierstate in children. Controlled trial in an endemic area (Senegal). Lancet.1981;317(8215):289-92. https://doi.org/10.1016/S0140-6736(81)91908-5
Chiron JP, Coursaget P, Yvonnet B, Auger F, Lee-Quan T, Barin F, et al.Simultaneous administration of hepatitis B and diphtheria/tetanus/poliovaccines. Lancet. 1984;323(8377):623-4. https://doi.org/10.1016/S0140-6736(84)91015-8
Coursaget P, Leboulleux D, Soumare M, le Cann P, Yvonnet B, ChironJP, et al. Twelve-year follow-up study of hepatitis B immunization ofSenegalese infants. J Hepatol. 1994;21(2):250-4. https://doi.org/10.1016/S0168-8278(05)80404-0
Valenzuela P, Medina A, Rutter WJ, Ammerer G, Hall BD. Synthesis andassembly of hepatitis B virus surface antigen particles in yeast. Nature.1982;298:347-50. https://doi.org/10.1038/298347a0
Michel ML, Pontisso P, Sobczak E, Malpièce Y, Streeck RE, TiollaisP. Synthesis in animal cells of hepatitis B surface antigen particlescarrying a receptor for polymerized human serum albumin. PNAS USA.1984;81(24):7708-12. https://doi.org/10.1073/PNAS.81.24.7708
André FE. Overview of a 5-year clinical experience with a yeastderivedhepatitis B vaccine. Vaccine. 1990;8(Suppl 1):S74-8. https://doi.org/10.1016/0264-410X(90)90222-8
Davidson M, Krugman S. Immunogenicity of recombinant yeasthepatitis B vaccine. Lancet. 1985;325(8420):108-9. https://doi.org/10.1016/S0140-6736(85)92000-8
Stevens CE, Taylor PE, Tong MJ, Toy PT, Vyas GN, Nair PV, et al.Yeast-recombinant hepatitis B vaccine. Efficacy with hepatitis B immuneglobulin in prevention of perinatal hepatitis B virus transmission. JAMA.1987;257(19):2612-6. https://doi.org/10.1001/JAMA.257.19.2612
World Health Organization. List of Prequalified Vaccines. WHO, 2023[cited Apr 8, 2023]. Available from: https://extranet.who.int/pqweb/vaccines/list-prequalified-vaccines
World Health Organization, International Agency for Research onCancer. Liver cancer. France: WHO/IARC, 2022 [cited Mar 22, 2023].Available from: https://www.iarc.who.int/cancer-type/liver-cancer/
Lo KJ, Tsai YT, Lee SD, Wu TC, Wang JY, Chen GH, et al.Immunoprophylaxis of infection with hepatitis B virus in infants bornto hepatitis B surface antigen-positive carrier mothers. J Infect Dis.1985;152(4):817-22. https://doi.org/10.1093/INFDIS/152.4.817
Chang MH, You SL, Chen CJ, Liu CJ, Lai MW, Wu TC, et al. Longtermeffects of hepatitis B immunization of infants in preventing livercancer. Gastroenterology. 2016;151(3):472-80. https://doi.org/10.1053/J.GASTRO.2016.05.048
Li RC, Yang JY, Gong J, Li YP, Huang ZN, Fang KX, et al. Efficacy ofhepatitis B vaccination on hepatitis B prevention and on hepatocellularcarcinoma. Chin J Epidemiol. 2004;25(5):385-7.
Lee MS, Kim DH, Kim H, Lee HS, Kim CY, Park TS, et al. Hepatitis Bvaccination and reduced risk of primary liver cancer among male adults:a cohort study in Korea. Int J Epidemiol. 1998;27(2):316-9. https://doi.org/10.1093/IJE/27.2.316
McMahon BJ, Bulkow LR, Singleton RJ, Williams J, Snowball M,Homan C, et al. Elimination of hepatocellular carcinoma and acutehepatitis B in children 25 years after a hepatitis B newborn and catchupimmunization program. Hepatology. 2011;54(3):801-7. https://doi.org/10.1002/HEP.24442
Hall AJ, Inskip HM, Loik F, Day NE, O’Conor G, Bosch X, et al. TheGambia Hepatitis Intervention Study. Cancer Res. 1987;47(21):5782-7.
Fortuin M, Chotard J, Jack AD, Maine NP, Mendy M, Hall AJ, et al.Efficacy of hepatitis B vaccine in the Gambian expanded programmeon immunisation. Lancet. 1993;341(8853):1129-32. https://doi.org/10.1016/0140-6736(93)93137-P
Whittle H, Jaffar S, Wansbrough M, Mendy M, Dumpis U, Collinson A, etal. Observational study of vaccine efficacy 14 years after trial of hepatitisB vaccination in Gambian children. BMJ. 2002;325(7364):569-72. https://doi.org/10.1136/BMJ.325.7364.569
Sheena BS, Hiebert L, Han H, Ippolito H, Abbasi-Kangevari M, Abbasi-Kangevari Z, et al. Global, regional, and national burden of hepatitis B,1990-2019: a systematic analysis for the Global Burden of Disease Study2019. Lancet Gastroenterol Hepatol. 2022;7(9):796-829. https://doi.org/10.1016/S2468-1253(22)00124-8
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, etal. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidenceand Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer JClin. 2021;71(3):209-49. https://doi.org/10.3322/caac.21660
World Health Organization, International Agency for Research onCancer. Data visualization tools for exploring the global cancer burden in2020. WHO/IARC, 2020 [cited mar 22, 2023]. Available from: https://gco.iarc.fr/today/home
World Health Organization. Immunization coverage. WHO, 2021 [citedMar 23, 2023]. Available from: https://www.who.int/en/news-room/factsheets/detail/immunization-coverage
Das S, Ramakrishnan K, Behera SK, Ganesapandian M, Xavier AS,Selvarajan S. Hepatitis B vaccine and immunoglobulin: key concepts.J Clin Transl Hepatol. 2019;7(2):165-71. https://doi.org/10.14218/JCTH.2018.00037
Durst M, Gissmann L, Ikenberg H, Zur-Hausen H. A papillomavirusDNA from a cervical carcinoma and its prevalence in cancer biopsysamples from different geographic regions. PNAS USA. 1983;80(12):3812-5. https://doi.org/10.1073/PNAS.80.12.3812
Muñoz N, Bosch FX, de Sanjose S, Tafur L, Izarzugaza I, Gili M, et al. Thecausal link between human papillomavirus and invasive cervical cancer: apopulation-based case-control study in Colombia and Spain. Int J Cancer.1992;52(5):743-9. https://doi.org/10.1002/IJC.2910520513
Muñoz N, Bosch FX, de Sanjosé S, Herrero R, Castellsagué X, Shah KV,et al. Epidemiologic classification of human papillomavirus types associatedwith cervical cancer. N Engl J Med. 2003;348(6):518-27. https://doi.org/10.1056/NEJMOA021641
Walboomers JMM, Jacobs MV, Manos MM, Bosch FX, Kummer JA, ShahKV, et al. Human papillomavirus is a necessary cause of invasive cervicalcancer worldwide. J Pathol. 1999;189(1):12-9. https://doi.org/10.1002/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F
Muñoz N, Kjaer SK, Sigurdsson K, Iversen OE, Hernández-Ávila M,Wheeler CM, et al. Impact of human papillomavirus (HPV)-6/11/16/18vaccine on all HPV-associated genital diseases in young women. JNCI.2010;102(5):325-39. https://doi.org/10.1093/JNCI/DJP534
Kirnbauer R, Booy F, Cheng N, Lowy DR, Schiller JT. Papillomavirus L1major capsid protein self-assembles into virus-like particles that are highlyimmunogenic. PNAS USA. 1992;89(24):12180-4. https://doi.org/10.1073/PNAS.89.24.12180
Rose RC, Bonnez W, Reichman RC, Garcea RL. Expression of humanpapillomavirus type 11 L1 protein in insect cells: in vivo and in vitroassembly of viruslike particles. J Virol. 1993;67(4):1936-44. https://doi.org/10.1128/JVI.67.4.1936-1944.1993
Kirnbauer R, Taub J, Greenstone H, Roden R, Dürst M, GissmannL, et al. Efficient self-assembly of human papillomavirus type 16 L1 andL1-L2 into virus-like particles. J Virol. 1993;67(12):6929-36. https://doi.org/10.1128/JVI.67.12.6929-6936.1993
Suzich JA, Ghim SJ, Palmer-Hill FJ, White WI, Tamura JK, Bell JA, etal. Systemic immunization with papillomavirus L1 protein completelyprevents the development of viral mucosal papillomas. PNAS USA.1995;92(25):11553-7. https://doi.org/10.1073/PNAS.92.25.11553
Muñoz N, Crawford L, Coursaget P. HPV vaccines for cervicalneoplasia. Lancet. 1995;345(8944):1-249.
Dull P. Leadership. Deputy Director, Vaccine Development &Surveillance-Clinical Evaluation and HPV. Bill & Melinda Gates Foundation,2023 [cited Apr 28, 2023]. Available from: https://www.gatesfoundation.org/about/leadership/peter-dull
Paavonen J, Garland SM, Jenkins D. Clinical trials of humanpapillomavirus vaccines. In: Human Papillomavirus: Proving and Using aViral Cause for Cancer. Academic Press Inc Elsevier Science. 2020:299-325. https://doi.org/10.1016/B978-0-12-814457-2.00019-2
Lei J, Ploner A, Elfström KM, Wang J, Roth A, Fang F, et al. HPVVaccination and the Risk of Invasive Cervical Cancer. N Engl J Med.2020;383(14):1340-8. https://doi.org/10.1056/NEJMOA1917338
De Martel C, Plummer M, Vignat J, Franceschi S. Worldwide burden ofcancer attributable to HPV by site, country and HPV type. Int J Cancer.2017;141(4):664-70. https://doi.org/10.1002/ijc.30716
Piñeros M, Laversanne M, Barrios E, Cancela M de C, de Vries E,Pardo C, et al. An updated profile of the cancer burden, patterns andtrends in Latin America and the Caribbean. Lancet Reg Heal - Am.2022;13(100294):1-14. https://doi.org/10.1016/J.LANA.2022.100294
Organización Panamericana de la Salud, Organización Mundial dela Salud. 59.o Consejo Directivo. 73.a Sesión del Comité Regional dela OMS para las Américas. Aumento de la capacidad de producción demedicamentos y tecnologías sanitarias esenciales. OPS/OMS, 2021 [citedApr 14, 2023]. Available from: https://www.paho.org/es/cuerpos-directivos/consejo-directivo/59o-consejo-directivo
Cortés M de los A, Cardoso D, Fitzgerald J, Di Fabio JL. Public vaccinemanufacturing capacity in the Latin American and Caribbean region:Current status and perspectives. Biologicals. 2012;40(1):3-14. https://doi.org/10.1016/J.BIOLOGICALS.2011.09.013
Instituto Butantan. Protal do Butantan. Vacina HPV. 2023 [cited Mar 19,2023]. Available from: https://butantan.gov.br/hpv#o-que-e-hpv
World Health Organization. Human papillomavirus vaccines: WHOposition paper, December 2022. WHO, 2022 [cited Apr 14, 2023].Available from: https://www.who.int/teams/immunization-vaccines-andbiologicals/policies/position-papers/human-papillomavirus-(hpv)
World Health Organization. Strategic Advisory Group of Experts(SAGE) on Immunization Evidence to recommendations framework 1.WHO, 2022 [cited Mar 18, 2023]. Available from: http://www.decidecollaboration.eu/WP5/Strategies/Framework
World Health Organization. WHO updates recommendations onHPV vaccination schedule. WHO, 2022 [cited Jul 18, 2023]. Availablefrom: https://www.who.int/news/item/20-12-2022-WHO-updatesrecommendations-on-HPV-vaccination-schedule
De Oliveira LH, Janusz CB, Da Costa MT, El Omeiri N, Bloem P, LewisM, et al. HPV vaccine introduction in the Americas: a decade of progressand lessons learned. Expert Rev Vaccines. 2022;21(11):1569-80. https://doi.org/10.1080/14760584.2022.2125383
Enokida T, Moreira A, Bhardwaj N. Vaccines for immunopreventionof cancer. J Clin Invest. 2021;131(9):e146956. https://doi.org/10.1172/JCI146956
Bonjour M, Charvat H, Franco EL, Piñeros M, Clifford GM, Bray F, etal. Global estimates of expected and preventable cervical cancers amonggirls born between 2005 and 2014: a birth cohort analysis. Lancet PublicHeal. 2021;6(7):e510-21. https://doi.org/10.1016/S2468-2667(21)00046-3
Groopman JD, Smith JW, Rivera-Andrade A, Álvarez CS, Kroker-LobosMF, Egner PA, et al. Aflatoxin and the etiology of liver cancer and itsimplications for Guatemala. World Mycotoxin J. 2021;14(3):305-17. https://doi.org/10.3920/WMJ2020.2641
Constable C, Caplan A. Comparison of the implementation of humanpapillomavirus and hepatitis B vaccination programs in the United States:Implications for future vaccines. Vaccine. 2020;38(5):954-62. https://doi.org/10.1016/J.VACCINE.2019.11.073
Ropero-Álvarez AM, Vilajeliu A, Magariños M, Jauregui B, Guzmán L,Whittembury A, et al. Enablers and barriers of maternal and neonatalimmunization programs in Latin America. Vaccine. 2021;39(Suppl. 2):B34-43. https://doi.org/10.1016/j.vaccine.2020.07.051
Bairwa M, Pilania M, Rajput M, Khanna P, Kumar N, Nagar M, etal. Pentavalent vaccine: A major breakthrough in India’s UniversalImmunization Program. Hum Vaccin Immunother. 2012;8(9):1314-6.https://doi.org/10.4161/HV.20651
Drolet M, Bénard É, Pérez N, Brisson M, Ali H, Boily MC, et al.Population-level impact and herd effects following the introduction ofhuman papillomavirus vaccination programmes: updated systematicreview and meta-analysis. Lancet. 2019;394(10197):497-509. https://doi.org/10.1016/S0140-6736(19)30298-3
Centers for Disease Control and Prevention. HPV Vaccine. HumanPapillomavirus (HPV). CDC, 2021 [cited Jan 22, 2023]. Available from:https://www.cdc.gov/hpv/parents/vaccine-for-hpv.html
Kane MA, Stanley M. Pre-school HPV Immunization? The newsletteron HPV. 2022 [cited Apr 10, 2023]. Available from: https://www.hpvworld.com/articles/pre-school-hpv-immunization/
Mouchet J, Salvo F, Raschi E, Poluzzi E, Antonazzo IC, De Ponti F, et al.Human papillomavirus vaccine and demyelinating diseases-A systematicreview and meta-analysis. Pharmacol Res. 2018;132:108-18. https://doi.org/10.1016/J.PHRS.2018.04.007
World Health Organization. Global health sector strategy on viralhepatitis 2016-2021. Towards ending viral hepatitis. Geneva: WHO,2016 [cited Apr 8, 2023]. Available from: https://apps.who.int/iris/handle/10665/246177
World Health Organization. Global strategy to accelerate theelimination of cervical cancer as a public health problem. Geneva:WHO, 2020 [cited Apr 8, 2023]. Available from: https://www.who.int/publications/i/item/9789240014107