Routine vaccination programs have had a substantial impact on reducing the prevalence of a variety of
infections diseases. In light of the fact that human papillomavirus (HPV) is a prerequisite for virtually every case of
cervical cancer and
genital warts occurring worldwide, vaccination may be the most effective mechanism to prevent
HPV infection and HPV-associated disease.
HPV vaccines are created from noninfectious virus-like particles (VLPs) of the major
capsid protein, L1, that closely mimic natural HPV virions. Proof-of-principle trials of monovalent
vaccines that protect against high-risk HPV types such as HPV 16 or 18 have confirmed that
intramuscular injection with VLPs induces the production of HPV type-specific
neutralizing antibodies. A
bivalent vaccine incorporating oncogenic HPV types 16 and 18 was shown to be safe, well tolerated, and 100% efficacious in preventing persistent
HPV infection. A
quadrivalent vaccine that protects against
genital wart-causing HPV types (HPV 6 and 11) and oncogenic HPV types (HPV 16 and 18) demonstrated 100% efficacy in preventing clinical disease. Because VLP
vaccines are prophylactic, vaccination before exposure to HPV will result in the greatest public health benefit; therefore, a successful vaccination program should target preadolescents and stress the importance of vaccination before sexual debut.