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Preface | p. v |
List of Contributors | p. xvii |
Principles of Human Tumor Virology | p. 1 |
Introduction | p. 1 |
Precedents in Animals | p. 1 |
Human Tumor Viruses | p. 2 |
Human Papillomaviruses | p. 3 |
Hepatitis Viruses | p. 3 |
Epstein-Barr Virus | p. 3 |
Human Herpesvirus-8 | p. 4 |
Human T Lymphotropic Virus Type I | p. 4 |
SV40 as a Potential Human Tumor Virus | p. 4 |
Viral Tumors in the Developing World | p. 4 |
Mechanisms of Viral Tumorigenesis | p. 5 |
Immunity and Tumor Viruses | p. 6 |
Prospects for Prevention and Treatment | p. 7 |
Conclusions | p. 8 |
History of Papillomavirus Research | p. 13 |
Introduction | p. 13 |
The 1930s and 1940s: Biology of the Shope Papillomavirus and Other Animal Papillomaviruses | p. 14 |
The 1950s and 1960s: Cell Differentiation and Virus Replication | p. 16 |
The 1970s to the Early 1990s: Viral Genetics and the Emergence of HPV as a Medically Important Virus | p. 17 |
Phylogeny and Typing of Papillomaviruses | p. 29 |
Introduction | p. 29 |
Papillomaviridae: A Taxon Separate from the Polyomaviruses | p. 31 |
Novel Attempts to Improve the Nomenclature of Groups of Papillomavirus (PV) Types | p. 31 |
The Genus | p. 31 |
Papillomavirus "Species" | p. 33 |
Papillomavirus Types, the Natural Taxonomic Entities in Molecular and Clinical Investigations | p. 36 |
Papillomavirus Subtypes | p. 36 |
Papillomavirus Variants | p. 37 |
Papillomavirus Typing in Research and Clinical Practice | p. 38 |
General Considerations Regarding the Evolution of Papillomaviruses | p. 39 |
Evolution of Papillomaviruses: The Time Scale | p. 40 |
Pathogenicity Versus Latency | p. 41 |
The Differentiation-Dependent Life Cycle of Human Papillomaviruses in Keratinocytes | p. 45 |
Introduction | p. 45 |
Life Cycle of HPVs | p. 45 |
Methods to Study the HPV Life Cycle | p. 46 |
Genome Organization and Gene Products of HPVs | p. 49 |
Control of HPV Transcription | p. 52 |
Differentiation-Dependent Mechanisms to Regulate HPV DNA Replication | p. 54 |
Roles of the HPV E6 and E7 Proteins in the Viral Life Cycle | p. 55 |
Effects of HPVs on Epithelial Differentiation | p. 57 |
Conclusion | p. 58 |
Papillomavirus Structure and Assembly | p. 69 |
Introduction | p. 69 |
Structure Determination | p. 70 |
L1 Monomer | p. 72 |
Disulfide Bonds | p. 73 |
Pentamer-Pentamer Contacts | p. 74 |
Surface Loops and Epitopes | p. 76 |
L1 Self-Assembly | p. 77 |
Pseudovirion Synthesis | p. 79 |
Role of L2 | p. 80 |
Nuclear Localization and DNA Binding of L1 and L2 | p. 81 |
Summary | p. 83 |
Viral Entry and Receptors | p. 89 |
Introduction | p. 89 |
Binding to the Cell Surface | p. 91 |
Contribution of L2 to Viral Entry | p. 96 |
A Passage to Cytoplasm and Nucleus | p. 96 |
Conclusion | p. 101 |
Human Papillomavirus Transcription | p. 109 |
Introduction | p. 109 |
Papillomaviridae | p. 109 |
Papillomavirus Infections | p. 110 |
HPV Genome Organization | p. 110 |
Overview of Viral Transcription in Productive Infections | p. 112 |
Viral RNA Mapping in Warty Lesions | p. 113 |
Organotypic Raft Cultures of Primary Human Keratinocytes as a Model System to Study HPVs | p. 118 |
Viral RNAs in Organotypic Model Systems | p. 119 |
Where in the Stratified Squamous Epithelium Are E6 and E7 Proteins Expressed in Productively Infected Lesions? | p. 121 |
Mechanisms That Control the Expression of the E6 and E7 Proteins | p. 123 |
Transcriptional Regulation | p. 123 |
Post-Transcriptional Regulation | p. 124 |
What Is the Role of E2? | p. 125 |
Why Are There So Many Promoters and Spliced Transcripts? | p. 126 |
Basis For HPV Oncogenesis | p. 128 |
Transcription in Carcinomas and Cervical Carcinoma Cell Lines | p. 128 |
Are There Additional Viral Proteins Contributing to Viral Carcinogenesis? | p. 129 |
Concluding Remarks | p. 131 |
DNA Replication of Papillomaviruses | p. 145 |
Introduction | p. 145 |
Assays for Replication of Viral DNA | p. 146 |
Short-Term Replication Assays | p. 146 |
Viral DNA Replication In Vitro | p. 147 |
Is There More Than One Way to Replicate Viral DNA? | p. 147 |
Plasmid Maintenance | p. 148 |
The Relationship Between DNA Replication and Morphological Transformation | p. 148 |
The Basic Requirements for DNA Replication: E1, E2, and Ori | p. 149 |
The Requirement for Cellular Factors in Viral DNA Replication | p. 150 |
Description of the Parts | p. 151 |
The Viral Origin of DNA Replication | p. 151 |
Understanding the E1 Protein | p. 154 |
The E1 DBD | p. 154 |
Activities Associated with the E1 Protein | p. 157 |
The Interaction Between E1 and Cellular and Viral Factors Involved in DNA Replication | p. 160 |
Modifications of E1 | p. 160 |
The Role of E2 in DNA Replication | p. 161 |
A Conflict Between Specific and Nonspecific DNA-Binding Activities in E1 | p. 162 |
A Mechanism of Action for E2 | p. 164 |
The E1-E2 Complex is a Precursor for Formation of Larger E1 Complexes | p. 164 |
The Viral DNA Replication Machinery as a Target for Small Molecule Intervention | p. 166 |
Papillomavirus E5 Proteins | p. 175 |
Introduction | p. 175 |
The BPV1 E5 Protein | p. 175 |
The Cellular Platelet-Derived Growth Factor [Beta]-Receptor as a Target of the BPV1 E5 Protein | p. 176 |
Model for the Transmembrane Interaction Between the BPV1 E5 Protein and the PDGF [Beta]-Receptor | p. 178 |
Selection and Analysis of Small Transmembrane Transforming Proteins Modeled on the BPV1 E5 Protein | p. 179 |
Alternative Models of BPV1 E5 Transformation | p. 179 |
The BPV4 E5 Protein | p. 180 |
The Human Papillomavirus E5 Proteins | p. 181 |
HPV16 E5 Protein and the EGF Receptor | p. 182 |
Interaction of E5 Proteins with the Vacuolar H[superscript +]-ATPase | p. 183 |
E5 Proteins and Major Histocompatibility Antigen Expression | p. 185 |
Effects of E5 Proteins on Apoptosis | p. 186 |
Role of E5 Proteins in the Virus Life Cycle and Carcinogenesis | p. 187 |
Conclusions | p. 188 |
Human Papillomavirus E6 and E7 Oncogenes | p. 197 |
Introduction | p. 197 |
Papillomavirus E6 Proteins | p. 197 |
Biochemical Characterization of Papillomavirus E6 Proteins | p. 198 |
Human Papillomavirus E6 Proteins | p. 199 |
Bovine Papillomavirus E6 Protein | p. 206 |
Papillomavirus E7 Proteins | p. 207 |
Biochemical Characterization of HPV E7 Proteins | p. 207 |
Biological Activities of the E7 Protein | p. 209 |
Association of E7 with the Retinoblastoma Tumor Suppressor pRB and the Related p107 and p130 Pocket Proteins | p. 210 |
Association of E7 with Histone-Modifying Enzymes | p. 212 |
Destabilization of pRB, p107, and p130 | p. 213 |
HPV E7 and the p53 Tumor Suppressor | p. 214 |
Interactions of HPV E7 with Components of the Cell-Cycle Machinery | p. 215 |
Modulation of Cytostatic Cytokine Signaling by HPV E7 | p. 216 |
Effects of HPV E7 on Cellular Metabolism | p. 218 |
HPV E7 and Chromosomal Instability | p. 218 |
Role of the HPV E6 and E7 Genes in Survival and Proliferation of Cancer Cells | p. 220 |
Antisense and Related Technologies That Reduce HPV RNA in Cervical Cancer Cells | p. 220 |
Small Molecules and Peptides That Inhibit HPV Expression or Activity in Cervical Carcinoma Cells | p. 221 |
Papillomavirus E2 Protein as a Repressor of HPV Expression in Cervical Carcinoma Cells | p. 222 |
HPV-Independent Effects of the E2 Protein | p. 224 |
HPV E6 and E7 Proteins as Potential Therapeutic Targets | p. 225 |
In Vivo Models for the Study of Animal and Human Papillomaviruses | p. 253 |
Introduction | p. 253 |
Animal Papillomaviruses | p. 253 |
Rabbit Papillomaviruses | p. 254 |
Bovine Papillomaviruses | p. 254 |
Other Animal Papillomavirus | p. 255 |
Use of Animal Papillomaviruses in the Analysis of Prophylactic Vaccines | p. 255 |
Transgenic Mouse Models for the Study of Human Papillomaviruses | p. 257 |
BPV Transgenic Mice | p. 258 |
HPV Transgenic Mice | p. 258 |
Mechanistic Studies of E6 in Transgenic Mouse Models | p. 260 |
Mechanistic Studies of E7 in Transgenic Mouse Models | p. 261 |
Transgenic Mouse Studies on the Role of HPV in Cervical Cancer in Transgenic Mice | p. 263 |
Use of HPV Transgenic Mice as Preclinical Models for Testing New Modalities for Preventing or Treating Cervical Cancer | p. 265 |
Additional Mouse Models for HPV-Associated Neoplasia | p. 266 |
Summary | p. 267 |
The Humoral Immune Response to Human Papillomavirus | p. 277 |
Introduction | p. 277 |
Early Work on Identification of Humoral Immune Response | p. 277 |
Serological Assays Using Proteins and Synthetic Peptides | p. 278 |
VLPs/Capsomers | p. 280 |
Introduction/Overview of Serological Methods | p. 280 |
Capsid/Capsomer/VLP Production | p. 280 |
Serological Assays | p. 281 |
Natural History and Serological Response to HPV Capsid Proteins | p. 284 |
Studies Defining HPV Virion Epitopes | p. 290 |
Details of Known L1 Epitopes | p. 290 |
Antibodies to the L2 Protein | p. 293 |
Conclusions and Future Perspectives | p. 293 |
Cell-Mediated Immune Responses to Human Papillomavirus | p. 313 |
Introduction | p. 313 |
Virally Induced Tumors | p. 313 |
Immunology to Viral Assault | p. 315 |
The Importance of Cell-Mediated Immunity | p. 315 |
Immune Activation Against HPV Infection | p. 317 |
Immune Evasion by HPV | p. 318 |
MHC Regulation | p. 319 |
Modulation of Antigen Presentation | p. 320 |
Loss of T-Cell-Receptor [Zeta]-Chain Expression | p. 320 |
Subversion of HPV by Cytokines | p. 321 |
The Importance of the CD4 Helper Response | p. 323 |
Genetic Susceptibility to HPV Associated Carcinogenesis | p. 324 |
Conclusions | p. 325 |
Papillomavirus Vaccines | p. 337 |
Introduction | p. 337 |
Therapeutic Vaccines | p. 337 |
Introduction | p. 337 |
Lessons from Natural History Studies | p. 341 |
Animal Models for Therapeutic HPV Vaccines | p. 341 |
Therapeutic Clinical Trials | p. 343 |
Type Specificity | p. 345 |
Why Haven't Therapeutic HPV Vaccines Been More Successful? | p. 346 |
Conclusions: Therapeutic Vaccines | p. 347 |
Prophylactic Vaccines | p. 347 |
Introduction | p. 347 |
Preclinical Studies | p. 348 |
Clinical Trials | p. 349 |
Remaining Scientific Questions | p. 353 |
Target Populations | p. 354 |
Implementation Issues | p. 355 |
Second-Generation Vaccines | p. 357 |
Conclusions: Prophylactic Vaccines | p. 360 |
Clinical Assessment, Therapies, New Tests, and Algorithms | p. 371 |
Introduction | p. 371 |
Human Papillomaviruses and Risk | p. 371 |
HPV Infection Is the Principal Cause of Cervical Neoplasia | p. 371 |
HPV Infection Is Extremely Common in Sexually Active, Reproductive-Age Women | p. 372 |
There Is a Broad Gradient of Risk Imposed by Cancer-Associated (High-Risk) HPV Types, with HPV Type 16 Conferring the Greatest Risk; Low-Risk HPV Types May Confer Risk as Surrogate Markers of At-Risk Behavior | p. 372 |
A Woman Harboring a Persistent High-Risk HPV Type in Her Genital Tract Is at Risk for Developing a High-Grade Squamous Intraepithelial Lesion (HSIL) | p. 372 |
Women Infected by HIV Are at Increased Risk of CIN | p. 373 |
Sexual History of the Male Sexual Partner Influences the Risk of Cervical Neoplasia | p. 373 |
HPV DNA Testing | p. 374 |
Screening | p. 374 |
Application to the Management of Atypical Squamous Cells of Undetermined Significance | p. 375 |
Management of Patients with Atypical Glandular Cells | p. 376 |
Problem-Oriented HPV DNA Testing | p. 377 |
Potential Risks of HPV DNA Testing | p. 378 |
Type-Specific HPV DNA Testing | p. 380 |
Conventional Approaches to Pre-Invasive HPV-Related Diseases | p. 380 |
Cytology- and Pathology-Based Management | p. 380 |
New Therapeutic Approaches | p. 381 |
Aldara | p. 381 |
Immunotherapeutics | p. 381 |
Preventive Vaccines | p. 382 |
Summary | p. 382 |
Possible Worldwide Impact of Prevention of Human Papillomavirus Infection | p. 387 |
Introduction | p. 387 |
HPV Infections Worldwide and Related Human Diseases | p. 387 |
Genital HPV Infections and Clinical Outcomes | p. 388 |
Prevalence and Incidence of HPV Infections | p. 389 |
HPV Infection as a Cause of Cancer | p. 390 |
Cancer of the Cervix Uteri | p. 390 |
Other Ano-Genital Cancers | p. 393 |
How Much Cancer Globally Is Related to Infection with HPV? | p. 394 |
Primary and Secondary Prevention Strategies | p. 396 |
Primary Prevention Strategies | p. 396 |
Secondary Prevention Strategies | p. 401 |
Conclusion | p. 406 |
Index | p. 415 |
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