Cervical Cancer: Study on Molecular Landscape and Protein Biomarkers. Current Diagnostic and Therapeutic Capabilities

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Molecular Cancer Biology".

Deadline for manuscript submissions: 15 April 2025 | Viewed by 5224

Special Issue Editors


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Guest Editor
1. Division of Histology and Embryology, Department of Human Morphology and Embry-ology, Wroclaw Medical University, Wroclaw, Poland
2. Department of Gynecology and Obstetrics, Poviat Hospital, Olesnica, Poland
Interests: pathomorphology; tumor markers; oncology; gynecology and obstetrics; gynecological oncology; cervical pathology

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Guest Editor
1. Division of Histology and Embryology, Department of Human Morphology and Embryology, Wroclaw Medical University, Wroclaw, Poland
2. Department of Physiotherapy, Wroclaw University School of Physical Education, Wroclaw, Poland
Interests: pathomorphology; experimental oncology; neoplastic transformation processes; neoplastic process markers
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Special Issue Information

Dear Colleagues,

Cervical cancer is still the leading gynecologic health problem globally. The association between certain high-risk strains of Human Papilloma Virus (HPV) and cervical cancer is well established. Although HPV is essential to the transformation of cervical epithelial cells, it is not sufficient, and a variety of cofactors and molecular events influence whether cervical cancer will develop. Even though screening programs and vaccine-driven prevention have substantially changed the landscape for cervical cancer, many questions still remain unanswered.

Universal vaccination against HPV is typically the basic initial population procedure. Next in line is properly conducted screening based on sensitive and specific tests. This step is one of the main targets of conducted studies, which focus on seeking new tests or methods or a combination of already known ones. Finally, as we currently try to offer our patients tailored, precise and personalized treatment, researchers search for molecular treatment options as well as markers of prognostic and predictive value.

In our Special Issue, we would like to focus on diagnostic and therapeutic capabilities regarding cervical cancer on the basis of experimental studies as well as review papers showing the state of the art in this field.

Dr. Christopher Kobierzycki
Prof. Dr. Piotr Dzięgiel
Guest Editors

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Keywords

  • cervical cancer
  • cervical dysplasia
  • human papilloma virus (HPV)
  • tumor markers
  • cancerogenesis
  • genotyping

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Published Papers (3 papers)

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Research

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12 pages, 2127 KiB  
Article
Distribution of 14 High-Risk HPV Types and p16/Ki67 Dual-Stain Status in Post-Colposcopy Histology Results: Negative, Low- and High-Grade Cervical Squamous Intraepithelial Lesions
by Karolina Mazurec, Martyna Trzeszcz, Maciej Mazurec, Christopher Kobierzycki, Robert Jach and Agnieszka Halon
Cancers 2024, 16(19), 3401; https://doi.org/10.3390/cancers16193401 - 5 Oct 2024
Viewed by 906
Abstract
Background: Determining the distribution of high-risk human papillomavirus (HR-HPV) types in histologic low-(LSIL) and high-grade (HSIL/CIN2+) squamous intraepithelial lesions through a diagnostic process in a cervical cancer prevention provides one of the key etiological factors behind further progression and persistence. Incorporating novel high-grade [...] Read more.
Background: Determining the distribution of high-risk human papillomavirus (HR-HPV) types in histologic low-(LSIL) and high-grade (HSIL/CIN2+) squamous intraepithelial lesions through a diagnostic process in a cervical cancer prevention provides one of the key etiological factors behind further progression and persistence. Incorporating novel high-grade cervical lesion biomarkers such as p16/Ki67 dual staining (DS) alongside HPV typing has become important in detecting cervical precancers. Methods: Among 28,525 screening tests and 602 histology results, 559 cases with HR-HPV and histology results obtained from colposcopic biopsy were retrospectively analyzed, together with DS status. The χ2 test with Bonferroni correction evaluated the differences in HR-HPV type prevalence and DS positivity across three histologic study groups. Results: A statistically significant difference in the prevalence of HPV 16 was observed between negative and HSIL/CIN2+ (p = 0.00027) groups, as well as between the LSIL/CIN1 and HSIL/CIN2+ groups (p = 0.00041). However, no significant difference was found between the negative and LSIL/CIN1 groups. Similarly, the DS positivity difference was significant between the negative and HSIL/CIN2+ (p < 0.0001) and between the LSIL/CIN1 and HSIL/CIN2+ groups (p < 0.0001), but there was no significant difference between the negative and LSIL/CIN1 groups. Conclusions: The study highlights the heterogeneous nature of HPV-related cervical pathologies, and the distinct risks associated with different cervical lesion grades, emphasizing the importance of HR-HPV type distribution and DS status. Full article
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24 pages, 2736 KiB  
Article
The Micro-Immunotherapy Medicine 2LPAPI® Displays Immune-Modulatory Effects in a Model of Human Papillomavirus Type-16 L1-Protein Capsid-Treated Human Peripheral Blood Mononuclear Cells and Antiproliferative Effects in a Model of Cervical Cancer Cells
by Camille Jacques, Flora Marchand, Mathias Chatelais, Virginie Albinet, Claire Coustal and Ilaria Floris
Cancers 2024, 16(7), 1421; https://doi.org/10.3390/cancers16071421 - 5 Apr 2024
Cited by 1 | Viewed by 2213
Abstract
Human papillomavirus (HPV) is the second most common infectious agent causing cancer. Persistent infection with high-risk (HR)-HPV can lead to cervical intra-epithelial neoplasia and cervical carcinomas (CC). While host immune response is necessary for viral clearance, chronic immune activation contributes to a low-grade [...] Read more.
Human papillomavirus (HPV) is the second most common infectious agent causing cancer. Persistent infection with high-risk (HR)-HPV can lead to cervical intra-epithelial neoplasia and cervical carcinomas (CC). While host immune response is necessary for viral clearance, chronic immune activation contributes to a low-grade inflammation that can ultimately lead to carcinogenesis. The micro-immunotherapy medicine (MIM) 2LPAPI® could be a valuable tool to manage the clearance of the virus and reduce the risk of developing CC. In this in vitro study, we aimed to investigate its mode of action. We showed that actives from the MIM increased the IL-6, IFN-γ, and IP-10 secretion in human peripheral blood mononuclear cells (PBMCs) exposed to peptides derived from the HPV-16 capsid (HPV16(L1)). This could reflect an increase in the immune activity toward HPV-16. At the same time, some active substances reduced the lympho-proliferation and the expression of T-cell activation markers. Finally, some of the MIM actives displayed antiproliferative effects in CC-derived HeLa cells under serum-starvation conditions. Altogether, this body of data highlighted for the first time the dual effect of MIM in the framework of HR-HPV infections as a potential (i) immune modulator of HPV16(L1)-treated PBMCs and (ii) antiproliferative agent of HPV-positive CC cells. Full article
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Review

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13 pages, 428 KiB  
Review
Magnetic Resonance Spectroscopy for Cervical Cancer: Review and Potential Prognostic Applications
by Zohaib Iqbal, Kevin Albuquerque and Kimberly L. Chan
Cancers 2024, 16(11), 2141; https://doi.org/10.3390/cancers16112141 - 5 Jun 2024
Cited by 1 | Viewed by 1504
Abstract
This review article investigates the utilization of MRS in the setting of cervical cancer. A variety of different techniques have been used in this space including single-voxel techniques such as point-resolved spectroscopy (PRESS) and stimulated echo acquisition mode spectroscopy (STEAM). Furthermore, the experimental [...] Read more.
This review article investigates the utilization of MRS in the setting of cervical cancer. A variety of different techniques have been used in this space including single-voxel techniques such as point-resolved spectroscopy (PRESS) and stimulated echo acquisition mode spectroscopy (STEAM). Furthermore, the experimental parameters for these acquisitions including field strength, repetition times (TR), and echo times (TE) vary greatly. This study critically examines eleven MRS studies that focus on cervical cancer. Out of the eleven studies, ten studies utilized PRESS acquisition, while the remaining study used STEAM acquisition. These studies generally showed that the choline signal is altered in cervical cancer (4/11 studies), the lipid signal is generally increased in cervical cancer or the lipid distribution is changed (5/11 studies), and that diffusion-weighted imaging (DWI) can quantitatively detect lower apparent diffusion coefficient (ADC) values in cervical cancer (2/11 studies). Two studies also investigated the role of MRS for monitoring treatment response and demonstrated mixed results regarding choline signal, and one of these studies showed increased lipid signal for non-responders. There are several new MRS technologies that have yet to be implemented for cervical cancer including advanced spectroscopic imaging and artificial intelligence, and those technologies are also discussed in the article. Full article
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