The history of the human papillomavirus and the discovery of its causal relationship with cervical cancer in the campaign to eradicate this disease

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Keywords:

human papillomavirus, cancer, prevention.

Abstract

Certain genotypes of human papillomavirus (HPV) are the necessary cause of cervical cancer and the etiological cause of some anogenital and head and neck carcinomas. At present, twelve types of HPVs have been classified as definitely known carcinogens by the International Agency for Research on Cancer, and HPV16 is the most carcinogenic genotype. The carcinogenic classification of the HPVs is based on extensive epidemiological studies that have been conducted and biological evidence collected in recent decades thanks to the close cooperation between scientists who sought to discover the etiological cause of cervical cancer. HPV16, 18, 31, 33, 35, 45, 52 and 58 are the most carcinogenic HPVs, being responsible for approximately 90% of all cervical cancers. Since 2006, three effective prophylactic vaccines have been authorised. The demonstration of the fact that HPV is the necessary cause of cervical cancer has also translated into the improvement of screening strategies with the HPV test. The integral research carried out on this cancer and its etiological cause and prevention has had a significant impact on public health policies worldwide, to such an extent that in 2020 the World Health Organisation launched a campaign to eliminate cervical cancer, a possible milestone that had never before been envisaged in the field of oncology.

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