Despite the commercialization of HPV vaccines, cervical cancer remains a major cause of death, especially in developing countries. Recent data implicate a discrete population of cells within the cervical squamocolumnar junction in the pathogenesis of cervical precancerous lesions, indicating that ablation of these cells might reduce the rate of cervical cancer in high-risk populations.
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References
Forman, D. et al. Global burden of human papillomavirus and related diseases. Vaccine 30 (Suppl. 5), F12–F23 (2012).
Kocken, M. et al. Risk of recurrent high-grade cervical intraepithelial neoplasia after successful treatment: a long-term multi-cohort study. Lancet Oncol. 12, 441–450 (2011).
Mirkovic, J. et al. Carcinogenic HPV infection in the squamo-columnar junction. J. Pathol. http://dx.doi.org/10.1002/path.4533 (2015).
Wang, X. et al. Residual embryonic cells as precursors of a Barrett's-like metaplasia. Cell 145, 1023–1035 (2011).
Herfs, M. et al. A discrete population of squamocolumnar junction cells implicated in the pathogenesis of cervical cancer. Proc. Natl Acad. Sci. USA 109, 10516–10521 (2012).
Herfs, M. et al. Unique recurrence patterns of cervical intraepithelial neoplasia following excision of the squamo-columnar junction. Int. J. Cancer 136, 1043–1052 (2015).
Younge, P. A. Cancer of the uterine cervix; a preventable disease. Obstet. Gynecol. 10, 469–481 (1957).
Peyton, F. W., Peyton, R. R., Anderson, V. L. & Pavnica, P. The importance of cauterization to maintain a healthy cervix. Long-term study from a private gynecologic practice. Am. J. Obstet. Gynecol. 131, 374–380 (1978).
Kauraniemi, T., Räsänen-Virtanen, U. & Hakama, M. Risk of cervical cancer among an electrocoagulated population. Am. J. Obstet. Gynecol. 131, 533–538 (1978).
Taylor, S. et al. Reduced acquisition and reactivation of human papillomavirus infections among older women treated with cryotherapy: results from a randomized trial in South Africa. BMC Med. 8, 40 (2010).
Acknowledgements
The authors thank Dr Frank McKeon, Wa Xian and their colleagues at the University of Liege and the Brigham and Women's Hospital for their helpful discussions. The work of the authors is supported in part by a grant from the National Cancer Institute (5R21CA173190-02 to C.P.C.), by the Belgian Fund for Medical Scientific Research (M.H.), by the Centre Anti-Cancereux près l'Université de Liège (M.H.) and by the Fonds Léon Frédéricq (M.H.).
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Herfs, M., Crum, C. Squamocolumnar junction ablation—tying up loose ends?. Nat Rev Clin Oncol 12, 378–380 (2015). https://doi.org/10.1038/nrclinonc.2015.104
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DOI: https://doi.org/10.1038/nrclinonc.2015.104