REBACIN® as a noninvasive clinical intervention for high-risk human papillomavirus persistent infection

Int J Cancer. 2019 Nov 15;145(10):2712-2719. doi: 10.1002/ijc.32344. Epub 2019 Apr 29.

Abstract

The development of highly sensitive HPV-genotyping tests has opened the possibility of treating HPV-infected women before high-grade lesions appear. The lack of efficient intervention for persistent high-risk HPV infection necessitates the need for development of novel therapeutic strategy. Here we demonstrate that REBACIN®, a proprietary antiviral biologics, has shown potent efficacy in the clearance of persistent HPV infections. Two independent parallel clinical studies were investigated, which a total of 199 patients were enrolled and randomly divided into a REBACIN®-test group and a control group without treatment. The viral clearance rates for the REBACIN® groups were 61.5% (24/39) and 62.5% (35/56), respectively, for the two independent parallel studies. In contrast, the nontreatment groups showed self-clearance rates at 20.0% (8/40) and 12.5% (8/64). We further found that REBACIN® was able to significantly repress the expression of HPV E6 and E7 oncogenes in TC-1 and Hela cells. The two viral genes are well known for the development of high-grade premalignancy lesion and cervical cancer. In a mouse model, REBACIN® was indicated to notably suppress E6/E7-induced tumor growth, suggesting E6 and E7 oncogenes as a potential target of REBACIN®. Taken together, our studies shed light into the development of a novel noninvasive therapeutic intervention for clearance of persistent HPV infection with significant efficacy.

Keywords: HPV; REBACIN®; cervical cancer; clearance; human papillomavirus.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Animals
  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use*
  • Biological Products / pharmacology
  • Biological Products / therapeutic use*
  • Disease Models, Animal
  • Female
  • HeLa Cells
  • Human papillomavirus 16 / drug effects
  • Human papillomavirus 16 / pathogenicity
  • Humans
  • Mice
  • Middle Aged
  • Oncogene Proteins, Viral / antagonists & inhibitors
  • Papillomavirus E7 Proteins / antagonists & inhibitors
  • Papillomavirus Infections / drug therapy*
  • Papillomavirus Infections / virology
  • Repressor Proteins / antagonists & inhibitors
  • Treatment Outcome
  • Uterine Cervical Neoplasms / prevention & control*
  • Uterine Cervical Neoplasms / virology
  • Viral Load / drug effects

Substances

  • Antiviral Agents
  • Biological Products
  • E6 protein, Human papillomavirus type 16
  • Oncogene Proteins, Viral
  • Papillomavirus E7 Proteins
  • Repressor Proteins
  • oncogene protein E7, Human papillomavirus type 16