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Targeting HPV for the prevention, diagnosis, and treatment of cervical cancer 
Huiling Ni1,2,† , Canhua Huang1,† , Zhi Ran1,2 , Shan Li1 , Chunmei Kuang1,* , Yu Zhang1,* , Kai Yuan1,2,3,4,5,*
1Hunan Key Laboratory of Molecular Precision Medicine, Department of Gynecology & Department of Oncology, Xiangya Hospital, Central South University, Changsha 410000, China
2Center for Medical Genetics, School of Life Sciences, Central South University, Changsha 410008, China
3Furong Laboratory, Central South University, Changsha 410008, China
4National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410000, China
5The Biobank of Xiangya Hospital, Central South University, Changsha 410000, China
These authors contributed equally to this work
*Correspondence to:Kai Yuan , Email:yuankai@csu.edu.cn Yu Zhang , Email:xyzhangyu@csu.edu.cn Chunmei Kuang , Email:kuangchm@csu.edu.cn
J Mol Cell Biol, Volume 16, Issue 10, October 2024, mjae046,  https://doi.org/10.1093/jmcb/mjae046
Keyword: cervical cancer, human papillomavirus, screening, prevention, biomarkers

Despite advances in screening and prevention, cervical cancer (CC) remains an unresolved public health issue and poses a significant global challenge, particularly for women in low-income regions. Human papillomavirus (HPV) infection, especially with the high-risk strains, is a primary driver of cervical carcinogenesis. Emerging evidence indicates that integrating HPV testing with existing approaches, such as cervical cytology and visual inspection, offers enhanced sensitivity and specificity in CC screening. HPV infection-associated biomarkers, including HPV E6/E7 oncogenes, p16^INK4a, DNA methylation signatures, and non-coding RNAs, offer valuable insights into disease progression and the development of personalized interventions. Preventive and therapeutic vaccination against HPV, along with tertiary prevention strategies such as the use of antiviral and immune-modulating drugs for HPV-related lesions, show great clinical potential. At the mechanistic level, single-cell RNA sequencing analysis and the development of organoid models for HPV infection provide new cellular and molecular insights into HPV-related CC pathogenesis. This review focuses on the crucial roles of HPV in the prevention, diagnosis, and treatment of CC, with particular emphasis on the latest advancements in screening and disease intervention.