%0 Journal Article %T Development of an mRNA-based therapeutic vaccine mHTV-03E2 for high-risk HPV-related malignancies. %A Wang J %A Wang Q %A Ma L %A Lv K %A Han L %A Chen Y %A Zhou R %A Zhou H %A Chen H %A Wang Y %A Zhang T %A Yi D %A Liu Q %A Zhang Y %A Li X %A Cheng T %A Zhang J %A Huang C %A Dong Y %A Zhang W %A Cen S %J Mol Ther %V 32 %N 7 %D 2024 Jul 3 %M 38715363 %F 12.91 %R 10.1016/j.ymthe.2024.04.036 %X Human papillomavirus (HPV) 16 and 18 infections are related to many human cancers. Despite several preventive vaccines for high-risk (hr) HPVs, there is still an urgent need to develop therapeutic HPV vaccines for targeting pre-existing hrHPV infections and lesions. In this study, we developed a lipid nanoparticle (LNP)-formulated mRNA-based HPV therapeutic vaccine (mHTV)-03E2, simultaneously targeting the E2/E6/E7 of both HPV16 and HPV18. mHTV-03E2 dramatically induced antigen-specific cellular immune responses, leading to significant CD8+ T cell infiltration and cytotoxicity in TC-1 tumors derived from primary lung epithelial cells of C57BL/6 mice expressing HPV E6/E7 antigens, mediated significant tumor regression, and prolonged animal survival, in a dose-dependent manner. We further demonstrated significant T cell immunity against HPV16/18 E6/E7 antigens for up to 4 months post-vaccination in immunological and distant tumor rechallenging experiments, suggesting robust memory T cell immunity against relapse. Finally, mHTV-03E2 synergized with immune checkpoint blockade to inhibit tumor growth and extend animal survival, indicating the potential in combination therapy. We conclude that mHTV-03E2 is an excellent candidate therapeutic mRNA vaccine for treating malignancies caused by HPV16 or HPV18 infections.