Cervical carcinoma is one of the most common cancers in women worldwide. It is well established that chronic infection of the genital tract by various mucosatropic human papillomavirus (HPV) types causes cervical cancer. Cellular immunity to E7 protein from HPV (HPVE7) has been associated with clinical and cytologic resolution of HPV-induced lesions. Thus, we decided to test if targeting of HPVE7 to dendritic cells using a fusion protein containing the extra domain A (EDA) from fibronectin, a natural ligand for TLR4, and HPVE7 (EDA-HPVE7) might be an efficient vaccine for the treatment of cervical carcinoma. We found that EDA-HPVE7 fusion protein was efficiently captured by bone marrow derived dendritic cells in vitro and induced their maturation, with the upregulation of maturation markers and the production of IL-12. Immunization of mice with EDA-HPVE7 fusion protein induced antitumor CD8 1 T cell responses in the absence of additional adjuvants. Repeated intratumoral administration of EDA-HPVE7 in saline was able to cure established TC-1 tumors of 5-7 mm in diameter. More importantly, intravenous injection with EDA-HPVE7 in combination with the TLR ligand polyinosinic-polycytidylic acid (pIC), or with low doses of cyclophosphamide and the TLR9 ligand CpG-B complexed in cationic lipids, were able to eradicate large established TC-1 tumors (1.2 cm in diameter). Thus, therapeutic vaccination with EDA-HPVE7 fusion protein may be effective in the treatment of human cervical carcinoma.There is consistent evidence that chronic infection of the genital tract by various mucosatropic human papillomavirus (HPV) types cause cervical cancer. 1 In contrast to the prophylactic HPV vaccines that exhibit great promise in reducing the burden of cervical cancer, there is limited progress towards the development of immune therapeutic strategies for those women already infected with HPV who do not benefit from the current vaccines. The efficacy of these HPV vaccines correlates with the presence of serum neutralizing antibodies which may prevent virus infection (reviewed in ref. 2). However, it is believed that T cell immune responses, in particular against E7 protein, may play an important role in viral clearance and resolution of HPV-induced lesions. 3 Thus, a vaccination strategy able to activate a strong T cell immune response with the capacity to recognize and kill cancer cells expressing HPV proteins might be considered as therapeutic alternative for cervical carcinoma.Dendritic cells (DCs) are considered to be at the centre of acquired T cell responses due to their outstanding ability to capture antigens (Ag) and process them for their presentation as short peptides in the context of MHC molecules to naïve T cells. The unique capacity of DC to elicit immune responses has prompted many laboratories to use DC in clinical trials. However, ex vivo manipulation of DC for the production of DC-based vaccines is expensive, time consuming and difficult to standardize. Indeed, several variables, such as DC lineage, antigen loading to...