“…If infection is not cleared, persistence results in chronic infection and disease with possible progression to neoplasia (Tindle, 2002;O'Brien & Campo, 2003). HPV utilises a number of evolved mechanisms to avoid the immune system (De Andrea et al, 2007;Stanley, 2008;Hypes et al, 2009;Liu et al, 2009;Narayan et al, 2009 that are required to prime naïve CTL populations (Bal et al, 1990), therefore HPV proteins expressed in keratinocytes are presented to the host immune system in the absence of an inflammatory signal, which induces tolerogenic rather than immunogenic responses (Doan et al, 1998;Azoury-Ziadeh et al, 2001). The activity of E6 and E7 can repress the expression of Type 1 interferons, leading to antigen tolerance (Tindle, 2002).…”