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Published on: June 25, 2015
Horizontal transmission of the Leningrad-3 live attenuated mumps vaccine virus
A V Atrasheuskaya1, A A Neverov, S Rubin
1Laboratory of Immunology Safety, Institute of Molecular Biology, State Research Center of Virology and Biotechnology Vector, Koltsovo, Novosibirsk Region 630559, Russia. ignat@vector.nsc.ru
Abstract:
Here we describe symptomatic transmission of the Leningrad-3 mumps vaccine virus from healthy vaccinees to previously vaccinated contacts. Throat swab and serum samples were taken from six symptomatic mumps cases and from 13 family contacts. Assessment of serum IgG and IgM anti-mumps virus antibodies and IgG avidity testing was performed using commercial test kits. Sera neutralizing antibodies were measured by plaque reduction neutralization assay using the L-3 vaccine mumps virus as the target. All six of the symptomatic mumps cases and three contact subjects tested positive for mumps by RT-PCR. The genomic sequences tested (F, SH and HN genes) of all nine of these samples were identical to the L-3 mumps vaccine strain. All 13 contacts were asymptomatic; however clear serological evidence of mumps infection was found in some of them. The likely epidemiological source of the transmitted L-3 mumps virus was children who were recently vaccinated at the schools attended by the six symptomatic mumps patients described here. The L-3 mumps vaccine virus can be shed and transmitted horizontally, even to subjects previously vaccinated with the same virus.
Insights
Symptomatic mumps transmission occurred from healthy Leningrad-3 vaccinees to vaccinated contacts. The Leningrad-3 (L-3) mumps vaccine virus was shed and horizontally transmitted, even to previously vaccinated individuals.
Area of Science:
- Virology
- Immunology
- Epidemiology
Background:
- Mumps is a contagious viral illness preventable by vaccination.
- The Leningrad-3 (L-3) mumps vaccine is widely used.
- Understanding vaccine virus transmission is crucial for public health.
Purpose of the Study:
- To investigate symptomatic transmission of the Leningrad-3 mumps vaccine virus.
- To determine if the vaccine virus can spread from vaccinated individuals to contacts.
- To assess serological evidence of infection in contacts.
Main Methods:
- Collected throat swab and serum samples from symptomatic cases and contacts.
- Performed RT-PCR for mumps virus detection.
- Assessed serum IgG and IgM antibodies, IgG avidity, and neutralizing antibodies.
- Sequenced F, SH, and HN genes to identify the virus strain.
Main Results:
- Six symptomatic mumps cases and three contacts tested positive for mumps by RT-PCR.
- Genomic sequencing confirmed the virus was identical to the L-3 mumps vaccine strain.
- Serological evidence of mumps infection was found in asymptomatic contacts.
Conclusions:
- The Leningrad-3 mumps vaccine virus can be shed and transmitted horizontally.
- Transmission occurred from healthy vaccinees to previously vaccinated contacts.
- Vaccine virus shedding and transmission highlight the need for continued surveillance.
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