Development of varicella vaccine
Michiaki Takahashi1, Yoshizo Asano, Hitoshi Kamiya
1Department of Virology, Research Institute for Microbial Diseases, Osaka University, Suita, Osaka, Japan. mtakahashi@mail.biken.or.jp
Insights
The Oka strain of varicella-zoster virus (VZV) was developed into a safe and effective vaccine. This VZV vaccine significantly reduced herpes zoster (HZ) incidence in vaccinated children, including those with leukemia.
Area of Science:
- Virology
- Immunology
- Vaccinology
Background:
- Varicella-zoster virus (VZV) causes chickenpox and shingles.
- Developing an effective VZV vaccine is crucial for public health.
- Previous VZV vaccine candidates faced challenges in replication and efficacy.
Purpose of the Study:
- To evaluate the safety and efficacy of a passaged Oka strain VZV as a vaccine.
- To assess the vaccine's impact on herpes zoster (HZ) incidence in vaccinated children.
Main Methods:
- The Oka strain of VZV was passaged in human embryonic lung fibroblasts and guinea pig embryo fibroblasts (GPEFs).
- The passaged virus exhibited temperature sensitivity and host dependency, replicating better in GPEFs.
- The passaged VZV was administered as a vaccine to healthy and immunocompromised children.
Main Results:
- The VZV vaccine proved safe and effective in both healthy and immunocompromised children.
- Vaccinated children with acute lymphocytic leukemia showed a significantly lower incidence of HZ.
- Children without a post-vaccination rash had a markedly reduced risk of developing HZ.
Conclusions:
- The passaged Oka strain VZV vaccine is a safe and effective prophylactic measure against VZV infection.
- Vaccination with this VZV strain is predicted to lower the incidence of VZV latency and subsequent HZ.
- The VZV vaccine offers a promising strategy for reducing the burden of chickenpox and shingles.
Abstract:
The Oka strain of varicella-zoster virus (VZV) was first isolated from vesicles of an otherwise healthy 3-year-old boy with typical varicella. The virus was passaged 11 times in human embryonic lung fibroblasts at 34 degrees C and 12 times in guinea pig embryo fibroblasts (GPEFs) at 37 degrees C. GPEFs were the only nonprimate cells tested in which some degree of viral replication occurred. The resultant virus was temperature sensitive and showed host dependency, measured as better replication in GPEFs than that shown by the parental virus. The passaged virus was used as a candidate varicella vaccine and proved safe and effective for healthy and immunocompromised children. During the follow-up of vaccinated children with acute lymphocytic leukemia, the incidence of herpes zoster (HZ) was significantly lower among children who did not have a rash after vaccination, compared with those who had a rash caused by VZV (6 [2.3%] of 260 vs. 12 [17.1%] of 70, respectively). Because of the pathogenesis of VZV, the incidence of latency and of HZ is predicted to be lower among vaccine recipients than among individuals who have experienced varicella.
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