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A Primary Neuron Culture System for the Study of Herpes Simplex Virus Latency and Reactivation
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Prior Herpes Simplex Virus Infection and the Risk of Herpes Zoster
Ruth Harbecke1,2, Michael N Oxman1,2,3, Stacy Selke4
1Department of Veterans Affairs San Diego Healthcare System, San Diego, California, USA.
The Journal of Infectious Diseases
|July 6, 2023
Summary
Prior herpes simplex virus (HSV) infection may offer protection against herpes zoster (HZ). Individuals without prior HSV infection had a significantly higher risk of developing HZ.
Area of Science:
- Virology
- Immunology
- Epidemiology
Background:
- Herpes zoster (HZ) incidence is rising in the US, coinciding with declining herpes simplex virus (HSV) prevalence.
- A hypothesis suggests reduced cross-immunity from HSV to varicella-zoster virus (VZV) increases HZ risk.
Purpose of the Study:
- To investigate if prior HSV infection is less common in individuals who develop HZ.
- To determine if HZ severity differs between HSV-seropositive and HSV-seronegative individuals.
Main Methods:
- A nested case-control study compared HSV-1 and HSV-2 seroprevalence.
- Cases were individuals with confirmed HZ; controls were matched individuals without HZ.
Main Results:
- HSV seropositivity was found in 75% of 639 participants.
- HSV seronegativity was significantly higher in HZ cases (30.5%) versus controls (22.3%), indicating a 55% increased HZ risk.
- Prior HSV infection was linked to less severe HZ.
Conclusions:
- Prior infection with HSV provides a degree of protection against herpes zoster.
- This finding highlights the potential role of cross-reactive immunity in HZ pathogenesis.
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