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白血病患儿和正常成人中减毒活水痘病毒疫苗的分子流行病学

Molecular epidemiology of live, attenuated varicella virus vaccine in children with leukemia and in normal adults.

作者信息

Gelb L D, Dohner D E, Gershon A A, Steinberg S P, Waner J L, Takahashi M, Dennehy P H, Brown A E

出版信息

J Infect Dis. 1987 Apr;155(4):633-40. doi: 10.1093/infdis/155.4.633.

DOI:10.1093/infdis/155.4.633
PMID:3029239
Abstract

Restriction endonuclease analysis of varicella-zoster virus (VZV) DNA has been used in unraveling the complex epidemiology of VZV infections in individuals immunized with a live, attenuated varicella virus vaccine. Early rashes appearing within the first six weeks after vaccination are invariably due to vaccine virus. True breakthrough infections with wild-type VZV also occur in vaccinees. Five cases of zoster have been seen in leukemic children vaccinated while in remission. One case appeared 22 months after vaccination in the same general area as the inoculation. The virus isolated was vaccine derived. A second case of zoster appeared in a dermatome unrelated to the sites of vaccination approximately 19 months after apparently natural varicella. This virus was wild type. Vaccine virus can therefore establish latency and can later reactivate as herpes zoster.

摘要

水痘带状疱疹病毒(VZV)DNA的限制性内切酶分析已被用于阐明接种减毒活水痘病毒疫苗个体中VZV感染的复杂流行病学。接种疫苗后六周内出现的早期皮疹总是由疫苗病毒引起的。疫苗接种者也会发生野生型VZV的真正突破性感染。在白血病儿童缓解期接种疫苗时,已发现5例带状疱疹病例。1例在接种疫苗后22个月出现在接种部位附近的同一区域。分离出的病毒源自疫苗。另一例带状疱疹出现在明显自然感染水痘约19个月后,位于与接种部位无关的皮节。该病毒为野生型。因此,疫苗病毒可以建立潜伏状态,并在以后重新激活成为带状疱疹。

相似文献

1
Molecular epidemiology of live, attenuated varicella virus vaccine in children with leukemia and in normal adults.白血病患儿和正常成人中减毒活水痘病毒疫苗的分子流行病学
J Infect Dis. 1987 Apr;155(4):633-40. doi: 10.1093/infdis/155.4.633.
2
Live attenuated varicella vaccine use in immunocompromised children and adults.减毒活水痘疫苗在免疫功能低下儿童和成人中的应用。
Pediatrics. 1986 Oct;78(4 Pt 2):757-62.
3
Varicella vaccine: the American experience.水痘疫苗:美国的经验。
J Infect Dis. 1992 Aug;166 Suppl 1:S63-8. doi: 10.1093/infdis/166.supplement_1.s63.
4
The risk of zoster after varicella vaccination in children with leukemia.白血病患儿接种水痘疫苗后发生带状疱疹的风险。
N Engl J Med. 1988 Mar 3;318(9):543-8. doi: 10.1056/NEJM198803033180904.
5
The incidence of zoster after immunization with live attenuated varicella vaccine. A study in children with leukemia. Varicella Vaccine Collaborative Study Group.减毒活水痘疫苗免疫后带状疱疹的发病率。一项针对白血病儿童的研究。水痘疫苗协作研究组。
N Engl J Med. 1991 Nov 28;325(22):1545-50. doi: 10.1056/NEJM199111283252204.
6
Herpes zoster in an adult recipient of live attenuated varicella vaccine.一名接受减毒活水痘疫苗的成年受种者发生带状疱疹。
J Infect Dis. 1989 Sep;160(3):535-7. doi: 10.1093/infdis/160.3.535.
7
Immunization of healthy adults with live attenuated varicella vaccine.健康成年人接种减毒活水痘疫苗
J Infect Dis. 1988 Jul;158(1):132-7. doi: 10.1093/infdis/158.1.132.
8
Herpes zoster by reactivated vaccine varicella zoster virus in a healthy child.一名健康儿童因水痘带状疱疹病毒再激活而患带状疱疹。
Eur J Pediatr. 2002 Aug;161(8):442-4. doi: 10.1007/s00431-002-0981-1. Epub 2002 Jun 25.
9
Live attenuated varicella vaccine.减毒活水痘疫苗
Annu Rev Microbiol. 1996;50:59-100. doi: 10.1146/annurev.micro.50.1.59.
10
Prospects for use of a varicella vaccine in adults.成人使用水痘疫苗的前景。
Infect Dis Clin North Am. 1990 Mar;4(1):159-73.

引用本文的文献

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Varicella-Zoster Virus-Genetics, Molecular Evolution and Recombination.水痘带状疱疹病毒的遗传学、分子进化与重组。
Curr Top Microbiol Immunol. 2023;438:1-23. doi: 10.1007/82_2021_238.
2
Analysis of enzymatic digestion pattern of two open reading frames of Varciella-Zoster genome from Kuwaiti patients using the RFLP technique.运用限制性片段长度多态性(RFLP)技术分析科威特患者水痘-带状疱疹病毒基因组两个开放阅读框的酶切模式。
Iran J Microbiol. 2012 Dec;4(4):191-7.
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Prevention of shingles: safety and efficacy of live zoster vaccine.带状疱疹的预防:带状疱疹活疫苗的安全性和有效性。
Ther Clin Risk Manag. 2007 Aug;3(4):633-9.
4
Preventing varicella-zoster disease.预防水痘-带状疱疹疾病。
Clin Microbiol Rev. 2005 Jan;18(1):70-80. doi: 10.1128/CMR.18.1.70-80.2005.
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A review of licensed viral vaccines, some of their safety concerns, and the advances in the development of investigational viral vaccines.对已获许可的病毒疫苗、其中一些安全性问题以及研究性病毒疫苗开发进展的综述。
J Infect. 2004 Oct;49(3):179-209. doi: 10.1016/j.jinf.2004.05.018.
6
Comparison of the complete DNA sequences of the Oka varicella vaccine and its parental virus.Oka水痘疫苗及其亲本病毒的完整DNA序列比较。
J Virol. 2002 Nov;76(22):11447-59. doi: 10.1128/jvi.76.22.11447-11459.2002.
7
Phylogenetic analysis of varicella-zoster virus: evidence of intercontinental spread of genotypes and recombination.水痘带状疱疹病毒的系统发育分析:基因型洲际传播及重组的证据
J Virol. 2002 Feb;76(4):1971-9. doi: 10.1128/jvi.76.4.1971-1979.2002.
8
Molecular epidemiology of varicella-zoster virus in East London, England, between 1971 and 1995.1971年至1995年间英国东伦敦水痘带状疱疹病毒的分子流行病学
J Clin Microbiol. 1997 Nov;35(11):2807-9. doi: 10.1128/jcm.35.11.2807-2809.1997.
9
Restriction fragment length polymorphism of polymerase chain reaction products from vaccine and wild-type varicella-zoster virus isolates.疫苗株和野生型水痘-带状疱疹病毒分离株聚合酶链反应产物的限制性片段长度多态性
J Virol. 1992 Feb;66(2):1016-20. doi: 10.1128/JVI.66.2.1016-1020.1992.