Current status of immunisation for herpes zoster

Herpes zoster (HZ) is increasingly common in the aging and is experienced by approximately one in three people in their lifetime. It is also relatively common in immune-compromised people. Acute HZ causes severe pain, reduced quality of life and severe complications, including prolonged pain, or pos...

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Main Authors: Anthony Lawrence Cunningham, Kerrie Jane Sandgren, Janette Taylor
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2445384
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author Anthony Lawrence Cunningham
Kerrie Jane Sandgren
Janette Taylor
author_facet Anthony Lawrence Cunningham
Kerrie Jane Sandgren
Janette Taylor
author_sort Anthony Lawrence Cunningham
collection DOAJ
description Herpes zoster (HZ) is increasingly common in the aging and is experienced by approximately one in three people in their lifetime. It is also relatively common in immune-compromised people. Acute HZ causes severe pain, reduced quality of life and severe complications, including prolonged pain, or postherpetic neuralgia (PHN), and ocular zoster, which may rarely progress to blindness. In severely immune-compromised people disseminated zoster may affect the brain and liver. A second-generation vaccine, the Recombinant Zoster Vaccine, consisting of recombinant viral glycoprotein E and the Adjuvant System 01 (AS01B), now offers >90% efficacy against HZ and associated complications in immune-competent people. Efficacy persists above 80% for 11 years. In severely immune-compromised patients, the vaccine is safe with efficacy and/or immunogenicity of 68–87%. There is also excellent immunogenicity for those on JAK inhibitors and corticosteroid therapy. The vaccine offers a paradigm for successful and durable immunization in the aging and immune-compromised.
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spelling doaj-art-e9e1278ff1bc4fceb6d26caa3c32903f2025-01-07T00:05:28ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2025-12-0121110.1080/21645515.2024.2445384Current status of immunisation for herpes zosterAnthony Lawrence Cunningham0Kerrie Jane Sandgren1Janette Taylor2Centre for Virus Research, The Westmead Institute for Medical Research, Westmead, NSW, AustraliaCentre for Virus Research, The Westmead Institute for Medical Research, Westmead, NSW, AustraliaCentre for Virus Research, The Westmead Institute for Medical Research, Westmead, NSW, AustraliaHerpes zoster (HZ) is increasingly common in the aging and is experienced by approximately one in three people in their lifetime. It is also relatively common in immune-compromised people. Acute HZ causes severe pain, reduced quality of life and severe complications, including prolonged pain, or postherpetic neuralgia (PHN), and ocular zoster, which may rarely progress to blindness. In severely immune-compromised people disseminated zoster may affect the brain and liver. A second-generation vaccine, the Recombinant Zoster Vaccine, consisting of recombinant viral glycoprotein E and the Adjuvant System 01 (AS01B), now offers >90% efficacy against HZ and associated complications in immune-competent people. Efficacy persists above 80% for 11 years. In severely immune-compromised patients, the vaccine is safe with efficacy and/or immunogenicity of 68–87%. There is also excellent immunogenicity for those on JAK inhibitors and corticosteroid therapy. The vaccine offers a paradigm for successful and durable immunization in the aging and immune-compromised.https://www.tandfonline.com/doi/10.1080/21645515.2024.2445384Herpes zosterrecombinant zoster vaccineadjuvantprotein vaccineagingimmune-compromised
spellingShingle Anthony Lawrence Cunningham
Kerrie Jane Sandgren
Janette Taylor
Current status of immunisation for herpes zoster
Human Vaccines & Immunotherapeutics
Herpes zoster
recombinant zoster vaccine
adjuvant
protein vaccine
aging
immune-compromised
title Current status of immunisation for herpes zoster
title_full Current status of immunisation for herpes zoster
title_fullStr Current status of immunisation for herpes zoster
title_full_unstemmed Current status of immunisation for herpes zoster
title_short Current status of immunisation for herpes zoster
title_sort current status of immunisation for herpes zoster
topic Herpes zoster
recombinant zoster vaccine
adjuvant
protein vaccine
aging
immune-compromised
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2445384
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