Shingles Vaccine: How Long Does Protection Last and What Are Your Options?
"A new study sheds light on the long-term effectiveness of the herpes zoster subunit vaccine (HZ/su), offering valuable insights for older adults."
Shingles, a painful and debilitating condition caused by the reactivation of the varicella-zoster virus (VZV), poses a significant health risk to older adults. The virus, which remains dormant in the body after a chickenpox infection, can resurface later in life, leading to a painful rash and potential long-term complications. With an aging population, the need for effective preventive measures has become increasingly critical.
Vaccination has emerged as a powerful tool in preventing shingles and reducing its associated burden. Among the available options, the herpes zoster subunit vaccine (HZ/su), stands out for its efficacy and safety profile. This innovative vaccine combines varicella-zoster virus glycoprotein E (gE) with the AS01B Adjuvant System, stimulating a robust immune response to ward off shingles. But just how long does this protection last?
A recent study published in OFID 2014:1 (Suppl 1) has provided crucial insights into the long-term immunogenicity and safety of the HZ/su vaccine. The open-label, multicenter trial followed participants for up to six years after vaccination, assessing the persistence of vaccine-induced immune responses. The results offer a reassuring perspective on the durability of protection against shingles, helping inform vaccination decisions for older adults.
How Effective is the Shingles Vaccine (HZ/su) Over the Long Term?

The study, detailed in OFID 2014:1 (Suppl 1), tracked 129 subjects who had previously received two doses of HZ/su (50 µg gE + AS01B). Researchers evaluated the participants' immune responses at 48, 60, and 72 months after the initial dose, measuring both gE-specific cell-mediated immune (CMI) responses and anti-gE antibody concentrations. The findings revealed a promising trend: while immune responses decreased over time, they remained significantly higher than pre-vaccination levels.
- Sustained Immune Response: Even after six years, the vaccine continues to stimulate a higher immune response compared to pre-vaccination levels.
- Cell-Mediated Immunity: The vaccine boosts the body's T cells, enhancing their ability to fight off the virus.
- Antibody Production: The vaccine promotes the production of antibodies that target and neutralize the shingles virus.
Making Informed Decisions About Shingles Prevention
The findings from OFID 2014:1 (Suppl 1) emphasize the importance of vaccination as a preventive measure against shingles, particularly for older adults. The HZ/su vaccine has demonstrated sustained immunogenicity and a favorable safety profile, offering long-term protection against this debilitating condition. By consulting with healthcare professionals and staying informed about vaccination options, individuals can make proactive decisions to safeguard their health and well-being.