Protective barrier against shingles, symbolizing vaccine effectiveness

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?

Protective barrier against shingles, symbolizing vaccine effectiveness

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.

Specifically, the median values for gE-specific CMI response at 72 months were 3.8 times higher than before vaccination. This indicates that the vaccine continues to provide a substantial level of immune protection for up to six years. These results align with the growing body of evidence supporting the long-term effectiveness of the HZ/su vaccine.

  • 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.
The study also monitored the safety of the vaccine over the long term, recording any serious adverse events (SAEs) from months 48 to 72. Reassuringly, no vaccine-related SAEs were reported during this period, reinforcing the favorable safety profile of the HZ/su vaccine. These findings provide additional confidence in the vaccine's suitability for older adults.

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.

About this Article -

This article was crafted using a human-AI hybrid and collaborative approach. AI assisted our team with initial drafting, research insights, identifying key questions, and image generation. Our human editors guided topic selection, defined the angle, structured the content, ensured factual accuracy and relevance, refined the tone, and conducted thorough editing to deliver helpful, high-quality information.See our About page for more information.

Everything You Need To Know

1

What makes the herpes zoster subunit vaccine (HZ/su) a strong choice for shingles prevention in older adults?

The herpes zoster subunit vaccine (HZ/su) is notable because of its efficacy and safety profile. It uses varicella-zoster virus glycoprotein E (gE) combined with the AS01B Adjuvant System to create a strong immune response, protecting against shingles. Studies, like the one in *OFID 2014:1 (Suppl 1)*, show it maintains a higher immune response compared to pre-vaccination levels for up to six years, suggesting lasting protection.

2

How long does the shingles vaccine (HZ/su) protect against shingles?

According to the study in *OFID 2014:1 (Suppl 1)*, the herpes zoster subunit vaccine (HZ/su) provides significant immune protection for up to six years after vaccination. While immune responses decrease over time, gE-specific cell-mediated immune (CMI) responses remain 3.8 times higher than pre-vaccination levels at 72 months, indicating sustained effectiveness.

3

What specific immune responses does the shingles vaccine (HZ/su) stimulate in the body?

The herpes zoster subunit vaccine (HZ/su) stimulates both cell-mediated immunity (CMI) and antibody production. It boosts the body's T cells through gE-specific CMI responses, enhancing their ability to fight off the varicella-zoster virus. It also promotes the production of antibodies that target and neutralize the shingles virus. The *OFID 2014:1 (Suppl 1)* study showed that even after six years, these immune responses remain significantly higher than before vaccination.

4

Besides effectiveness, what does the *OFID 2014:1 (Suppl 1)* study reveal about the safety of the shingles vaccine (HZ/su) for older adults?

The *OFID 2014:1 (Suppl 1)* study reinforces the favorable safety profile of the herpes zoster subunit vaccine (HZ/su). The study monitored participants for serious adverse events (SAEs) from months 48 to 72 and found no vaccine-related SAEs during this period. This data provides additional confidence in the vaccine's suitability for older adults, complementing its proven long-term effectiveness.

5

If someone had chickenpox earlier in life, how does the shingles vaccine (HZ/su) offer them protection later on?

After a chickenpox infection, the varicella-zoster virus (VZV) remains dormant in the body. It can reactivate later in life, causing shingles. The herpes zoster subunit vaccine (HZ/su) is designed to prevent this reactivation. It uses varicella-zoster virus glycoprotein E (gE) and the AS01B Adjuvant System to stimulate a robust immune response, even years after the initial chickenpox infection. This strengthened immunity helps prevent the virus from resurfacing as shingles, as demonstrated by the sustained immune responses reported in the *OFID 2014:1 (Suppl 1)* study.

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