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Important note: Information in this
article was accurate in 2003. The state of the art may have changed since the
publication date.
Vaccine May Slow Herpes
Epidemic
Los Angeles Times (07.21.03) - Monday, July 21, 2003
Linda Marsa
About one in five people older than 12 are infected with herpes simplex virus type 2 (HSV-2), which triggers genital herpes. Because immunizing even part of the population could slow the genital herpes epidemic, researchers are forging ahead with additional studies of a vaccine that reduced transmission and outbreaks in some women, but was ineffective in men.
Roughly 90 percent of HSV-2-infected people do not know it because the symptoms can be mild; many unwittingly pass HSV-2 to their sexual partners. Herpes lesions give HIV a portal of entry, said Dr. Lawrence R. Stanberry, a University of Texas Medical Branch pediatrician who administered the vaccine in recent studies. "If someone is exposed to HIV, they are two to four times more likely to become infected," Stanberry said.
Made by GlaxoSmithKline Biologicals, the vaccine contains an HSV-2 glycoprotein in order to stimulate the body's immune system to neutralize or kill the virus. The vaccine also contains an adjuvant "that turbocharges the immune response," said Dr. Robert B. Belshe, director of the Center for Vaccine Development at Saint Louis University, one of the vaccine testing sites.
Vaccine results were announced last year involving 2,700 men and women whose regular sex partners had genital herpes. Among women uninfected with HSV-2 or HSV-1, which causes cold sores, the vaccine prevented disease symptoms in 73 percent, and stopped viral transmission in 40 percent. Even if the vaccine simply prevented women from developing symptoms (meaning the virus is not shedding), it is possible that the spread of HSV- 2 and HIV could still be curbed.
A new study of 7,550 women ages 18-30 infected with neither HSV-1 nor HSV-2
may establish how useful the vaccine may be. "If the vaccine proves effective,"
said Belshe, "We'll target pre- adolescent girls to protect them before they're
infected with either virus," Belshe said.
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