HSV Vaccine Development: Unique Questions and Confounders
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HSV Vaccine Development: Unique Questions and Confounders
Lawrence R. Stanberry, MD, PhD
Sealy Center for Vaccine Development, University of Texas Medical Branch, Galveston, Texas, USA

The development of effective vaccines may be the best approach to controlling the ongoing epidemic of genital herpes. The task of making an effective vaccine has been made difficult by the unique pathogenesis of mucocutaneous herpes simplex virus infections; in the immunocompetent host hematogenous dissemination does not play a key role in the pathogenesis of infection, an important step in the natural history of many vaccine preventable infections. Likewise, the control of a virus capable of establishing a persistent infection is particularly problematic as most vaccines prevent disease rather than infection. Besides discussing the pathogenesis of mucocutaneous herpes simplex virus infections, this presentation will address 5 questions:

  • Do vaccines protect animals against genital HSV-2 infection or disease?
  • Can a vaccine protect humans against genital herpes infection or disease?
  • Is it possible to induce a sterilizing mucosal immunity?
  • If a vaccine can protect against genital HSV-2 disease but not mucosal infection, does it impact latent and recurrent infections?
  • What are the immune correlates of protection against HSV-2 infection?

 


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Last Updated : 03/12/2007 18:16:28