2006
DOI: 10.1016/j.jcv.2006.06.007
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A novel varicella-zoster virus gE mutation discovered in two Swedish isolates

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Cited by 18 publications
(8 citation statements)
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“…The finding that a mutation can occur in a B cell epitope on a major surface gE protein is important because of the possibility that the loss of an epitope represents an escape mutation from the immune response induced by most wild-type isolates or, possibly, varicella vaccination. To date, the gE mutations have been found only in strains from Europe and North America [11]. In 2006, a virus bearing a gE mutation in a region associated with greater viral spread [21] and important for the formation a B cell epitope [8] was found to be the cause of a fatal case of hepatitis in an immunocompetent child [12].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The finding that a mutation can occur in a B cell epitope on a major surface gE protein is important because of the possibility that the loss of an epitope represents an escape mutation from the immune response induced by most wild-type isolates or, possibly, varicella vaccination. To date, the gE mutations have been found only in strains from Europe and North America [11]. In 2006, a virus bearing a gE mutation in a region associated with greater viral spread [21] and important for the formation a B cell epitope [8] was found to be the cause of a fatal case of hepatitis in an immunocompetent child [12].…”
Section: Discussionmentioning
confidence: 99%
“…The first 2 viruses were discovered in Minneapolis, Minnesota, and Vancouver, British Columbia (figure 1). The second 2 were discovered in Stockholm, Sweden, by Wirgart et al [11]. The fifth was isolated from a child with varicella in Rome, Italy [12].…”
mentioning
confidence: 97%
“…The Canadian case involved an elderly man with zoster, a fact which indicates that the mutant virus would have been present about 50 years earlier (around the year 1950), when the man had chickenpox as a child. Subsequently, stored VZV isolates from the Karolinska University Hospital in Stockholm, Sweden, were examined, and two gE mutant viruses were discovered (56). Finally, a gE mutant virus was isolated from a child with fatal varicella in Rome, Italy (36).…”
Section: Vzv Genotypes With New Phenotypesmentioning
confidence: 99%
“…This mutation has now been detected in two patients, one in the US and one in Canada (Santos et al 2000;Tipples et al 2002). In addition two isolates from leukemic children in Sweden were found to have different mutation in gE, S152A, which also abrogated binding of the antibody (Wirgart et al 2006). Finally, a fatal case of varicella in a 15-year-old Italian boy was caused by a virus with a mutation in the terminal amino acid of gE, G161R, though it is not known whether this mutation also affected antibody binding.…”
Section: Genotyping and Virulencementioning
confidence: 96%