The anti-glycoprotein H (gH) monoclonal antibody (anti-gH-MAb) that neutralizes varicella-zoster virus (VZV) inhibited cell-to-cell infection, resulting in a single infected cell without apoptosis or necrosis, and the number of infectious cells in cultures treated with anti-gH-MAb declined to undetectable levels in 7 to 10 days. Anti-gH-MAb modulated the wide cytoplasmic distribution of gH colocalized with glycoprotein E (gE) to the cytoplasmic compartment with endoplasmic reticulum (ER) and Golgi markers near the nucleus, while gE retained its cytoplasmic distribution. Thus, the disintegrated distribution of gH and gE caused the loss of cellular infectivity. Varicella-zoster virus (VZV) infection causes varicella, and then VZV becomes latent in the sensory ganglia. The reactivation of VZV caused zoster in every age group, especially in the elderly, at rates of 3 to 8 per 1,000 person-years in a study of 48,388 zoster patients (46). The major complication of zoster is chronic pain (postherpetic neuralgia); the pain is related to peripheral nerve injury and the activation of brain-derived neurotrophic factor by anti-immediate early (IE) 62 antibody (12). However, the mechanism of VZV latency is not clear. Studies of the latent human ganglia revealed the difference between gene regulation in VZV and herpes simplex virus (HSV). Transcripts from genes 21, 29, 62, 63, and 66 of VZV and the product from gene 63 have been identified in latently infected human ganglia (4-7, 16, 17, 20, 22, 51), in contrast to the presence of noncoding latency-associated transcripts of HSV (29, 40).The thymus leukemia antigen on the cell surface is lost due to anti-thymus leukemia antibody treatment, and this phenomenon is defined as the antigenic modulation of eukaryotic cells (25). Antigenic modulation also is observed in measles virusinfected cells. Antibodies to viral surface antigens modulate measles virus expression in the infected cells, and anti-hemagglutinin antibody reduces the expression of viral fusion protein, matrix protein, and phosphoprotein in measles virus-infected cells (9-11, 14, 26). The biological importance of antigenic modulation has been recognized in various cells by clearing the cell surface expression of the respective antigen with the relevant monoclonal antibody, including monoclonal antibody treatment for immunotherapy in B cells (30,31), red blood cells (52), a human thymic myoid cell line (48), B cells (2,3,45), and differentiating murine embryonic stem cells and embryo fibroblasts (39).VZV expresses the viral glycoproteins glycoprotein E (gE), glycoprotein B (gB), and glycoprotein H (gH) on the surface of infected cells. Anti-gH monoclonal antibody (anti-gH-MAb) neutralizes viral infectivity and inhibits cell-to-cell infection and plaque formation in vitro, while monoclonal antibodies to gE and gB and zoster convalescent-phase sera do not inhibit cell-to-cell infection. When infected cells were treated with anti-gH-MAb after cell-free virus infection, single-cell infection was observed without morphologi...