Genotyping of 21 varicella-zoster virus (VZV) strains using a scattered single nucleotide polymorphism (SNP) method revealed ambiguous SNPs and two nontypeable isolates. For a further genetic characterization, the genomes of all strains were sequenced using the 454 technology. Almost-complete genome sequences were assembled, and most remaining gaps were closed with V aricella-zoster virus (VZV) is a member of the genus Varicellovirus within the subfamily Alphaherpesvirinae, family Herpesviridae (8). The alphaherpesviruses are characterized by their short reproduction cycle, fast spreading, efficient destruction of infected cells, and persistence in sensory ganglia. VZV replication is limited exclusively to cells of human and simian origins. The VZV genome consists of double-stranded DNA with a size of 125 kb and comprises 73 genes, 70 of which are unique and 3 of which are duplicated (9). The virus genome includes two main coding regions, unique long (U L ) and unique short (U S ), and flanking inverted repeats, termed terminal and internal repeats long (TR L , IR L ) and short (TR S , IR S ). In addition to these repeats, there are five genomic regions with tandem reiterations, designated R1 to R5.Primary infection with VZV causes varicella (chickenpox), a condition characterized by fever and exanthema with small blisters. Virus uptake occurs via the mucous membranes of the respiratory tract, with primary replication seen in the regional lymph nodes. During a short phase of primary cell-associated viremia, the virus infects peripheral blood mononuclear cells. In a secondary viremia, the virus spreads to cutaneous epithelial cells, where it induces rash. Usually, the virus is spread by excretion of aerosolized virus particles from the respiratory tract and highly infectious vesicle fluid from rash (2). After primary infection, VZV establishes a lifelong latency in trigeminal and dorsal root ganglia. Endogenous viral reactivation, e.g., after decline of VZV-specific cell-mediated immunity, may lead to viral replication and inflammation in the ganglion. Then, progeny virus migrates along the axons of neurons and is released in the skin, where it causes herpes zoster (shingles). Zoster is characterized by a unilateral vesicular rash within a single cutaneous dermatome. In most cases, the thoracic region is involved.Genetic characterization of VZV DNA is achieved by analysis of restriction fragment length polymorphism (RFLP), single nucleotide polymorphisms (SNPs), and full-genome sequencing. Early RFLP analyses revealed both interstrain variations among wild-type isolates and differences between wild-and vaccine-type viruses. The most commonly used RFLP markers of VZV included the polymorphism of open reading frames (ORFs) 38 (PstI), 54 (BglI), and 62 (SmaI) (19,23,45). These markers allowed the majority of wild-type strains in North America and Europe to be typed as PstI ϩ BglI Ϫ , whereas African and Asian strains were BglI ϩ and Japanese Oka-like wild-type strains were PstI ϩ /PstI Ϫ BglI ϩ SmaI Ϫ ; the Oka vacc...