Varicella-zoster virus (VZV) is an exclusively human, neurotropic alphaherpesvirus. Primary infection typically produces chickenpox (varicella), after which virus becomes latent in cranial nerve ganglia, dorsal root ganglia, and autonomic ganglia along the entire neuraxis (16). Decades later, virus reactivation results in shingles (zoster), frequently complicated by chronic pain (postherpetic neuralgia) as well as stroke (VZV vasculopathy), paralysis and incontinence (VZV myelopathy), and blindness (VZV progressive outer retinal necrosis).Knowledge of the full extent of VZV gene transcription and translation during latency is a prerequisite to hypotheses concerning how virus establishes latency and reactivates. The exact extent of VZV transcription in latently infected ganglia is unknown. Sequence analysis of the 3Ј terminus and its polyadenylated tracts in cDNA synthesized from RNA extracted from latently infected human ganglia identified transcripts mapping to VZV genes 21, 29, 62, 63, and 66 (8, 11), of which VZV gene 63 transcripts were the most prevalent and abundant (12). In situ hybridization (ISH) also detected expression of VZV genes 4, 18, 21, 29, 40, 62, and 63 (13, 16, 17). Using multiplex reverse transcription (RT)-PCR and the GenomeLab genetic analysis system (GeXPS), we detected as few as 20 copies of all 68 predicted VZV open reading frames (ORFs) in VZV-infected cells in tissue culture (33). Herein, we applied the same strategy and technology to analyze the extent of VZV transcription in latently infected human ganglia.