Evidence map›Paper›PMID 35891418›Full record

ArticleViruses2022

Silent Reactivation of Varicella Zoster Virus in Pregnancy: Implications for Maintenance of Immunity to Varicella.

Mirella Mourad, Michael Gershon, Satish K Mehta, Brian E Crucian, Nicole Hubbard, Jing Zhang, Anne Gershon

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Varicella zoster virus and the central nervous system.Nature reviews. Microbiology · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. A fresh look at varicella vaccination.Human vaccines & immunotherapeutics · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Mirella MouradDepartment of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY 10032, USA.
Michael GershonDepartment of Pathology, Columbia University Vagelos College of P&S, New York, NY 10032, USA.ORCID 0000-0002-5893-7643
Satish K MehtaJES Tech, Human Health and Performance Directorate, Houston, TX 77058, USA.ORCID 0000-0003-4198-3261
Brian E CrucianNational Aeronautics and Space Administration (NASA) Johnson Space Center, Human Health and Performance Directorate, Houston, TX 77058, USA.
Nicole HubbardInfectious Disease Pathology, ProMedica Laboratory, Department of Pathology, University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA.
Jing ZhangDepartment of Pathology, Columbia University Irving Medical Center, New York, NY 10032, USA.
Anne GershonDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY 10032, USA.ORCID 0000-0002-4298-8155
Columbia University Irving Medical Center · USColumbia University · USJES Tech (United States) · USNational Aeronautics and Space Administration · USUniversity of Toledo · US

Funding

VZV in the enteric nervous system: pathogenesis and consequencesR01DK093094 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MICHAEL D GERSHON, Anne A. Gershon · 2011 to 2026
$5.9M
NIDDK NIH HHS R01 DK093094
6 · The paper itself

Abstract

We encountered two cases of varicella occurring in newborn infants. Because the time between birth and the onset of the illness was much shorter than the varicella incubation period, the cases suggested that the infection was maternally acquired, despite the fact that neither mother experienced clinical zoster. Thus, we tested the hypothesis that VZV frequently reactivates asymptomatically in late pregnancy. The appearance of DNA-encoding VZV genes in saliva was used as an indicator of reactivation. Saliva was collected from 5 women in the first and 14 women in the third trimesters of pregnancy and analyzed at two different sites, at one using nested PCR and at the other using quantitative PCR (qPCR). No VZV DNA was detected at either site in the saliva of women during the first trimester; however, VZV DNA was detected in the majority of samples of saliva (11/12 examined by nested PCR; 7/10 examined by qPCR) during the third trimester. These observations suggest that VZV reactivation occurs commonly during the third trimester of pregnancy. It is possible that this phenomenon, which remains in most patients below the clinical threshold, provides an endogenous boost to immunity and, thus, is beneficial.

Indexed as

ChickenpoxHerpes ZosterDNA, ViralFemaleHerpesvirus 3, HumanHumansInfant, NewbornPregnancyReal-Time Polymerase Chain ReactionDNA, Virallatencyreactivationsalivasalivary VZV DNAVZV

Identifiers

PMID35891418
PMCPMC9318610
OpenAlexW4283773455

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.