Evidence map›Paper›PMID 41117023›Full record

ArticleJournal of medical virology2025

Varicella-Zoster Virus-Specific Cell-Mediated Immune Response Kinetics and Latent Viral Load Depending on Aging.

Hyo-Ju Son, Seung-Beom Kim, Ji-Soo Kwon, Kyung Hwa Jung, Sang-Oh Lee, Sung-Han Kim

Abstract read
In one paragraph

Article in Journal of medical virology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
  4. Review
  5. Review
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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

6 authors.

Hyo-Ju SonDepartment of Infectious Diseases, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu, Gyeonggi-do, Republic of Korea.
Seung-Beom KimDepartment of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Ji-Soo KwonDepartment of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Kyung Hwa JungDepartment of Infectious Diseases, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu, Gyeonggi-do, Republic of Korea.
Sang-Oh LeeDepartment of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Sung-Han KimDepartment of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-6596-8253

Funding

This study was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: RS-2025-02263011).
6 · The paper itself

Abstract

Herpes zoster (HZ), an infection caused by varicella-zoster virus (VZV) reactivation, results from an age-related decline in VZV-specific cell-mediated immunity (CMI). Digital droplet PCR (ddPCR) precisely quantifies latent VZV DNA in the blood, a potential biomarker of subclinical viral reactivation and its association with HZ risk. This study assessed VZV-specific CMI, latent viral burden, and humoral immunity in healthy adults according to age. We prospectively enrolled healthy adults aged between 40 and 80 years between February and April 2024. VZV-specific CMI was quantified using interferon-gamma enzyme-linked immunosorbent spot assay, latent VZV DNA in peripheral blood mononuclear cells using ddPCR, and VZV-specific IgG using enzyme-linked immunosorbent assay. VZV-specific CMI declined significantly from age 40 (r = -0.356, p = 0.001). Latent VZV burden increased from age 50 (r = 0.459, p < 0.001). VZV-specific antibody levels showed no significant association with age (r = 0.004, p = 0.967). VZV-specific T cell responses were lower in ddPCR-positive compared with ddPCR-negative individuals (p = 0.095), although the difference was not statistically significant. VZV-specific CMI declined from age 40, while latent viral load increased from age 50. Our findings suggest that ddPCR-based quantification of latent VZV DNA may serve as a biomarker of subclinical viral reactivation, potentially informing HZ risk stratification and vaccination strategies. Further studies are required to validate the predictive value of ddPCR in identifying individuals at high risk of developing HZ.

Indexed as

AgingHerpesvirus 3, HumanHerpes ZosterImmunity, CellularViral LoadVirus LatencyAdultAgedAged, 80 and overAntibodies, ViralDNA, ViralFemaleHumansImmunity, HumoralImmunoglobulin GLeukocytes, MononuclearAntibodies, ViralDNA, ViralImmunoglobulin Gagingcell‐mediated immunitydigital droplet PCRherpes zosterlatent VZV burdenVaricella‐zoster virus

Identifiers

PMID41117023
PMCPMC12538380

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Registered trials

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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.