Measles Vaccine Virus RNA in Children More Than 100 Days after Vaccination
Measles vaccines have been in use since the 1960s with excellent safety and effectiveness profiles. Limited data are available on detection of measles vaccine virus (MeVV) RNA in human subjects following vaccination. Available evidence suggests MeVV RNA can be identified up to 14 days after vaccinat...
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Published in | Viruses Vol. 11; no. 7; p. 636 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
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10.07.2019
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Abstract | Measles vaccines have been in use since the 1960s with excellent safety and effectiveness profiles. Limited data are available on detection of measles vaccine virus (MeVV) RNA in human subjects following vaccination. Available evidence suggests MeVV RNA can be identified up to 14 days after vaccination, with detection beyond this rare. In routine diagnostic testing, we used two real-time reverse transcription-polymerase chain reaction (RT-rPCR) assays targeting M and F genes to identify measles virus (MeV) and MeVV RNA. Confirmatory testing was performed with an N gene RT-rPCR, followed by sequence confirmation of RT-rPCR positives by semi-nested conventional RT-PCR assays targeting portions of the N, H, and L genes. We report detection and confirmation of MeVV RNA from the respiratory tract of 11 children between 100 and 800 days after most recent receipt of measles-containing vaccine. These novel findings emphasize the importance of genotyping all MeV detections and highlight the need for further work to assess whether persistent MeVV RNA represents viable virus and if transmission to close contacts can occur. |
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AbstractList | Measles vaccines have been in use since the 1960s with excellent safety and effectiveness profiles. Limited data are available on detection of measles vaccine virus (MeVV) RNA in human subjects following vaccination. Available evidence suggests MeVV RNA can be identified up to 14 days after vaccination, with detection beyond this rare. In routine diagnostic testing, we used two real-time reverse transcription-polymerase chain reaction (RT-rPCR) assays targeting M and F genes to identify measles virus (MeV) and MeVV RNA. Confirmatory testing was performed with an N gene RT-rPCR, followed by sequence confirmation of RT-rPCR positives by semi-nested conventional RT-PCR assays targeting portions of the N, H, and L genes. We report detection and confirmation of MeVV RNA from the respiratory tract of 11 children between 100 and 800 days after most recent receipt of measles-containing vaccine. These novel findings emphasize the importance of genotyping all MeV detections and highlight the need for further work to assess whether persistent MeVV RNA represents viable virus and if transmission to close contacts can occur. Measles vaccines have been in use since the 1960s with excellent safety and effectiveness profiles. Limited data are available on detection of measles vaccine virus (MeVV) RNA in human subjects following vaccination. Available evidence suggests MeVV RNA can be identified up to 14 days after vaccination, with detection beyond this rare. In routine diagnostic testing, we used two real-time reverse transcription-polymerase chain reaction (RT-rPCR) assays targeting M and F genes to identify measles virus (MeV) and MeVV RNA. Confirmatory testing was performed with an N gene RT-rPCR, followed by sequence confirmation of RT-rPCR positives by semi-nested conventional RT-PCR assays targeting portions of the N, H, and L genes. We report detection and confirmation of MeVV RNA from the respiratory tract of 11 children between 100 and 800 days after most recent receipt of measles-containing vaccine. These novel findings emphasize the importance of genotyping all MeV detections and highlight the need for further work to assess whether persistent MeVV RNA represents viable virus and if transmission to close contacts can occur.Measles vaccines have been in use since the 1960s with excellent safety and effectiveness profiles. Limited data are available on detection of measles vaccine virus (MeVV) RNA in human subjects following vaccination. Available evidence suggests MeVV RNA can be identified up to 14 days after vaccination, with detection beyond this rare. In routine diagnostic testing, we used two real-time reverse transcription-polymerase chain reaction (RT-rPCR) assays targeting M and F genes to identify measles virus (MeV) and MeVV RNA. Confirmatory testing was performed with an N gene RT-rPCR, followed by sequence confirmation of RT-rPCR positives by semi-nested conventional RT-PCR assays targeting portions of the N, H, and L genes. We report detection and confirmation of MeVV RNA from the respiratory tract of 11 children between 100 and 800 days after most recent receipt of measles-containing vaccine. These novel findings emphasize the importance of genotyping all MeV detections and highlight the need for further work to assess whether persistent MeVV RNA represents viable virus and if transmission to close contacts can occur. |
Author | Mackay, Ian M McMahon, Jamie Lambert, Stephen B |
AuthorAffiliation | 2 Child Health Research Centre, The University of Queensland, 62 Graham Street, South Brisbane QLD 4101, Australia 1 Public Health Virology Laboratory, Forensic and Scientific Services, 39 Kessels Road, Coopers Plains QLD 4108, Australia |
AuthorAffiliation_xml | – name: 2 Child Health Research Centre, The University of Queensland, 62 Graham Street, South Brisbane QLD 4101, Australia – name: 1 Public Health Virology Laboratory, Forensic and Scientific Services, 39 Kessels Road, Coopers Plains QLD 4108, Australia |
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References | ref13 ref35 ref12 ref34 ref15 ref14 ref30 ref11 ref33 ref10 ref32 ref1 ref17 ref16 ref19 ref18 ref24 Katayama (ref26) 1998; 36 ref23 ref25 ref20 ref22 (ref2) 2017; 92 ref21 Rota (ref31) 1995; 33 ref28 ref27 ref29 ref8 ref7 ref9 ref4 ref6 ref5 Perry (ref3) 2004; 189 |
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SubjectTerms | Australia Child, Preschool Children Communication Ethics Female Genotype & phenotype Genotyping Health surveillance Humans Illnesses Infant Laboratories Male Maximum likelihood method Measles Measles - prevention & control Measles - virology measles vaccine Measles Vaccine - administration & dosage measles virus Measles virus - genetics measles-mumps-rubella N gene Nose - virology persistence Pharynx - virology Phosphoproteins - genetics Phylogenetics Phylogeny Polymerase chain reaction Public health Respiratory System - virology Respiratory tract Reverse transcription Ribonucleic acid RNA RNA viruses RNA, Viral - analysis RT-PCR Time Factors vaccine safety Vaccines Viral Proteins - genetics Viruses |
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Title | Measles Vaccine Virus RNA in Children More Than 100 Days after Vaccination |
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