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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Main Authors: Jamie McMahon, Ian M Mackay, Stephen B Lambert
Format: Article
Language:English
Published: MDPI AG 2019-07-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/11/7/636
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author Jamie McMahon
Ian M Mackay
Stephen B Lambert
author_facet Jamie McMahon
Ian M Mackay
Stephen B Lambert
author_sort Jamie McMahon
collection DOAJ
description 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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spelling doaj.art-f42547bd78a74d45b054a3ecde4eeb882022-12-21T22:59:26ZengMDPI AGViruses1999-49152019-07-0111763610.3390/v11070636v11070636Measles Vaccine Virus RNA in Children More Than 100 Days after VaccinationJamie McMahon0Ian M Mackay1Stephen B Lambert2Public Health Virology Laboratory, Forensic and Scientific Services, 39 Kessels Road, Coopers Plains QLD 4108, AustraliaPublic Health Virology Laboratory, Forensic and Scientific Services, 39 Kessels Road, Coopers Plains QLD 4108, AustraliaChild Health Research Centre, The University of Queensland, 62 Graham Street, South Brisbane QLD 4101, AustraliaMeasles 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.https://www.mdpi.com/1999-4915/11/7/636measles vaccinemeasles virusvaccinesmeaslesRT-PCRvaccine safetymeasles-mumps-rubellaRNApersistence
spellingShingle Jamie McMahon
Ian M Mackay
Stephen B Lambert
Measles Vaccine Virus RNA in Children More Than 100 Days after Vaccination
Viruses
measles vaccine
measles virus
vaccines
measles
RT-PCR
vaccine safety
measles-mumps-rubella
RNA
persistence
title Measles Vaccine Virus RNA in Children More Than 100 Days after Vaccination
title_full Measles Vaccine Virus RNA in Children More Than 100 Days after Vaccination
title_fullStr Measles Vaccine Virus RNA in Children More Than 100 Days after Vaccination
title_full_unstemmed Measles Vaccine Virus RNA in Children More Than 100 Days after Vaccination
title_short Measles Vaccine Virus RNA in Children More Than 100 Days after Vaccination
title_sort measles vaccine virus rna in children more than 100 days after vaccination
topic measles vaccine
measles virus
vaccines
measles
RT-PCR
vaccine safety
measles-mumps-rubella
RNA
persistence
url https://www.mdpi.com/1999-4915/11/7/636
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