Skip to main content
Log in

Comparative immunohistochemical study of herpes simplex and varicella-zoster infections

  • Original Articles
  • Published:
Virchows Archiv A Aims and scope Submit manuscript

Summary

Herpes simplex (HSV) and varicella-zoster (VZV) skin infections share so many histological similarities that distinguishing between them may prove to be impossible. We developed and characterized a new monoclonal antibody, VL8, IgG kappa isotype, directed to the VZV envelope glycoprotein gpI. Immunohistochemistry with VL8 appeared highly sensitive and specific on formalin-fixed paraffin-embedded biopsies and a clear-cut distinction between HSV and VZV infections was possible. The pattern of VL8 immunolabelling in VZV infections was strikingly different from that found in HSV infections studied with polyclonal antibodies to HSV I and II. Double immunolabelling revealed the VL8 positivity of sebaceous cells, endothelial cells, Mac 387- and CD68-positive monocyte-macrophages, and factor XIIIa-positive perivascular, perineural and interstitial dendrocytes. Intracytoplasmic VL8 labelling of endothelial cells and perivascular dendrocytes was found at the site of leukocytoclastic vasculitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Aoyama Y, Kurata T, Kurata K, Hondo R, Ogiwara H (1974) Demonstration of viral antigens in herpes simplex and varicellazoster infections. Recent Adv Reticuloendothel Syst Res 14:90–104

    Google Scholar 

  • Arrese Estrada J, Goffm F, Cornil F, Piérard-Franchimont C, Piérard GE (1991) Dendrocytoclasis in Henoch-Schönlein purpura. Acta Derm Venereol 71:358–359

    Google Scholar 

  • Cleveland PH, Richam DD (1987) Enzyme immunofiltration staining assay for immediate diagnosis of herpes simplex virus and varicella-zoster virus directly from clinical specimens. J Clin Microbiol 25:416–420

    Google Scholar 

  • Drew WL, Mintz L (1980) Rapid diagnosis of varicella-zoster virus infection by direct immunofluorescence. Am J Clin Pathol 73:699–701

    Google Scholar 

  • Forghani B, DuPuis VW, Schmidt JN (1984) Varicella-zoster viral glycoproteins analyzed with monoclonal antibodies. J Virol 52:55–62

    Google Scholar 

  • Galfre G, Howe SC, Milstein C, Butcher GW, Howard JC (1977) Antibodies to major histocompatibility antigens produced by hybrid cell lines. Nature 266:550–552

    Google Scholar 

  • Gerna G, Achilli G, Chambers RW (1977) Determination of neutralizing antibody and IgG antibody to varicella-zoster virus and of IgG antibody to membrane antigens by the immunoperoxidase technique. J Infect Dis 135:975–979

    Google Scholar 

  • Grose C, Edwards DP, Friedrichs WE, Weigle KA, McGuire WL (1983) Monoclonal antibodies against three major glycoproteins of varicella-zoster virus. Infect Immun 40:381–388

    Google Scholar 

  • Janier M, Hillion B, Baccard M, Morinet F, Scieux C, Perol Y, Civatte J (1988) Chronic varicella zoster infection in acquired immunodeficiency syndrome. J Am Acad Dermatol 18:584–585

    Google Scholar 

  • Köhler G, Milstein C (1976) Derivation of specific antibody-producing tissue culture and tumor lines by cell fusion. Eur J Immunol 6:511–519

    Google Scholar 

  • Landry ML, Cohen SD, Mayo DR, Fong CKY, Andiman WA (1987) Comparison of fluorescent-antibody-to-membrane-antigen test, indirect immunofluorescence assay, and a commercial enzyme-linked immunosorbent assay for determination of antibody to varicella-zoster virus. J Clin Microbiol 25:832–835

    Google Scholar 

  • Langenberg A, Yen TSB, LeBoit PE (1991) Granulomatous vasculitis occurring after cutaneous herpes zoster despite absence of viral genome. J Am Acad Dermatol 24:429–433

    Google Scholar 

  • Leonard LL, Schmidt NJ, Lennette EH (1970) Demonstration of viral antibody activity in two immunoglobulin G subclasses in patients with varicella-zoster infection. J Immunol 104:23–27

    Google Scholar 

  • Littlefield JW (1964) Selection of hybrids from matings of fibroblasts in vitro and their presumed recombinants. Science 145:709

    Google Scholar 

  • Martin JR, Holt RK, Langston C, Gilden DH, Richardson EP, Manz HJ, Singer DB (1991) Type-specific identification of herpes simplex and varicella-zoster virus antigen in autopsy tissues. Hum Pathol 22:75–80

    Google Scholar 

  • Muraki R, Baba T, Iwasaki T, Sata T, Kurata T (1992) Immunohistochemical study of skin lesions in herpes zoster. Virchows Arch [A] 420:71–76

    Google Scholar 

  • Nahass GI, Goldstein BA, Zhu WY, Penneys N, Leonardi CL (1991) Sensitivity of Tzanck preparations, viral cultures and DNA diagnostic methods in detection of herpes simplex and varicella-zoster infections. J Cutan Pathol 18:381

    Google Scholar 

  • Nikkels AF, Sadzot-Delvaux C, Cloes JM, Rentier B, Piérard GE (1992) Granulomatous reactions following herpes zoster contain varicella-zoster glycoprotein gpI. J Invest Dermatol 98:522

    Google Scholar 

  • Okuno T, Yamanishi K, Shiraki K, Takahashi M (1983) Synthesis and processing of glycoproteins of varicella-zoster virus (VZV) studied with monoclonal antibodies to VZV antigens. Virology 129:357–368

    Google Scholar 

  • Orfanos CE, Runne U (1975) Virus-Ausbreitung, Virus-Replikation, und Virus-Elimination in der menschlichen Haut beim Zoster. Hautarzt 26:181–190

    Google Scholar 

  • Ozaki T, Ichikawa T, Matsui Y, Kondo H, Nagai I, Asano Y, Yamanishi K, Takahashi M (1986) Lymphocyte-associated viremia in varicella. J Med Virol 19:249–253

    Google Scholar 

  • Paquet P, Piérard GE (1992) Varicelle et grossesse. Rev Med Liège 47:447–455

    Google Scholar 

  • Schmidt NJ (1982) Further evidence for common antigens in herpes simplex and varicella-zoster virus. J Med Virol 9:27–36

    Google Scholar 

  • Schmidt NJ, Gallo D, Devlin V, Woodie JD, Emmons RW (1980) Direct immunofluorescence staining for detection of herpes simplex and varicella-zoster virus antigens in vesicular lesions and certain tissue specimens. J Clin Microbiol 12:651–655

    Google Scholar 

  • Serfling U, Penneys N, Leonardi C, Zhu WY, Sistos M (1991) Granulomatous reactions following herpes zoster do not contain varicella-zoster virus (VZV) DNA. J Cutan Pathol 18:389

    Google Scholar 

  • Snoeck R, Schols D, Sadzot-Delvaux C, Cloes JM, Andrei G, Declerq E, Piette J, Rentier B (1992) Flow cytometric method for the detection of gpI antigens of varicella-zoster virus and evaluation of anti-VZV agents. J Virol Methods 38:243–254

    Google Scholar 

  • Weigle KA, Grose C (1983) Common expression of varicella-zoster viral glycoprotein antigens in vitro and in chicken pox and zoster vesicles. J Infect Dis 148:630–637

    Google Scholar 

  • Weigle KA, Grose C (1984a) Varicella pneumonitis: Immuno-diagnosis with a monoclonal antibody. J Pediatr 105:265–269

    Google Scholar 

  • Weigle KA, Grose C (1984b) Molecular dissection of the humoral immune response to individual varicella-zoster viral proteins during chickenpox; quiescence, reinfection, and reactivation. J Infect Dis 149:741–749

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nikkels, A.F., Debrus, S., Sadzot-Delvaux, C. et al. Comparative immunohistochemical study of herpes simplex and varicella-zoster infections. Vichows Archiv A Pathol Anat 422, 121–126 (1993). https://doi.org/10.1007/BF01607163

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01607163

Key words

Navigation