Biotech
Shingles Vaccine Linked to Significant Reduction in Dementia Risk
A study published in Nature Communications found that the shingles vaccine Shingrix significantly lowers dementia risk. Research by Kaiser Permanente Southern California showed vaccinated adults had up to 51 percent lower risk, including reduced Alzheimer’s and vascular dementia cases, with stronger protection observed in women.
Dementia already affects more than 57 million people worldwide and is projected to triple that number by 2050. Science has just found an unexpected ally in the fight against cognitive decline: the shingles vaccine. According to research recently published in the journal Nature Communications, administering the recombinant shingles vaccine (RZV, commercially known as Shingrix) is linked to a drastic and statistically significant reduction in the risk of developing dementia in older adults.
The study, led by researchers at Kaiser Permanente Southern California (KPSC), analyzed data from 65,800 people who completed the two-dose RZV vaccine course and compared them with 263,200 unvaccinated individuals with similar characteristics. The results are striking: those who received the shingles immunization had a 51% lower risk of being diagnosed with dementia during the follow-up period.
A biological link between shingles and dementia under scrutiny
Shingles, also known as herpes zoster, is caused by the reactivation of the varicella-zoster virus (VZV). This virus remains dormant in the nervous system after childhood chickenpox infection and can reactivate decades later, causing a painful rash. However, scientists have long suspected that its impact extends beyond the skin.
“A potential role for the varicella-zoster virus in the development of dementia has been considered,” the authors explain in the paper. Although the exact mechanism is still under investigation, it is suggested that reactivation of the virus could cause neuroinflammation or vascular damage in the brain , or even promote the reactivation of other latent viruses such as herpes simplex. By preventing viral reactivation, the vaccine would act as a protective shield for brain health.
One of the biggest challenges in this type of study is the so-called healthy vaccine bias. People who choose to get vaccinated generally tend to have healthier lifestyles, which could skew the results. To address this, the research team not only compared vaccinated individuals with unvaccinated people, but also conducted a second analysis comparing the shingles vaccine with the Tdap vaccine (tetanus, diphtheria, and pertussis).
Even in this comparison, the results remained strong: those who received the shingles vaccine still had a significantly lower risk ( 27% less ) of developing dementia compared to those who were vaccinated against tetanus.
The study delved into how this protection affects different population groups. While the risk reduction was notable across all age ranges (over 65) and ethnic groups, researchers observed that the protective effect was slightly stronger in women . In the female population, the risk reduction reached 55%, compared to 45% in men.
Furthermore, the protection was not limited to a single type of decline. The vaccine showed benefits in preventing both Alzheimer’s disease —which accounts for 60% to 80% of dementia cases—and vascular dementia .
Benefits of the shingles vaccine
Currently, in the United States alone, approximately 6.9 million adults live with dementia. Given the lack of definitive curative treatments, prevention has become the top priority for healthcare systems.
The RZV vaccine, approved in 2017 and recommended for adults over 50 years of age due to its high efficacy and durability, is now confirmed not only as a tool to avoid the physical pain of shingles, but also as a possible public health intervention to delay or prevent cognitive decline.
Although the researchers emphasize that further studies are needed to understand why the vaccine produces this effect and how long the brain protection lasts, the finding offers a glimmer of hope. “Vaccination with two doses of RZV is associated with a statistically significant reduction in the risk of dementia,” the study concludes, marking a milestone in contemporary geriatric research.
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(Featured image by CDC via Unsplash)
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First published in GACETA MEDICA. A third-party contributor translated and adapted the article from the original. In case of discrepancy, the original will prevail.
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