Study raises hopes that
shingles vaccine may delay onset of dementia 
Researchers have raised hopes for
delaying dementia
after finding that a recently approved shingles vaccine was linked to a substantial reduction in diagnoses of the condition in the six years after receiving the shot.
The discovery, based on US medical records, suggests that beyond the health benefits of preventing shingles, a painful and sometimes serious condition in elderly people,
the vaccine may also delay the onset of dementia, the UK’s leading cause of death.
Dr Maxime Taquet at the University of Oxford, the first author on the study, said the results supported the idea that shingles vaccination may prevent dementia.
“If validated in clinical trials, these findings could have significant implications for older adults, health services, and public health.”
Shingles is caused by the herpes zoster virus and can flare up in people who have previously had chickenpox.
When a shingles vaccine, #Zostavax, was first rolled out in 2006, a number of studies found hints that the risk of dementia seemed to be lower in those who got the shots.
The development of a new and more effective shingles vaccine, #Shingrix, led to a rapid switch in the US in October 2017, meaning those who were vaccinated before that date received Zostavax, while those vaccinated after tended to have Shingrix.
The Oxford team studied the health records of more than 200,000 US citizens vaccinated for shingles, about half of whom received the new vaccine.
Over the next six years, the risk of dementia was 17% lower in those who received Shingrix compared with Zostavax.
For those who went on to develop dementia, that amounts to an extra 164 days, or nearly six months, lived without the condition.
The effect was stronger in women, at 22%, than in men at 13%.
The researchers went on to examine dementia rates in people who received other vaccines. Writing in Nature Medicine,
they describe how those given Shingrix had a 23 to 27% lower risk of dementia than people who were vaccinated against flu, tetanus, diphtheria or pertussis.
One of the authors of the study, Prof John Todd at Oxford, is a consultant to GSK, the manufacturer of Shingrix, but the researchers said the study was conducted without any involvement from the pharma company, who were informed of the work when it was accepted for publication.
Last year, the NHS made Shingrix available to people turning 65. “The expectation is that if this is indeed a causal effect, then we would see a reduction in dementia in the UK once people start taking up the Shingrix vaccine,” said Taquet.
There are more than 55 million people globally living with dementia and more than 900,000 in the UK alone.
One in three people will develop the condition in their lifetime, and while drugs that appear to slow the disease have recently been approved, there is no cure.
https://www.theguardian.com/society/article/2024/jul/25/shingles-vaccine-shingrix-may-delay-dementia-onset-study?CMP=Share_iOSApp_Other