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Inactivation of the coronavirus that induces severe acute respiratory syndrome, SARS-CoV

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Severe acute respiratory syndrome (SARS) is a life-threatening disease caused by a novel coronavirus termed SARS-CoV. Due to the severity of this disease, the World Health Organization (WHO) recommends that manipulation of active viral cultures of SARS-CoV be performed in containment laboratories at biosafety level 3 (BSL3). The virus was inactivated by ultraviolet light (UV) at 254 nm, heat treatment of 65 degrees C or greater, alkaline (pH > 12) or acidic (pH < 3) conditions, formalin and glutaraldehyde treatments. We describe the kinetics of these efficient viral inactivation methods, which will allow research with SARS-CoV containing materials, that are rendered non-infectious, to be conducted at reduced safety levels.
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Journal of Virological Methods 121 (2004) 85–91
Inactivation of the coronavirus that induces severe acute respiratory
syndrome, SARS-CoV
Miriam E.R. Darnella, Kanta Subbaraob, Stephen M. Feinstonea, Deborah R. Taylora,
aCenter for Biologics Evaluation and Research, US Food and Drug Administration, 8800 Rockville Pike, HFM448, Bethesda, MD 20892, USA
bLaboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, MD 20892, USA
Received 27 May 2004; accepted 15 June 2004
Available online 3 August 2004
Abstract
Severeacuterespiratory syndrome (SARS)is a life-threateningdisease caused bya novel coronavirustermedSARS-CoV.Due to theseverity
of this disease, the World Health Organization (WHO) recommends that manipulation of active viral cultures of SARS-CoV be performed in
containment laboratories at biosafety level 3 (BSL3). The virus was inactivated by ultraviolet light (UV) at 254 nm, heat treatment of 65Cor
greater, alkaline (pH > 12) or acidic (pH < 3) conditions, formalin and glutaraldehyde treatments. We describe the kinetics of these efficient
viral inactivation methods, which will allow research with SARS-CoV containing materials, that are rendered non-infectious, to be conducted
at reduced safety levels.
© 2004 Elsevier B.V. All rights reserved.
Keywords: SARS; Coronavirus; Virus inactivation; Tissue culture
1. Introduction
In late 2002, an outbreak of unusual life-threatening
respiratory disease of unknown etiology began in Guang-
dong Province, China. This disease was designated severe
acute respiratory syndrome (SARS) and was later deter-
mined by Drosten et al. (2003),Ksiazek et al. (2003),
and Rota et al. (2003), to be caused by a novel coro-
navirus, termed SARS-CoV. Since the identification of
coronavirus as the infectious agent for SARS, numerous
laboratories have begun research on this virus. Accord-
ing to the WHO, 8098 people were diagnosed with SARS
and 774 people died of this disease during the initial out-
break of 2003. Due to the severity of SARS disease and
the contagious nature of the causal agent, the WHO web-
site (http://www.who.int/csr/sars/biosafety2003 12 18/en/)
has provided guidelines for working safely with this coro-
navirus. The WHO recommends biosafety level 3 (BSL3)
as the appropriate containment level for working with live
Corresponding author. Tel.: +1 301 827 1878; fax: +1 301 496 1810.
E-mail address: taylord@cber.fda.gov (D.R. Taylor).
SARS-CoV, and there is a concern that another SARS out-
break could occur following an accidental exposure in a lab-
oratory. Since the end of the SARS epidemic in July 2003,
there have been three known cases of SARS in laboratory
researchers due to accidental exposure to the virus (Normile,
2004). Successful inactivation of the virus allows the trans-
fer of material from a BSL3 to a BSL2 environment and may
reduce the risk of accidental infections through unsafe labo-
ratory practices. Inactivated cell-culture derived viral stocks
may also be useful for the development of vaccines and the
study of their safety and immunogenicity. We examined the
efficiency of several methods of viral inactivation, including
methods that may inhibit viral replication or entry.
2. Materials and methods
2.1. Virus and cells
We infected African green monkey kidney (Vero E6)
cells with SARS-CoV (Urbani strain) that was kindly pro-
vided by Drs. L.J. Anderson and T.G. Ksiazek from the
0166-0934/$ – see front matter © 2004 Elsevier B.V. All rights reserved.
doi:10.1016/j.jviromet.2004.06.006
86 M.E.R. Darnell et al. / Journal of Virological Methods 121 (2004) 85–91
Centers for Disease Control and Prevention, Atlanta, GA.
Briefly, Vero E6 monolayer cells were infected by inoc-
ulating cultures with 50l of virus (106.33 TCID50 per
ml) in a final volume of 5ml Dulbecco’s modified Eagle’s
medium (DMEM) (Biosource International, Camarillo, CA)
in T150 flasks for 1h at 25 C. Dulbecco’s modified Eagle’s
medium containing supplements (10% fetal bovine serum,
2 mM/ml l-glutamine, 100U/ml penicillin, 100 g/ml strep-
tomycin, and 0.5 g/ml fungizone) (Biosource International)
was added to the flask and the cells were incubated at
37C for 3 days. Supernatant was collected, clarified by
centrifugation, and stored at 70C as the viral stock.
The Vero cells were maintained in DMEM with supple-
ments. All personnel wore powered air-purifying respira-
tors (3M, Saint Paul, MN) and worked with infectious
virus inside a biosafety cabinet, within a BSL3 containment
facility.
2.2. Quantitation of viral titers
Viral titers were determined in Vero cell monolayers on
24 and 96-well plates using a 50% tissue culture infectious
dose assay (TCID50). Serial dilutions of virus samples were
incubated at 37C for 4 days and subsequently examined
for cytopathic effect (CPE) in infected cells, as described
by Ksiazek et al. (2003). Briefly, SARS-CoV-induced CPE
of infected cells was determined by observing rounded, de-
tached cells in close association to each other. Evidence of
inactivation was determined by absence of CPE in Vero cells,
indicating loss of infectivity.
2.3. UV light treatment
Ultraviolet light (UV) treatment was performed on 2ml
aliquots of virus (volume depth = 1cm) in 24-well plates
(Corning Inc., Corning, NY). The UV light source (Spec-
tronics Corporation, Westbury, NY) was placed above the
plate, at a distance of 3cm from the bottom of the wells
containing the virus samples. At 3cm our UVC light source
(254nm) emitted 4016 W/cm2(where W=10
6J/s)
and the UVA light source (365nm) emitted 2133W/cm2,
as measured by radiometric analysis (Spectronics Corpo-
ration). After exposure to the UV light source, virus was
frozen for later analysis by TCID50 assay using CPE as the
endpoint.
2.4. Gamma irradiation treatment
We prepared 400 lsamples of SARS-CoVand keptthem
on dry ice during transport. Test samples were subjected to
gamma radiation (3000, 5000, 10,000, and 15,000rad) from
a60Co source, while control samples were protected from
exposure. Test and control samples were handled and trans-
ported identically, except test samples were exposed to the
gammaradiation source.Sampleswere keptfrozenuntil anal-
ysis of inactivation by TCID50 assay.
2.5. Heat treatment of virus
Weincubated 320l aliquotsof virusin 1.5ml polypropy-
lenecryotubes usinga heatingblock toachievethree different
temperatures (56, 65 and 75C). After heat treatment, sam-
ples were frozen for later analysis by TCID50 assay using
CPE as an endpoint.
2.6. Formaldehyde and glutaraldehyde treatment
Formaldehyde(37%, MallinckrodtBaker,Inc., Paris,KY)
and glutaraldehyde (8%, Sigma, Saint Louis, MO) were di-
luted 1:10 and 1:40 in sterile PBS. These diluted aldehy-
des were added to virus samples to achieve final dilutions
of 1:1000 and 1:4000 in 400l. The final concentrations of
formaldehyde were 0.037% (1:1000) and 0.009% (1:4000),
and the final concentrations of glutaraldehyde were 0.008%
(1:1000) and 0.002% (1:4000). The virus and aldehyde sam-
ples were incubated at 4, 25, and 37C, for up to 3 days.
The samples were mixed briefly with a vortex on each day.
The samples were stored at 70C until analysis by TCID50
assay.
2.7. pH treatment
Virus aliquots were adjusted to the desired pH using 5M
and 1M HCl or 5N and 1N NaOH. Subsequently, they were
divided into three aliquots, incubated at the desired temper-
ature (4, 25, and 37C), neutralized to a pH 7, and analyzed
for viral titer using the TCID50 assay.
2.8. Infectivity of viral RNA and detergent-disrupted
virions
Infected Vero cells were prepared by inoculation with
20l of virus at a 106.37 TCID50 per ml of SARS-CoV
in a final volume of 2ml in a T25 flask for 1 h at 25C.
DMEM with supplements was added to the flask and the
cells were incubated at 37C for 3 days. The monolayer
was washed with 1X phosphate buffered saline (PBS),
cells were lysed with the addition of 2.5ml of a phenol
and guanidine isothiocyanate solution (TRIzol Reagent,
Sigma), and cytoplasmic RNA was isolated according to the
manufacturer’s specifications. Vero cells were inoculated
with 10l of purified RNA in 0.5 ml DMEM. After an
hour, DMEM with supplements was added. Additionally,
Vero cells were transfected with cytoplasmic RNA using
DMRIE-C (Invitrogen Life Technologies, Carlsbad, CA)
according to the manufacturer’s instructions. Cells were
incubated at 37C, and observed for CPE on days 3 and 4.
To examine the infectivity of detergent-disrupted virions,
SARS-CoV infected Vero monolayer cells were washed and
dissociated with trypsin/versene, pelleted by centrifugation,
and washed with PBS. After centrifugation, the pellet was
lysed with sodium dodecyl sulfate/nonidet P-40 (SDS/NP-
40; 0.1% SDS, 0.1% NP-40, in 0.1x PBS; Sigma), frozen
M.E.R. Darnell et al. / Journal of Virological Methods 121 (2004) 85–91 87
at 70C, thawed, and clarified by centrifugation. The su-
pernatant was used to infect Vero cell monolayers in 6-well
plates, such that the final concentration of SDS was 0.002 or
0.018%. Three and four days following the inoculation, cells
were observed for evidence of CPE.
3. Results
3.1. Effect of radiation on the infectivity of SARS-CoV
UV light is divided into three classifications: UVA
(320–400nm), UVB(280–320 nm),andUVC (200–280nm).
UVC is absorbed by RNA and DNA bases, and can cause
the photochemical fusion of two adjacent pyrimidines into
covalently linked dimers, which then become non-pairing
bases (Perdiz et al., 2000). UVB can cause the induction of
pyrimidinedimers, but 20–100-foldless efficiently thanUVC
(Perdiz et al., 2000). UVA is weakly absorbed by DNA and
RNA, and is much less effective than UVC and UVB in in-
ducing pyrimidine dimers, but may cause additional genetic
damage through the production of reactive oxygen species,
which cause oxidization of bases and strand breaks (Tyrrell
et al., 2001).
To examine the inactivation potential of UVA and UVC,
virus stocks were placed in 24-well tissue culture plates and
exposed to UV irradiation on ice for varying amounts of
time, as indicated in Fig. 1A. Exposure of virus to UVC
light resulted in partial inactivation at 1min with increas-
ing efficiency up to 6min (Fig. 1A), resulting in a 400-fold
decrease in infectious virus. No additional inactivation was
observed from 6 to 10min. After 15 min the virus was com-
pletelyinactivatedto the limit of detectionof theassay,which
is 1.0 TCID50 (log10) per ml. In contrast, UVA exposure
demonstrated no significant effects on virus inactivation over
a 15min period. Our data show that UVC light inactivated
the SARS virus at a distance of 3cm for 15 min.
Astandard procedureto inactivateviruses duringthe man-
ufactureof biologicalproducts isgamma irradiation(Grieb et
al., 2002). To investigate the effect of gamma irradiation on
SARS-CoV, we subjected 400l of SARS-CoV to gamma
radiation (3000, 5000, 10,000, and 15,000rad) from a 60Co
source, while control samples were protected from exposure.
No effect on viral infectivity was observed within this range
of gamma irradiation exposure (Fig. 1B).
3.2. Effect of heat treatment on the infectivity of
SARS-CoV
Heat can inactivate viruses by denaturing the secondary
structures of proteins, and thereby may alter the conforma-
tion of virion proteins involved in attachment and replication
within a host cell (Lelie et al., 1987; Schlegel et al., 2001). To
test the ability of heat to inactivate the SARS-CoV, we incu-
bated virus in 1.5ml polypropylene cryotubes at three tem-
peratures (56, 65 and 75C) for increasing periods of time.
Fig. 1. Effect of radiation on the infectivity of SARS-CoV. (A) UV irradi-
ation. The UV lamp was placed 3cm above the bottom of 24-well plates
containing 2ml virus aliquots. Samples were removed at each time point,
frozen, and titrated in Vero E6 cells. The results shown are representative
of three independent experiments. (B) Gamma irradiation. Virus aliquots
(400l) were placed in cryovials on dry ice and exposed to the indicated
doseof gamma irradiation.Controlsamples were treatedidentically,without
radiation exposure. Samples were titrated in Vero E6 cells in triplicate. The
dotted line denotes the limit of detection of the assay.
We found that at 56 C most of the virus was inactivated after
20min (Fig. 2A). However, the virus remained infectious at
a level close to the limit of detection for the assay, for at least
60min, suggesting that some virus particles were stable at
56C(Fig. 2A and C). At 65 C, most of the virus was inac-
tivated if incubated for longer than 4min (Fig. 2B). Again,
some infectious virus could still be detected close to the limit
of detection for the assay, after 20min at 65C. While virus
was incompletely inactivated at 56 and 65C even at 60min,
it was completely inactivated at 75C in 45min (Fig. 2C).
Surprisingly, at both 56 and 65 C the virus was inactivated
at early time points but at 60min a small amount of virus
was detected. One possible explanation for this result may
be the presence and subsequent dissociation of aggregates.
Taken together, these results suggest that viral inactivation
by pasteurization may be very effective.
3.3. Effects of formaldehyde and glutaraldehyde on the
infectivity of SARS-CoV
Formalin (dilute formaldehyde) has been used for a num-
ber of years to inactivate virus for use in vaccine products,
suchas the widely used andvery effectivepolio vaccine(Salk
andSalk, 1984).Other attemptsatusing formalininactivation
forgenerationof vaccinesforrespiratorysyncytial virus(Kim
88 M.E.R. Darnell et al. / Journal of Virological Methods 121 (2004) 85–91
Fig. 2. Effect of heat treatment on the infectivity of SARS-CoV. Virus
aliquots (400l) were incubated at (A, C) 56 C, (B, C) 65 C and (C)
75C. Samples were removed at the designated time, frozen, and titrated in
Vero E6 cells in triplicate. The dotted line denotes the limit of detection of
the assay.
etal., 1969)and measlesvirus (Fulginitiet al.,1967) werenot
useful, as they induced an aberrant immune response result-
ing from formalin-induced perturbations of the viruses. For-
malin inactivation occurs when nonprotonated amino groups
ofamino acids,such aslysine, combinewith formaldehydeto
form hydroxymethylamine. The hydroxymethylamine com-
bineswith theamino,amide, guanidyl,phenolic,or imidazole
groupof aminoacids tocreate inter-orintramolecular methy-
lene crosslinks (for review, see Jiang and Schwendeman,
2000).Fraenkel-Conrat (1954) observed the absorptionspec-
tra of several plant viruses and determined that formalin also
binds in a reversible manner to RNA, blocking reading of
the genome by RNA polymerase. Glutaraldehyde can also be
used to inactivate virus and is used as a disinfecting agent
of medical instruments, such as endoscopes (Tandon, 2000),
and as a fixative for electron microscopy (McDonnell and
Russell, 1999).
We examined formalin and glutaraldehyde inactivation of
the SARS-CoV by incubating virus samples with formalin or
glutaraldehydeattwo differentdilutions(1:1000and 1:4000).
Each of the diluted aldehydes was incubated with virus at 4,
25 or 37 C. Both of the aldehydes exhibited temperature de-
Table 1
Effect of formaldehyde and glutaraldehyde inactivation of SARS-CoV
Virus Dilution Day 1 Day 2 Day 3
4C25
C37
C4
C25
C37
C4
C25
C37
C
Formaldehyde treatment
No 1:1000 xaxxxxxxxx
Yes 1:1000 x xxxxxxxx
Yes 1:4000 4.45 ±0.25b1.31 ±0.29 1.31 ±0.29 4.02 ±0.38 1.31 ±0.29 1.5 ±0 3.28 ±0.14 1.14 ±0.29 1.14 ±0.29
Glutaraldehyde treatment
No 1:1000 1.0c1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0
Yes 1:1000 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0
Yes 1:4000 2.70 ±0 1.31 ±0.29 1.0 2.26 ±0.38 1.0 1.0 2.19 ±0.25 1.0 1.0
Yes No 5.28 ±0.29 5.09 ±0.58 4.03 ±0.14 5.03 ±0.14 4.86 ±0.29 3.36 ±0.29 5.12 ±0.14 4.1 ±0.52 2.78 ±0.14
aFormaldehyde treatment fixed the cells in the TCID50 assay so virus could not be detected.
bGeometric mean of triplicate samples ±S.D.
cThe limit of detection for the TCID50 assay is 1.0.
M.E.R. Darnell et al. / Journal of Virological Methods 121 (2004) 85–91 89
pendence in their ability to inactivate virus (Table 1). Neither
formalin nor glutaraldehyde, at a 1:4000 dilution, was able to
completely inactivate virus at 4C, even after exposure for 3
days (Table 1). At 25 and 37 C, formalin inactivated most of
the virus, close to the limit of detection of the assay, after 1
day, yet some virus still remained infectious on day 3. How-
ever, glutaraldehyde completely inactivated the virus by day
2at25C and by day 1 at 37C. This suggests that both for-
malin and glutaraldehyde inactivation of SARS virus may be
efficientmethodsof inactivation,ifproper conditionsaremet.
3.4. Effect of pH changes on the infectivity of SARS
Weismiller et al. (1990) determined that a pH of 8.0 in-
duces a conformational change in the spike protein of the
coronavirus, mouse hepatitis virus (MHV), which enables
fusion of the virion with the host cell. However, Xiao et al.
(2003) determined that the spike protein of SARS-CoV me-
diated fusion with the host cell at a neutral pH. These data
suggest that different pH conditions affect the spike proteins
of coronaviruses, and the activity of the spike protein of the
SARS-CoV may be sensitive to changes in pH, possibly by
changing the infectious nature of the viral particles. There-
fore, we investigated the effect of different pH exposures on
the infectivity of SARS-CoV. After exposing SARS-CoV to
extreme alkaline conditions of pH 12 and 14 for 1 h, and sub-
sequently reversing the conditions to a neutralized, buffered
solution, the virus was completely inactivated (Fig. 3). Mod-
erate variations of pH conditions from 5 to 9 had little effect
on virus titer, regardless of the temperature. However, highly
acidic pH conditions of 1 and 3 completely inactivated the
virus at 25 and 37C. At 4 C, a pH of 3 did not fully in-
activate the virus. These data indicate that the infectivity of
SARS-CoV is sensitive to pH extremes.
3.5. Infectivity of isolated viral RNA and isolated
proteins
Biochemical and molecular biology experiments may re-
quire the isolation of nucleic acids or proteins from virus-
Fig. 3. Effect of pH conditions on the infectivity of SARS-CoV. Virus
aliquots (2ml) were adjusted to the indicated pH condition, divided into
triplicate samples, incubated at the designated temperature for 1h, neutral-
ized, frozen, and titrated. The dotted line denotes the limit of detection of
the assay.
infectedcells. Weuseda phenoland guanidineisothiocyanate
solution (TRIzol, Sigma) to isolate cytoplasmic RNA from
SARS-CoV infected Vero cells. After inoculation of Vero
cells with the isolated RNA, we determined that SARS-CoV
RNA was not able to produce CPE in the cells (data not
shown). We also found that transfection of the cells with this
RNA, using a liposome-based transfection reagent (DMRIE-
C, Invitrogen, as per manufacturer’s instructions for RNA
transfection), was also not sufficient to cause infection of
Vero cells (data not shown).
Additionally, we tested the effectiveness of SDS/NP-40
treatment on inactivation of the SARS-CoV. Briefly, SARS-
CoV-infectedVerocells werelysed withan SDS/NP-40 solu-
tion,clarified by centrifugation,and thesupernatant wasused
to infect Vero cell monolayers. No CPE was observed in the
cells after 3 and 4 days, indicating that SDS/NP-40-induced
disruption of the virions was sufficient to prevent survival of
infectious particles.
4. Discussion
Inactivation of SARS-CoV can be achieved through a
number of techniques, given sufficient time and appropri-
ate temperature conditions. We caution that the inactivation
procedures discussed above were performed under specific
conditions. Due to the grave consequences of a potential
SARS-CoV human infection, great care should be taken to
ensurethat anyinactivationproceduresused tomakethe virus
safe for BSL2 conditions are effective for each viral stock.
We determined that greater than 15 min of UVC treatment
inactivated the virus while UVA light had no effect on via-
bility, regardless of duration of exposure. Duan et al. (2003)
examined the effect of UVC light on SARS-CoV at an inten-
sity of >90 W/cm2and a distance of 80cm, and determined
that inactivation of the virus occurred at 60min. Inactivation
may have occurred more efficiently in our study due to the
greater intensity of UVC light and the closer proximity of the
light source. We also examined the effect of gamma irradia-
tion on SARS-CoV, and found no decrease in infectivity at
the highest dose of 15,000rad. This result was not surpris-
ing, as the Centers for Disease Control and Prevention have
used a much higher dose of 2 ×106rad to inactivate poten-
tial SARS-CoV-infected serum specimens for study in BSL2
laboratories (Ksiazek et al., 2003). This dosage is in the same
range (3–4.5 ×106rad) that is necessary to inactivate viruses
in monoclonal antibody preparations (Grieb et al., 2002) and
bone diaphysis transplants (Pruss et al., 2002).
Our experiments showed that heat treatment of SARS-
CoV for 45 min at 75C resulted in inactivation of the virus,
while 90min at 56 and 65 C was required for virus inac-
tivation. Laude (1981) determined that thermal inactivation
of another coronavirus, transmissible gastroenteritis virus of
swine, also occurred faster at higher temperatures, such as 47
and 55C, than at the lower temperature of 31 C. Our data
are similar to the findings of Duan et al. (2003), wherein viral
90 M.E.R. Darnell et al. / Journal of Virological Methods 121 (2004) 85–91
inactivation occurred at 90, 60, and 30min after incubation
at 56, 65, and 75 C, respectively. Heat is an effective means
of SARS-CoV inactivation, however, stocks containing viral
aggregates may require a longer duration of heat exposure.
We determined that formalin and glutaraldehyde inacti-
vatedSARS-CoVin atemperature- andtime-dependentman-
ner. While incubation at 4C inhibited the effect of these
chemicals, at 37C or room temperature, formalin signifi-
cantly decreased the infectivity of the virus on day 1, while
glutaraldehyde inactivated SARS-CoV after incubations of
1–2 days. As glutaraldehyde is commonly used to disinfect
medical instruments, especially endoscopes, care should be
taken to analyze time, temperature, and concentration re-
quirements necessary for complete SARS-CoV inactivation.
Weismiller et al. (1990) determined that a pH of 8.0 in-
duces a conformational change in the spike protein of the
coronavirus MHV that enables fusion of the virion with the
host cell. However, Xiao et al. (2003) determined that the
spike protein of SARS-CoV mediated fusion with the host
cell at a neutral pH. These data suggest that different pH
conditions affect the spike proteins of coronaviruses, and the
activity of the spike protein of SARS-CoV may be sensitive
to changes in pH, possibly by changing the infectious na-
ture of the viral particles. We determined that exposure of
SARS-CoV to extreme basic or acidic conditions caused in-
activation, while the virus remained stable within a range of
neutralpH. The pHof gastric secretionsof the stomachranges
from 1.0 to 3.5, while the small and large intestines range
from pH 7.5 to 8.0 (Guyton and Hall, 1997). Taken together,
these data suggest that ingestion of SARS-CoV would prob-
ably result in inactivation of most virions by stomach acid.
However, acidic conditions of the stomach may be partially
neutralized by a particularly large meal or antacid ingestion,
and under these conditions the virus might have a chance to
move through the stomach into the slightly basic conditions
of the intestines. Leung et al. (2003) have shown enteric in-
volvement of the SARS virus, as evidenced by the presence
of active viral replication in intestinal biopsy specimens from
five patients, and the isolation of SARS-CoV RNA in stool
specimens up to 10 weeks after onset of symptoms. These
data, coupled with the previously mentioned stability of the
virus to moderate pH conditions, suggest that the SARS virus
may survive ingestion and a fecal/oral route of infection may
be possible.
Our experiments showed that UVC light, heat, formalin,
glutaraldehyde, and extremes of pH, were able to inactivate
SARS-CoV. However, gamma irradiation at the doses tested,
was not sufficient to inactivate the virus. As expected, nei-
ther viral RNA alone nor virions disrupted by SDS/NP-40
wereinfectious. Theseconditionswere appropriateforour vi-
ral stocks as described, however, we caution that researchers
need to test viral stocks for complete inactivation before han-
dlingthe virusat lowersafety levels.These dataanalyze virus
samplesin tissue culture medium andwe arecurrently testing
the inactivation properties required of SARS-CoV in biolog-
ical (body) fluids. Understanding the ways in which SARS-
CoV can be inactivated, will allow the transfer of the virus
from BSL3 to BSL2 conditions, and will promote the study
of inactivated viral vaccines.
Acknowledgements
Wethank SpectronicsCorporationfor theuse ofUVlamps
and radiometer. We also thank Leatrice Vogel and Josephine
McAuliffe for technical assistance, Montserrat Puig for help-
ful suggestions and Kathryn Carbone, Jesse Goodman, Bill
Egan and Jerry Weir for their support.
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... Recent studies also showed promising activity of UVC irradiation against human coronavirus [14,15,18]. The inactivating effects of UVC on coronaviruses on platelet concentrates [18], personal protective equipment [22,23] and other in vitro conditions [24][25][26] have been reported recently. The viruses studied in these experiments included SARS-CoV-2 [23,26] and also other coronaviruses including human betacoronavirus HCoV-OC43 [24], MERS (EM/2012 strain) [22], SARS-CoV (200300592 strain) [22] and SARS-CoV (Urbani strain) [25]. ...
... The inactivating effects of UVC on coronaviruses on platelet concentrates [18], personal protective equipment [22,23] and other in vitro conditions [24][25][26] have been reported recently. The viruses studied in these experiments included SARS-CoV-2 [23,26] and also other coronaviruses including human betacoronavirus HCoV-OC43 [24], MERS (EM/2012 strain) [22], SARS-CoV (200300592 strain) [22] and SARS-CoV (Urbani strain) [25]. As all human coronaviruses have similar genomic sizes, the results of studies performed on human coronaviruses would be expected to be extrapolated to SARS-CoV-2. ...
... In their experiment, when Darnell et al. applied UVC to the SARS-CoV Urbani strain containing wells at a distance of 3 cm, partial inactivation started in 1 minute of UVC exposure with increasing efficiency up to 6 minutes and complete inactivation in 15 minutes [25]. ...
Article
Objective and background: Light-based antimicrobials, mainly ultraviolet C (UVC) and laser light irradiation, have a potential to inactivate severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The aim of our study was to evaluate the effect of transbronchial and intravenous application of UVC and laser light irradiation on treatment of patients with severe COVID-19. Methods: The clinical outcome of six patients (age 42-69 years) with severe COVID-19 infection who were directly applied UVC (254 nm) transbronchially, and UVC plus green (630 nm) and red laser (535 nm) lights to the blood circulation in addition to standard pharmacotherapy (UVC group) were prospectively evaluated in comparison to six patients (age 50-69 years) treated only with pharmacotherapy (standard treatment group). Results: The patients in UVC group had shorter stay in intensive care unit (median length of stay 1 vs. 8.5 days; p=0.015), more negative PCR results after treatment (5/6 vs. 0/6 patients; p=0.003), higher discharge rate (5/6 vs. 3/6 patients), and lower mortality (1/6 vs. 3/6 patients), as compared to patients in standard treatment group. Serum D-dimer level, which reached up to 2500 ng/mL (six times of baseline value) seven days after treatment in standard treatment group, was much lower in UVC group (1000 ng/mL). Serum ferritin level was 1.5 to 1.9-fold higher and CRP level was up to 1.7-fold higher in standard treatment group during ten days after treatment as compared to UVC group. No adverse effects have been observed. Conclusions: Combined transbronchial and intravenous UVC and laser irradiation may improve outcome of severe COVID-19 cases.
... Using Ultraviolet Light for Reprocessing of PPE: Ultraviolet irradiation (UV) causes the inactivation of viruses by destroying their nucleic acids (RNA) with a photodimerization procedure (Darnell et al. 2004). Optimum irreversible damage of molecules happens around the 254-nm wavelength in the UVC area (200-280 nm) Rowan 2019). ...
... • Low performance because of shadow created by the multifold layers of the FFR's construction Darnell et al. 2004 demonstrated that oxo-biodegradable and biodegradable plastic formulations' functional preserved after 3 years in the marine and soil environments (Napper and Thompson 2019). For example, polysaccharide-based material-filled natural rubber latex (PFNRL) gloves are in the category of biodegradable gloves. ...
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After December 2019, the globe was affected by a new coronavirus (SARS-CoV-2) that causes severe respiratory illnesses, which is responsible for increasing environmental problem consequences related to the extra consumption of medical waste and single-use plastics (such as personal protective equipment (PPE) and packaging plastics). Although the consumption of these plastics protects our life during this crisis, it is pivotal to move toward plastic recycling processes and environmentally friendly and sustainable alternatives, like bio-based degradable plastics with a circular economy perspective. This review article collected scattered information and provided a future perspective on how worldwide COVID-19 disruption can perform as a catalyst to improve plastic and medical waste management. Additionally, this paper illustrates the most effective disinfection technologies for COVID-19 wastes, such as high/low heat technologies and chemical disinfection, and PPE reusing processes, including dry heat, vaporized hydrogen peroxide, ozone, and UV light during the outbreak. In this vein, medical waste treatment facilities must be more automatic, with a minimum of personnel involved. Moreover, some recent valid guidelines from different international organizations and countries, future outlook, and practical recommendations that could be effective during this epidemic or even in the post-pandemic world for plastic and medical waste management were provided. Ultimately, governments should improve their waste management because of the potential of pathogen transmission or increased plastic and medical waste generation and try to enhance the environmental knowledge of society. People also should revise their viewpoints on plastic consumption by elevating sustainable behaviors, abandoning old habits, and adjusting to novel ones.
... UV may have a direct effect on the viability of SARS-COV-2 virus in airborne droplets and on fomites [9], thus reducing both infection rates, and the size of inoculum in those becoming infected, with correspondingly reduced disease severity [10, 11] and COVID-19 growth rates [12]. Direct viricidal suppression of SARS-CoV2 appears to be a UVB effect [13] with UVA wavelengths having no effect on SARS-CoV1 [14]. UVA does, however, photo-release NO from stores in the skin whence it is mobilised to the systemic circulation, causing vasodilatation and reduction in blood pressure [5], offering cardiovascular and metabolic benefits from UV exposure [5,8]. ...
... Given that UVA does not appear to directly act in viricidal suppression of SARS-CoV2 [13,14], the reduction in the observed risk might be the result of either behavioural change or a biological pathway. Warm and sunny days might increase the chance of time spent outdoors or away from indoor spaces where close contact with others would be higher. ...
Article
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Background Understanding factors impacting deaths from COVID‐19 is of the highest priority. Seasonal variation in environmental meteorological conditions affects the incidence of many infectious diseases and may also affect COVID‐19. Ultraviolet A (UVA) radiation induces release of cutaneous photolabile nitric oxide (NO) impacting the cardiovascular system and metabolic syndrome, both COVID‐19 risk factors. NO also inhibits the replication of SARS‐CoV2. Objectives To investigate the relationship between ambient UVA radiation and COVID‐19 deaths. Methods COVID‐19 deaths at the county level, across the USA, were modelled in a Zero Inflated Negative Binomial model with a random effect for States adjusting for confounding by demographic, socioeconomic and long‐term environmental variables. Only areas where UVB was too low to be inducing significant cutaneous vitamin D3 synthesis were modelled. We used satellite‐derived estimates of UVA, UVB and temperature and relative humidity. Replication models were undertaken using comparable data for England and Italy. Results The Mortality Risk Ratio (MRR), in the USA, falls by 29% (40% ‐15% (95% CI)) per 100 (KJ/m²) increase in mean daily UVA. We replicate this in independent studies in Italy and England and estimate a pooled decline in MRR of 32% (48%‐12%) per 100 KJ/m² across the three studies. Conclusions Our analysis suggests that higher ambient UVA exposure is associated with lower COVID‐19 specific mortality. Further research on the mechanism may indicate novel treatments. Optimised UVA exposure may have population health benefits.
... [22] Regular histotechnology processes in laboratories inactivate many viruses. A study by Darnell et al. [23] showed that formalin and glutaraldehyde inactivated coronavirus in a temperature-and time-dependent manner. Formalin significantly decreased the infectivity of the virus on day 1 at 37°C/room temperature. ...
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Aim: Histopathology laboratories are assigned laboratories where contagious biopsy samples are regularly received for diagnosis and prognosis. SARS-CoV-2 is a new public health crisis that has created a global alarming. As there is a paradigm shift in the work-flow and specimen management during this COVID-19 pandemic, this review article discusses and summarizes proper sterilization protocols that need to be implemented in histopathological laboratories. This write-up highlights the biosafety level requirement along with step-by-step safety protocol from receiving a specimen till reporting of slides by pathologists. Materials and Methods: A literature search was made to review the published recommendation that is applicable for histopathology laboratories in the light of current knowledge and understanding of COVID-19. A humble effort was also made to review the interim guidelines that are updated by the World Health Organization and Center of Disease Control on day-today basis and are highlighted in this article. Results: Based on keywords used, 29 relevant articles were found useful and were selected for the review. Conclusion: Of all the precautions, proper hand hygiene practice, use of disinfectants, and personal protective equipment are of utmost importance. Also, several studies have shown that coronavirus was inactivated during routine formalin fixation and tissue processing processes. This article focusses on highlighting the guidelines that could help in anti-spread strategies.
... At a lower centrifugation speed of 1000 rpm, cell harvest clarification and vaccine purification were done. SARS-CoV-2 was chemically inactivated with 37% diluted formaldehyde (Sigma-Aldrich, Germany) at 37 °C for 24 hours [13,14]. Inactivation of virus infectivity following treatment was confirmed by examining Vero cell infectivity [15]. ...
Article
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The current worldwide COVID-19 pandemic is causing severe human health problems, with high mortality rates and huge economic burdens requiring the urgent development of a safe and effective vaccine. Here, preclinical evaluation of an inactivated SARS-CoV-2 vaccine candidate (EgySerVac-20) is reported. Oropharyngeal swabs and nasopharyngeal aspirates obtained from Egyptian patients with laboratory-confirmed SARS-CoV-2 infection were isolated using Vero cells and were then genetically characterized. Vaccine inactivation was performed using diluted formaldehyde, followed by safety testing for the inactivated vaccine. To determine the high humoral immune responses against SARSCOV- 2 infection, the safety and capacity of the vaccine prepared with alum adjuvant were tested. The immunogenicity and efficacy of the vaccine candidate was tested in vitro by a neutralization assay and in vivo using mouse models. Our results revealed a cytopathic effect which was observed 48 hours post infection and the viral particles were identified by rRT-PCR as SARS-CoV-2. Propagation of the isolated virus in ten serial passages on the Vero cells yielded a virus titer 7.5 log10 TCID50/ml. Complete inactivation of SARS-CoV-2 was observed at 37°C in 24 hours post treatment by diluted formaldehyde. Inactivated SARS-CoV-2 infected fluid safety was determined by absence of cytopathic effect by repeated passage in Vero cell line, indicating loss of virus infectivity. Virus inactivated by diluted formaldehyde showed no deaths or clinical symptoms in mice groups post intraperitoneal inoculation (0.5ml/mouse). EgySerVac-20 inactivated vaccine has safely induced high levels of neutralizing antibodies titers in mice, where 0.1 ml immunization dose showed protective efficacy against SARS-CoV-2 challenge in mice. This finding will support the future preclinical and clinical trials evaluation for our SARS-CoV-2 vaccine candidate in primates and human, respectively
... Sample preparation and storage. Urine: To inactivate any viable virus in the samples, two different treatments were applied: 1) detergent NP-40 (Thermo Scientific TM Nonidet TM P40 Substitute) [21] and 2) heat inactivation based on recommendations of the University of Pennsylvania Environmental Health and Safety Office. Eleven samples from children ( Table 2) Table 2 Data are median value (interquartile range) or number of patients (%). 1 One SARS-CoV-2 negative patient had previously tested positive, one had not been previously tested but reported to have had signs consistent with COVID-19 ...
Article
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While the world awaits a widely available COVID-19 vaccine, availability of testing is limited in many regions and can be further compounded by shortages of reagents, prolonged processing time and delayed results. One approach to rapid testing is to leverage the volatile organic compound (VOC) signature of SARS-CoV-2 infection. Detection dogs, a biological sensor of VOCs, were utilized to investigate whether SARS-CoV-2 positive urine and saliva patient samples had a unique odor signature. The virus was inactivated in all training samples with either detergent or heat treatment. Using detergent-inactivated urine samples, dogs were initially trained to find samples collected from hospitalized patients confirmed with SARS-CoV-2 infection, while ignoring samples collected from controls. Dogs were then tested on their ability to spontaneously recognize heat-treated urine samples as well as heat-treated saliva from hospitalized SARS-CoV-2 positive patients. Dogs successfully discriminated between infected and uninfected urine samples, regardless of the inactivation protocol, as well as heat-treated saliva samples. Generalization to novel samples was limited, particularly after intensive training with a restricted sample set. A unique odor associated with SARS-CoV-2 infection present in human urine as well as saliva, provides impetus for the development of odor-based screening, either by electronic, chemical, or biological sensing methods. The use of dogs for screening in an operational setting will require training with a large number of novel SARS-CoV-2 positive and confirmed negative samples.
... The G6 materials company have developed a unique method to incorporate graphene in the air filtration systems making them more efficient taking advantage of the extraordinary antimicrobial qualities of graphene [26]. Indeed, it has been proved that the viruses can be denatured after adsorption on graphene and heat treatment at 56 °C for 30 min [27,28]. The potent antiviral activity of both GO and rGO also have been proven, this can be attributed to the unique single-layer structure and negative charge features. ...
Article
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The COVID-19 (Coronavirus Disease 2019), caused by the SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) began in December 2019 in Wuhan, China. Until February 2021, there are 110 million of infected people, 60 million have recovered and approximately 2.5 million have passed away worldwide according to WHO. The coronavirus pandemic is evolving very rapidly and represents a risk for health care workers and society in general. Moreover, pandemic has tested the limits of health systems by raising questions about forms of prevention, management of infections with conventional therapies and the use of diagnostic tools. In this article we discussed the possible role of the nanostructured-graphene based materials as aid tools for preventing the spread and infection of SARS-CoV-2. In this regard, nanotechnology could take part in the fight against the spread of future diseases caused by deadly viruses. However, its use should be well founded in terms of biocompatibility. Therefore, we have proposed an approach based on graphene nanomaterials as possible allies for the fight against the COVID-19 spread based on the physicochemical features that present these novel nanomaterials.
... Gastric juice is the first line of defense against pathogens, including bacteria and viruses, with one of the main functions of eradicating ingested pathogens and thereby inhibiting infectious microorganisms from reaching the intestine [4]. The normal pH of a healthy stomach (≤ 3) disrupts the infectivity of the similar SARS-CoV-1, whereas less acidic pH due to PPI-induced gastric acid suppression does not deactivate the virus [29]. The ACE2 receptors, which are also widely expressed throughout the intestinal tract [30], are used by SARS-CoV-2 to quickly invade and replicate within enterocytes [31]. ...
Article
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Background The negative impacts of proton pump inhibitor (PPI), including the risk of pneumonia and mortality, have been reported previously. This meta-analysis aimed to address the current interest of whether the administration of PPI could increase the susceptibility and risk of poor outcome in COVID-19.Methods We performed a systematic literature search from PubMed, Embase, EBSCOhost, and EuropePMC databases up until 3 December 2020. The main outcome was composite poor outcome which comprised of mortality and severe COVID-19. Severe COVID-19 in this study was defined as patients with COVID-19 that fulfill the criteria for severe CAP, including the need for intensive unit care or mechanical ventilation. The secondary outcome was susceptibility, based on cohort comparing COVID-19 positive and COVID-19 negative participants.ResultsThere were a total of 290,455 patients from 12 studies in this meta-analysis. PPI use was associated with increased composite poor outcome (OR 1.85 [1.13, 3.03], p = 0.014; I2 90.26%). Meta-regression analysis indicate that the association does not vary by age (OR 0.97 [0.92, 1.02], p = 0.244), male (OR 1.05 [0.99, 1.11], p = 0.091), hypertension (OR 9.98 [0.95, 1.02], p = 0.317), diabetes (OR 0.99 [0.93, 1.05], p = 0.699), chronic kidney disease (OR 1.01 [0.93, 1.10], p = 0.756), non-steroidal anti-inflammatory drug use (OR 1.02 [0.96, 1.09], p = 0.499), and pre-admission/in-hospital PPI use (OR 0.77 [0.26, 2.31], p = 0.644). PPI use was not associated with the susceptibility to COVID-19 (OR 1.56 [0.48, 5.05], p = 0.46; I2 99.7%).Conclusion This meta-analysis showed a potential association between PPI use and composite poor outcome, but not susceptibility.PROSPERO ID: CRD42020224286.
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Rapid and demonstrable inactivation of SARS-CoV-2 is crucial to ensure operator safety during high-throughput testing of clinical samples. The inactivation efficacy of SARS-CoV-2 was evaluated using commercially available lysis buffers from three viral RNA extraction kits used on two high-throughput (96-well) RNA extraction platforms (Qiagen QiaCube HT and the ThermoFisher Kingfisher Flex) in combination with thermal treatment. Buffer volumes and sample ratios were chosen for their optimised suitability for RNA extraction rather than inactivation efficacy and tested against a representative sample type; SARS-CoV-2 spiked into viral transport medium (VTM). A lysis buffer from the MagMax Pathogen RNA/DNA kit (ThermoFisher), used on the Kingfisher Flex, which included guanidinium isothiocycnate (GITC), a detergent, and isopropanol demonstrated a minimum inactivation efficacy of 1 x 10 ⁵ TCID 50 /ml. An alternative lysis buffer from the MagMax Viral/Pathogen Nucleic Acid kit (Thermofisher) also used on the Kingfisher Flex and the lysis buffer from QIAamp 96 Virus QIAcube HT Kit (Qiagen) used on the QiaCube HT (both of which contained GITC and a detergent) reduced titres by 1 x 10 ⁴ TCID 50 /ml but did not completely inactivate the virus. Heat treatment alone (15 minutes, 68 °C) did not completely inactivate the virus, demonstrating a reduction of 1 x 10 ³ TCID 50 /ml. When inactivation methods included both heat treatment and addition of lysis buffer, all methods were shown to completely inactivate SARS-CoV-2 inactivation against the viral titres tested. Results are discussed in the context of the operation of a high-throughput diagnostic laboratory.
Article
The rapid increase in global cases of COVID-19 illness and death requires the implementation of appropriate and efficient engineering controls to improve indoor air quality. This manuscript focuses on the use of the ultraviolet germicidal irradiation (UVGI) air purification technology in HVAC ducts, which is particularly applicable to buildings where fully shutting down air recirculation is not feasible. Given the poor understanding of the in-duct UVGI system regarding its working mechanisms, designs, and applications, this review has the following key research objectives:
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In March 2003, a novel coronavirus (SARS-CoV) was discovered in association with cases of severe acute respiratory syndrome (SARS). The sequence of the complete genome of SARS-CoV was determined, and the initial characterization of the viral genome is presented in this report. The genome of SARS-CoV is 29,727 nucleotides in length and has 11 open reading frames, and its genome organization is similar to that of other coronaviruses. Phylogenetic analyses and sequence comparisons showed that SARS-CoV is not closely related to any of the previously characterized coronaviruses.
Article
MEASLES immunization is an accepted pediatric preventive measure. Several different immunizing procedures have been recommended, including: (1) attenuated virus administration with and without simultaneous immune globulin; (2) a series of inactivated vaccine injections; and (3) combinations of attenuated and inactivated virus.1,2 Attenuated virus immunization is safe, evokes serum neutralizing antibody in 95% or more of susceptible children, and confers long-lasting, probably lifelong, immunity.3 Immunization with inactivated vaccine has not resulted in similar protection; neutralizing antibody is stimulated in 90% of patients, but is relatively short-lived. More important, immunity wanes, resulting in modified or typical measles upon natural exposure.4-7 Sufficient data has not been accumulated to make a final judgment of the combined inactivated-attenuated virus vaccine schedule. The administration of inactivated vaccine in one or more doses preceding attenuated virus administration results in diminished fever and rash and in adequate antibody stimulation.4,6 However, some individuals with demonstrable
We have cloned, expressed, and characterized the full-length and various soluble fragments of the SARS-CoV (Tor2 isolate) S glycoprotein. Cells expressing S fused with receptor-expressing cells at neutral pH suggesting that the recombinant glycoprotein is functional, its membrane fusogenic activity does not require other viral proteins, and that low pH is not required for triggering membrane fusion; fusion was not observed at low receptor concentrations. S and its soluble ectodomain, Se, were not cleaved to any significant degree. They ran at about 180–200 kDa in SDS gels suggesting post-translational modifications as predicted by previous computer analysis and observed for other coronaviruses. Fragments containing the N-terminal amino acid residues 17–537 and 272–537 but not 17–276 bound specifically to Vero E6 cells and purified soluble receptor, ACE2, recently identified by M. Farzan and co-workers [Nature 426 (2003) 450–454]. Together with data for inhibition of binding by antibodies developed against peptides from S, these findings suggest that the receptor-binding domain is located between amino acid residues 303 and 537. These results also confirm that ACE2 is a functional receptor for the SARS virus and may help in the elucidation of the mechanisms of SARS-CoV entry and in the development of vaccine immunogens and entry inhibitors.
Abstract A worldwide concern has emerged with regard to endoscope disinfection and many gastrointestinal endoscopy associations have developed guidelines for proper disinfection of endoscopes and endoscopic accessories. A working party was convened to formulate guidelines for the Asia–Pacific region, pertaining to any setting in which gastrointestinal endoscopy is performed. Endoscope reprocessing that meets the established standard of practice helps to ensure a microbial-free endoscope for all patients, reduces the risk of disease transmission and helps to prolong the life of the endoscope. The recommendations included mechanical cleaning as the first and most important step followed by immersion in 2% glutaraldehyde for a minimum period of 10 min. Automated disinfectors have been recommended for busy endoscopy centres to ensure better compliance. Reuse of endoscopic accessories meant for ‘single use’ remains a controversial issue. Strict quality assurance programmes are a must to preclude lack of compliance with these guidelines.
Article
BACKGROUND: Viruses, among them parvovirus B19 and other small, nonenveloped viruses, may be present in human blood and may contaminate plasma-derived therapeutics. Efficient inactivation or removal of such viruses, especially parvoviruses, represents a current problem and corresponding technologies are under investigation. In this report, such a technology is described.STUDY DESIGN AND METHODS: A recently developed pasteurization of human apolipoprotein A-I (apoA-I), which is performed at 60°C for 10 hours in the presence of guanidine hydrochloride (GdnHCl), was validated by using a series of model viruses, including members of the families parvoviridae and picornaviridae. The model viruses were spiked into the apoA-I- and GdnHCl-containing solutions, and virus inactivation was evaluated by infectivity assays in cell cultures. The mechanism of virus inactivation was studied by virus sedimentation analysis using the picornavirus model.RESULTS: All viruses tested were inactivated to levels below the limit of detection, although different inactivation kinetics were obtained for the different viruses. The mechanism of virus inactivation by this pasteurization was disassembly of the virus particles into single proteins or small noninfectious viral subunits.CONCLUSION: The pasteurization validated in this report has the potential to inactivate a wide range of transfusion-relevant viruses including parvoviruses and picornaviruses.
Article
Monoclonal antibodies (MAbs) directed against the E2 glycoprotein of mouse hepatitis virus (MHV) have been classified according to their ability to bind to either of the two purified 90,000-molecular-weight subunits (90K subunits) of the 180K peplomeric glycoprotein E2. Correlation with previously reported information about these MAbs suggest that both of the subunits of E2 are important for viral infectivity and cell fusion. Incubation of trypsin-treated virions at pH 8.0 and 37 degrees C released only the E2N subunit from virions. The pattern of MAb reactions suggested that a conformational change occurred in the E2N subunit in association with its release from virions under mildly alkaline conditions at 37 degrees C, the same conditions which are optimal for coronavirus-induced cell fusion.
Article
The efficacy of two heating cycles (90 sec at 103 degrees C and 10 hr at 65 degrees C) used during manufacture of a plasma-derived hepatitis-B vaccine was validated for the inactivation of 12 virus families. A period of 15 min warming up to 65 degrees C had already completely inactivated representatives of nine virus families, ie, poxvirus (vaccinia), picornavirus (encephalomyocarditis virus), togavirus (sindbis virus), coronavirus (mouse hepatitis virus), orthomyxovirus (influenza virus), rhabdovirus (vesicular stomatitis virus), herpes virus (cytomegalovirus), lentivirus (human immunodeficiency virus), and retrovirus (murine leukemia virus). After prolonged heating at 65 degrees C or heating for 90 sec at 103 degrees C, parvovirus (canine parvovirus) and the phage phiX174 were also completely inactivated. Papovavirus represented by simian virus 40 (SV-40) was the most heat-resistant virus evaluated. The infectivity of SV-40 was reduced by 10(4) Tissue Culture Infectious Doses (TCID50) per ml after 90 sec at 103 degrees C, but a marginal residual activity (less than 1.5 TCID50 per ml) was observed. Subsequent pasteurization for 10 h at 65 degrees C did not further reduce the infectivity of SV-40. This study shows that the two heat-inactivation steps used during the production of this vaccine kill a wide variety of viruses that might be present in human blood.
Article
In response to three injections of alum precipitated, 100X concentrated, formalin inactivated RS vaccine (lot 100), 43% of infant vaccinees displayed a 4-fold or greater rise in serum neutralizing antibody and 91% displayed a 4-fold or greater rise in serum CF antibody. When RS virus became prevalent in the community, the rate of RS virus infection in infants who received this vaccine was not remarkably different from that in control infants who received parainfluenza vaccines. However, 80% of RS vaccinees required hospitalization at the time of RS infection whereas only 5% of such infections among parainfluenza vaccinees resulted in admission to the hospital. Illnesses among the RS vaccinees who underwent natural infection included pneumonia, bronchiolitis, and bronchiolitis with pneumonia in a majority and rhinitis, pharyngitis and bronchitis in a few. It seems clear that infants who received this vaccine were not protected against natural infection and also, when they became naturally infected their illness was more severe than that seen in cohorts who received a similar parainfluenza type 1 vaccine. These findings indicate that vaccine-induced RS virus serum antibody alone does not protect against illness and suggest that serum antibody without local respiratory antibody may play a part in the production of disease. We have also observed that the highest incidence of serious RS virus illness occurring naturally is under six months of age when maternally derived serum antibody is present. These findings together suggest that RS virus illness in infants is an immunologic phenomenon wherein the virus and serum antibody interact to produce severe illness.