Kinetics and Mechanisms of Virus Inactivation by Chlorine Dioxide in Water Treatment: A Review.

Chlorine dioxide (ClO2), an alternative disinfectant to chlorine, has been widely applied in water and wastewater disinfection. This paper aims at presenting an overview of the inactivation kinetics and mechanisms of ClO2 with viruses. The inactivation efficiencies vary greatly among different virus species. The inactivation rates for different serotypes within a family of viruses can differ by over 284%. Generally, to achieve a 4-log removal, the exposure doses, also being referred to as Ct values (mutiplying the concentration of ClO2 and contact time) vary in the range of 0.06-10 mg L-1 min. Inactivation kinetics of viruses show two phases: an initial rapid inactivation phase followed by a tailing phase. Inactivation rates of viruses increase as pH or temperature increases, but show different trends with increasing concentrations of dissolved organic matter (DOM). Both damages in viral proteins and in the 5' noncoding region within the genome contribute to virus inactivation upon ClO2 disinfection.

Chlorine dioxide (ClO2), an alternative disinfectant to chlorine, has been widely used to control a number of waterborne pathogens in water and wastewater treatment (AWWA Water Quality Division 2000; Sobsey 1989). Compared with chlorine, ClO2 greatly reduces the generation of toxic halogenated disinfection products (Chang et al. 2000; Korn et al. 2002; Zhong et al. 2019), and chlorite and chlorate are the major ClO2 byproducts (Gan et al. 2020; Schmidt et al. 2000; Sorlini et al. 2014). ClO2 has a superior inactivation ability on bacteria such as Escherichia coli and Staphylococcus aureus (Huang et al. 1996), viruses such as poliovirus and adenovirus (Huang et al. 1997), fungi such as Penicillium chrysogenum and Stachybotrys chartarum (Wilson et al. 2005) and protists such as Cryptosporidium parvum (Chauret et al. 2001; Korich et al. 1990) and Giardia intestinalis (Winiecka-Krusnell and Linder 1998). Among these microorganisms, viruses consist of relatively simple structures and lack mechanisms to repair oxidative damage outside the hosts (Choe et al. 2015; Wigginton and Boehm 2020). However, viruses remain a concern as they exhibit higher resistance toward disinfectants than traditional bacterial indicators such as Escherichia coli and Enterococci and have very low infectious doses (Aronino et al. 2009; Fulton and Budd 1992; Mamane et al. 2007). The United States Environmental Protection Agency (USEPA) (2018) has included adenovirus, caliciviruses, enterovirus, and hepatitis A virus in the contaminant candidate list 4 as common drinking water microbial contaminants. The World Health Organization guidelines (2011) for drinking water quality classify astroviruses, hepatitis E virus, sapovirus, and rotavirus as important pathogens with some evidence for high health risks. There are conclusive evidences that viruses (e.g. rotavirus, norovirus, enterovirus) can be disseminated through aquatic environments (IAWPRC Study Group on Water Virology 1983; Riera-Montes et al. 2011; Scarcella et al. 2009), though little is known about the fate of ongoing pandemic of COVID-19 in aquatic phase. Thus, to prevent the outbreak and epidemic of viruses, it is very important to ensure the effective inactivation of viruses during disinfection, a final barrier in the processes of drinking water or wastewater treatment.

At present, there are many studies on the virucidal activity of ClO2 toward viruses, including nonenveloped viruses (e.g. bacteriophage, enterovirus, adenovirus, calicivirus, rotavirus and parvovirus) and enveloped viruses (e.g. influenza virus, measles virus, herpesvirus and distemper virus). Enveloped viruses differ structurally from nonenveloped viruses due to the presence of a lipid bilayer membrane outside the viral protein capsid, which contains proteins or glycoproteins. The different functional groups on the outer surface of enveloped viruses compared to nonenveloped viruses likely impact their survival and partitioning behavior in aqueous environments (Arbely et al. 2006; Gundy et al. 2009; Shigematsu et al. 2014). Many factors have been found to exert great impacts on virus inactivation rates such as ClO2 dosage, pH, and temperature (Berman and Hoff 1984; Chen and Vaughn 1990; Hornstra et al. 2011; Thurston-Enriquez et al. 2005). The mechanisms of inactivation of virus by ClO2 include the disruption of the virus protein or the damage of genome (Jin et al. 2013,2012; Li et al. 2004; Sigstam et al. 2013; Wigginton et al. 2012). Understanding the virus inactivation kinetics upon ClO2 disinfection is a pressing need in environmental engineering for ensuring sufficient disinfectant doses. By elucidating inactivation efficiencies and mechanisms of viruses, we can better control waterborne viruses in water and wastewater treatment.

As such, the purpose of this review is to provide an overview of the kinetics and mechanisms of inactivation of viruses by ClO2 disinfection, and identify the research gap and future research directions.

Inactivation Efficiencies of Diverse Viruses

The inactivation efficiencies of different kinds of viruses are shown in Table 1. Generally, the inactivation efficiencies of bacteriophage and rotavirus are very high and 4 log removal can be achieved within 0.06–1.45 mg L−1 min in disinfectant demand-free water under different pH and temperature (Berman and Hoff 1984; Hauchman et al. 1986; Sanekata et al. 2010). Canine parvovirus is relatively difficult to be inactivated and no obvious inactivation was observed within 2 min at a ClO2 dosage of 1.0 mg L−1 (Sanekata et al. 2010). For the same kind of virus, cell-associated simian rotavirus SA11 is more resistant to ClO2 than freely suspended virions (Berman and Hoff 1984). Interestingly, for closely related viruses, they can exhibit very different susceptibilities to ClO2. For example, in Sigstam’s study (2013), although the genome sequences and the amino acid sequences in capsid protein of bacteriophage GA are 74% and 62% identical to that of MS2, respectively, the inactivation rate constant of GA is 2.84 times higher than that of MS2 during ClO2 disinfection. Sanekata et al. (2010) suggested that the inactivation of human adenovirus by ClO2 was rapider than canine adenovirus. Moreover, to achieve 99% inactivation, the required disinfection time for coxsackievirus B5 is half of that for coxsackievirus A9 (Scarpino 1979; Zoni et al. 2007). It suggested that even minor differences in composition of virus may result in substantial differences in inactivation kinetics. Future studies should pay more attention to molecular-level reactions of ClO2 on the different virus components so as to understand how the genome and amino acid sequences and their structures affect the reaction kinetics with ClO2 and how the alteration connects with the loss of infectivity.

Table 1

Inactivation of viruses by chlorine dioxide (ClO2)

Virus	Ct value (mg min L−1)/t (min)a	Inactivation	Experimental condition	Viral information	References
Bacteriophage
Bacteriophage f2	2 min	> 4 log	0.6 mg L−1 ClO2, pH 7.2, 5 °C	Nonenveloped virus with single-stranded RNA	(Hauchman et al. 1986)
Bacteriophage f2	2 min	< 2 log	0.4 mg L−1 ClO2, pH 7.0, 5 °C		(Taylor and Butler 1982)
Bacteriophage MS2	0.42 mg min L−1	4 log	pH 7.2, 5 °C		(Lim et al. 2010)
Bacteriophage MS2	4 mg min L−1	5 log	pH 7.2, 0 °C		(Hornstra et al. 2011)
Bacteriophage MS2	0.48 mg min L−1	4 log	pH 7.2, 20 °C		(Jin et al. 2013)
Enterovirus
Enterovirus 71	3.93 mg min L−1	4 log	pH 7.2, 20 °C	Nonenveloped virus with single-stranded RNA	(Jin et al. 2013)
Echovirus 11	1.0 mg min L−1	6 log	pH 7.4		(Zhong et al. 2017)
Coxsackievirus A9	1.16 min	2 log	0.4 mg L−1 ClO2, pH 7.0, 15 °C		(Scarpino 1979)
Coxsackievirus B5	2.41 min	4 log	0.4 mg L−1 ClO2, pH 7.0, 20 °C		(Zoni et al. 2007)
Poliovirus	10 min	2 log	1.0 mg L−1 ClO2, pH 6.0, 25 °C		(Alvarez and Brien 1982)
Poliovirus	10 min	< 2 log	0.4 mg L−1 ClO2, pH 7.0, 5 °C		(Taylor and Butler 1982)
Poliovirus	2.5 min	4 log	1.0 mg L−1 ClO2, pH 7.0, 20 °C		(Tachikawa et al. 1993)
Hepatitis A virus	19.58 min	4 log	0.4 mg L−1 ClO2, pH 7.0, 20 °C		(Zoni et al. 2007)
Rotavirus
Human rotavirus	1.21 mg min L−1	4 log	pH 7.2, 20 °C	Nonenveloped virus with double-stranded RNA	(Xue et al. 2013)
Human rotavirus type 2	1 min	4 log	0.2 mg L−1 ClO2, pH 7, 5 °C		(Chen and Vaughn 1990)
Simian rotavirus SA11	0.37 min	4 log	0.17 mg L−1 ClO2, pH 7, 5 °C		(Chen and Vaughn 1990)
Simian rotavirus SA11	0.28 mg min L−1	2 log	pH 6, 5 °C		(Berman and Hoff 1984)
Cell-associated simian rotavirus SA11	1.45 mg min L−1	4 log	pH 6, 5 °C		(Berman and Hoff 1984)
Adenovirus
Adenovirus type 40	0.12 mg min L−1	4 log	pH 8, 15 °C	Nonenveloped virus with double-stranded DNA	(Thurston-Enriquez et al. 2005)
Human adenovirus	2 min	1.5 log	1.0 mg L−1 ClO2		(Sanekata et al. 2010)
Canine adenovirus	2 min	0.5 log	1.0 mg L−1 ClO2		(Sanekata et al. 2010)
Parvovirus
Canine parvovirus	2 min	0 log	1.0 mg L−1 ClO2	Nonenveloped virus with single-stranded DNA	(Sanekata et al. 2010)
Calicivirus
Feline calicivirus	0.18 mg min L−1	4 log	pH 8, 15 °C	Nonenveloped virus with single-stranded RNA	(Thurston-Enriquez et al. 2005)
Feline calicivirus	9.59 min	4 log	0.4 mg L−1 ClO2, pH 7.0, 20 °C		(Zoni et al. 2007)
Feline calicivirus	2 min	0.25 log	1.0 mg L−1 ClO2		(Sanekata et al. 2010)
Murine norovirus	0.25 mg min L−1	4 log	pH 7.2, 5 °C		(Lim et al. 2010)
Influenza virus
Influenza A virus H1N1	5 min	> 4.5 log	0.5 mg L−1 ClO2, 25 °C	Enveloped virus with single-stranded RNA	(Lénès et al. 2010)
Influenza A virus H5N1	5 min	> 4 log	0.3 mg L−1 ClO2, 25 °C		(Lénès et al. 2010)
Influenza virus	2 min	5 log	1.0 mg L−1 ClO2		(Sanekata et al. 2010)
Other enveloped viruses
Measles virus	2 min	1.75 log	1.0 mg L−1 ClO2	Enveloped virus with single-stranded RNA	(Sanekata et al. 2010)
Human herpesvirus	2 min	2.5 log	1.0 mg L−1 ClO2	Enveloped virus with double-stranded DNA	(Sanekata et al. 2010)
Canine distemper virus	2 min	3.75 log	1.0 mg L−1 ClO2	Enveloped virus with single-stranded RNA	(Sanekata et al. 2010)

aCt values were used preferentially. For the papers without giving Ct values, time and initial ClO2 concentration were provided, respectively. The classification of viruses is carried out according to the standard issued by International Committee on Taxonomy of Viruses (http://www.ictvonline.org/)

The susceptibility of enveloped viruses to ClO2 is different from that of nonenveloped viruses. Nonenveloped human viruses such as human rotaviruses, adenoviruses and enteroviruses have been widely studied (Jin et al. 2013; Thurston-Enriquez et al. 2005; Xue et al. 2013). A number of high-profile outbreaks such as Ebola virus, measles, Zika virus, avian influenzas, SARS, MERS, and the ongoing COVID-19 pandemic are caused by enveloped viruses (Aquino de Carvalho et al. 2017; Chen and Guo 2016; Das et al. 2020). Sanekata et al. (2010) suggested that the enveloped viruses (influenza virus, measles virus, human herpesvirus, canine distemper virus) experienced higher levels of inactivation than the nonenveloped viruses (human adenovirus, canine adenovirus, canine parvovirus, feline calicivirus) when being exposed to 1.0 mg L−1 ClO2. Other researchers also suggested that enveloped viruses were much easier to be inactivated by free chlorine than nonenveloped ones (Gallandat and Lantagne 2017; Rice et al. 2007; Ye et al. 2018). The explanation could be that the ClO2 can react with proteins on the enveloped membrane, such as the spike glycoprotein, the damage of which results in the failure of attachment to the host cell and thus the unsuccessful cell invasion and infection (Casais et al. 2003; Li et al. 2003; Yang et al. 2004). When the data of various viruses is put together (Fig. 1), it can be seen that viruses that are difficult to be inactivated by ClO2 are non-enveloped ones. Additionally, unlike UV disinfection, there is no obvious correlation between inactivation rates and genome types of viruses (e.g. single-stranded DNA, double-stranded DNA, single-stranded RNA and double-stranded RNA) during ClO2 disinfection. It may be because virus inactivation mechanisms by ClO2 differ between different viruses, which may be caused by genome damage or protein disruption.

Fig. 1

The log removal of viruses during ClO2 disinfection. Note: the data of enveloped virus is circled; the line indicates the variations of Ct values to achieve the 4-log removal. The legend with a black edge indicates that Ct value is the product of initial concentration of ClO2 and contact time

In order to give a whole picture of the removal of diverse viruses in water, Fig. 1 shows the relationship between the log removal of viruses and Ct values. It should be noted that most viruses can be effectively removed within 4 mg L−1 min, however, some of enterovirus, calicivirus and adenovirus are difficult to be inactivated. According to the USEPA National Primary Drinking Water Standards (2003), public utilities must ensure a 4-log inactivation of viruses from source water. To meet this regulatory guideline, the Ct value must generally be more than 10 mg L−1·min. The threshold for chlorite in drinking water is set as 0.7 mg L−1 and 1 mg L−1 in China and USA, respectively (Ministry of Health 2006; USEPA 2006). In general, the applied ClO2 dosage in drinking water disinfection is less than 1.5 mg L−1 considering that 30–70% of ClO2 is converted into chlorite (Schmidt et al. 2000; Sorlini et al. 2014; Yang et al. 2013). As such, the contact time for ClO2 disinfection is generally in the range of tens of minutes.

Effect of Experimental Conditions on Inactivation Kinetics

Viruses inactivation by ClO2 experiences an initial phase of pseudo first-order decay followed by a phase of slower kinetics or a tailing effect (Fig. S1). The occurrence of tailing is common in virus disinfection by ClO2 including bacteriophage MS2 (Hornstra et al. 2011), enterovirus 71 (Jin et al. 2013), human and simian rotavirus (Berman and Hoff 1984; Chen and Vaughn 1990), murine norovirus (Lim et al. 2010), echovirus 11 (Zhong et al. 2017), enteric adenovirus and feline calicivirus (Thurston-Enriquez et al. 2005). It has been reported that heterogeneity of the virus population or virus attachment to other (virus) particles could be responsible for the tailing behavior (Gerba et al. 2003; Hornstra et al. 2011; Keswick et al. 1985; Thurston-Enriquez et al. 2003). However, Sigstam et al. (2014) suggested that the tailing behavior of MS2 was not caused by virus aggregation or by resistant subgroup, but due to the deposition of disinfection intermediates onto the virus capsid, protecting the viruses from further disinfection.

The initial fast inactivation phase of viruses exhibits a significant dose effect, that is, the inactivation rates increase with increasing ClO2 dosages, but the second phase shows less difference (Fig. S1a) (Jin et al. 2013). Higher dose of ClO2 has stronger disinfecting capacity (Katz et al. 1994), thus, it can inactivate viruses in a short time. However, when the contact time is longer enough, lower dose of ClO2 can also effectively penetrate surface structure of viruses and lead to their death (Lin et al. 2014). Therefore, longer contact time may weaken the influence of dosage on the inactivation of viruses and remedy the insufficient disinfectant.

The virus inactivation rates in ClO2 disinfection increase rapidly with increasing pH. For example, enterovirus 71 exhibits a higher inactivation efficiency toward ClO2 at pH of 8.2 than pH of 5.6, as shown in Table 2 and Fig. S1b (Jin et al. 2013). Poliovirus is found to be inactivated 4.6 times faster at pH of 9.0 than that at pH of 7.0, and 8.3 times faster than that at pH of 4.5 at 21 °C (Scarpino 1979). The inactivation of bacteriophage f2 increases by more than 5 log after treatment with ClO2 for 2 min when pH increases from 5.0 to 9.0 (Taylor and Butler 1982). Enhanced inactivation with increasing pH is also observed in adenovirus type 40 (Thurston-Enriquez et al. 2005), feline calicivirus (Thurston-Enriquez et al. 2005), human rotavirus (Chen and Vaughn 1990) and simian rotavirus SA11 (Berman and Hoff 1984; Chen and Vaughn 1990). Unlike dose effect, pH does not affect the initial inactivation phase so strongly, but seems to have an effect on the tailing phase. Noss and Olivieri (1985) hypothesized that the results may attribute to the change of the surface structure of the virion and the concentration of hydroxyl ion in the solution. In addition, individual virions in suspension may be induced to aggregate when the pH decreases due to the elimination of repulsive electrostatic force (isoelectric points of viruses are approximately 4.0). Viral aggregates have been reported to increase the survival of viruses in the environment and resistance to disinfectants (Clark 1968; Hoff and Akin 1986; Mattle et al. 2011). Therefore, lower pH is unfavorable for virus inactivation during ClO2 disinfection.

Table 2

pH effect on viruses inactivation by chlorine dioxide

Virus	Experimental condition	Survival	Ct value for 4-log inactivation (mg min L−1)	Time for 3-log inactivation (s)	References
Poliovirus	0.4 mg L−1 ClO2, 5 °C, 10 min	25% (pH 5) > 8% (pH 7) > 0.08% (pH 9)	Not available	Not available	(Taylor and Butler 1982)
Coliphage f2	0.4 mg L−1 ClO2, 5 °C, 2 min	70% (pH 5) > 5.5% (pH 7) > 0.0004% (pH 9)	Not available	Not available	(Taylor and Butler 1982)
Adenovirus type 40	5 °C	Not available	1.28 (pH 6) > 0.67 (pH 8)	Not available	(Thurston-Enriquez et al. 2005)
Feline calicivirus	5 °C	Not available	20.85 (pH 6) > 1.08 (pH 8)	Not available	(Thurston-Enriquez et al. 2005)
Enterovirus 71	1.5 mg L−1 ClO2, 20 °C	Not available	10.7 (pH 5.6) > 6.62 (pH 7.2) > 4.92 (pH 8.2)	Not available	(Jin et al. 2013)
Simian rotavirus SA11	0.2 mg L−1 ClO2, 4 °C	Not available	Not available	160 (pH 6) > 60 (pH 7) > 6 (pH 8)	(Chen and Vaughn 1990)
Human rotaviruses	0.2 mg L−1 ClO2, 4 °C	Not available	Not available	65 (pH 6) > 6 (pH 8)	(Chen and Vaughn 1990)

The inactivation rates of viruses by ClO2 are temperature-dependent and the inactivation efficiency is enhanced as temperature increases from 5 °C to 25 °C (Fig. S1c) (Jin et al. 2013). It is also reported that infectivity of enveloped bacteriophage Phi6 in droplets decreases by two orders of magnitude when the temperature increases from 19 °C to 25 °C (Prussin et al. 2018). It can be rationalized that the activation energy of ClO2 for killing viruses become lower at a higher temperature (Ji et al. 2008). However, in the study of Grunert et al. (2018), the inactivation rate constants of bacteriophage PRD1 slightly decreased when temperature increases from 15 °C to 25 °C, due to the decomposition of ClO2 at higher temperatures.

The inactivation efficiencies of viruses are also affected by water matrix. Studies have shown that better inactivation efficiencies of bacteriophage f2 and coxsackievirus B5 were observed in phosphate buffer solution than in hospital wastewater or municipal wastewater (Harakeh 1987; Taylor and Butler 1982; Wang et al. 2005; Zoni et al. 2007), primarily due to the competitive consumption of ClO2 by dissolved organic matter in wastewater or protective effect of particulates adsorbed on the viruses (Lin et al. 2014; Scarpino 1979; Fujioka et al. 1986). On the other hand, opposite trends are also observed. When the dissolved organic matter concentrations increased from 0.2 to 2.0 mgC L−1, bacteriophage PRD1 showed enhanced inactivation percentages and MS2 showed little difference in inativation precentages upon ClO2 disinfection (Grunert et al. 2018). By-products, not chlorite and chlorate, were proposed to be responsible for the enhanced disinfection (Barbeau et al. 2005). Ammonia in water hardly affected the inactivation efficiency of bacteriophage f2 (Taylor and Butler 1982).

Inactivation Mechanisms

For an infectious virus, it should be able to bind to its host cell, inject its genome inside the host cell, and replicate and translate once its genome gets into the host cell. All of these functions must be intact for the virus to be infective. In other words, to inactivate the virus, at least one of these functions must be destroyed.

Due to the different composition and three-dimensional structure of proteins and nucleic acids, the virucidal mechanism of ClO2 appears to be different for different types of viruses (Fig. 2). In bacteriophage such as MS2, fr and GA, the mode of action of ClO2 mainly involves the degradation of the viral capsid proteins, which are largely responsible for interactions with the host cell and injection mechanisms (Hauchman et al. 1986; Noss et al. 1986; Sigstam et al. 2013; Wigginton et al. 2012). Therefore, the attachment of virus to host cells is inhibited, resulting in the inactivation of viruses. The denaturation of virus proteins is also reported to be the dominant inactivation mechanism upon ClO2 disinfection of human rotavirus and there is no genome damage (Xue et al. 2013). Zhu et al. (2019) suggested that destruction of membrane glycoprotein GP2a and GP4 by ClO2 blocked the interaction between porcine reproductive and respiratory syndrome virus (PRRSV) and cell receptors, leading to the termination of life cycle of this virus.

Fig. 2

Inactivation mechanisms of viruses by ClO2

Considering the high reactivity of cysteine (1.0 × 107 M−1 s−1 at pH 7.0) (Ison et al. 2006), tyrosine (1.4 × 105 M−1 s−1 at pH 7.0) (Napolitano et al. 2005) and tryptophan (3.4 × 104 M−1 s−1 at pH 7.0) (Stewart et al. 2008) with ClO2 and their prevalence in diverse proteins, cysteine, tyrosine and tryptophan residues have been reported to be critical targets in the reaction between ClO2 and proteins, causing fragmentation and denaturation of proteins (Ogata 2007), though the reactivity of amino acid residue in protein are lower than that of free tryptophan (Ge et al. 2020). For example, ClO2 inactivation of influenza A virus is due to the oxidation of a tryptophan residue (W153) in the viral protein hemagglutinin, destroying its ability to bind with host cells (Ogata 2012). However, in enteroviruses such as poliovirus, enterovirus 71 and hepatitis A virus, ClO2 has been proposed to act on the viral genome. Specifically, the inactivation by ClO2 is caused by damage in the 5′ noncoding region within the genome, which is necessary for the formation of new virus particles within the host cell (Jin et al. 2013, 2012; Li et al. 2004). Moreover, it has been reported that although protein damage plays an important role in inactivation of poliovirus, inactivation is ultimately attributed to viral RNA damage (Alvarez and O'Brien 1982; Simonet and Gantzer 2006). Disinfection resistance of viruses is closely related to these two kinds of inactivation mechanisms by ClO2 and the details are provided in Text S1.

Future Perspectives

This review summarized the inactivation efficiencies, kinetics and mechanisms of diverse viruses toward ClO2 based on the published literature. Further studies should focus on the causes of the tailing behavior, the effect of real water matrices on virus inactivation, and specific chemical modifications in the genome and capsid as well as their effects on viral structure and function (details in Text S2).

Below is the link to the electronic supplementary material.

Supplementary file 1 (DOCX 126 kB)