Vikram Gopal1, Benjamin E Nilsson-Payant2, Hollie French3, Jurre Y Siegers4, Wai-Shing Yung1, Matthew Hardwick5, Aartjan J W Te Velthuis3. 1. Ascend Performance Materials, 1010 Travis Street, Suite 900, Houston, Texas 77002, United States. 2. Department of Microbiology, Icahn School of Medicine at Mount Sinai, New York, New York 10029, United States. 3. Division of Virology, Department of Pathology, Addenbrooke's Hospital, University of Cambridge, Hills Road, Cambridge CB2 2QQ, U.K. 4. Department of Viroscience, Erasmus University Medical Centre, Rotterdam 3015 GD, the Netherlands. 5. ResInnova Laboratories, 8807 Colesville Rd, 3rd Floor, Silver Spring, Maryland 20910, United States.
Abstract
Influenza A viruses (IAV) and SARS-CoV-2 can spread via liquid droplets and aerosols. Face masks and other personal protective equipment (PPE) can act as barriers that prevent the spread of these viruses. However, IAV and SARS-CoV-2 are stable for hours on various materials, which makes frequent and correct disposal of these PPE important. Metal ions embedded into PPE may inactivate respiratory viruses, but confounding factors such as adsorption of viruses make measuring and optimizing the inactivation characteristics difficult. Here, we used polyamide 6.6 (PA66) fibers containing embedded zinc ions and systematically investigated if these fibers can adsorb and inactivate SARS-CoV-2 and IAV H1N1 when woven into a fabric. We found that our PA66-based fabric decreased the IAV H1N1 and SARS-CoV-2 titer by approximately 100-fold. Moreover, we found that the zinc content and the virus inactivating property of the fabric remained stable over 50 standardized washes. Overall, these results provide insights into the development of reusable PPE that offer protection against RNA virus spread.
Influenza A viruses (IAV) and SARS-CoV-2 can spread via liquid droplets and aerosols. Face masks and other personal protective equipment (PPE) can act as barriers that prevent the spread of these viruses. However, IAV and SARS-CoV-2 are stable for hours on various materials, which makes frequent and correct disposal of these PPE important. Metal ions embedded into PPE may inactivate respiratory viruses, but confounding factors such as adsorption of viruses make measuring and optimizing the inactivation characteristics difficult. Here, we used polyamide 6.6 (PA66) fibers containing embedded zinc ions and systematically investigated if these fibers can adsorb and inactivate SARS-CoV-2 and IAV H1N1 when woven into a fabric. We found that our PA66-based fabric decreased the IAV H1N1 and SARS-CoV-2 titer by approximately 100-fold. Moreover, we found that the zinc content and the virus inactivating property of the fabric remained stable over 50 standardized washes. Overall, these results provide insights into the development of reusable PPE that offer protection against RNA virus spread.
Entities:
Keywords:
absorption; coronavirus; face mask; influenza; zinc
Infections with influenza A viruses (IAV),
influenza B viruses,
and coronaviruses (CoV) are a burden on our healthcare systems and
economy. These respiratory RNA viruses transmit through aerosols,
liquid droplets, and fomites and typically cause a mild disease with
symptoms including nasopharyngitis, fever, coughing, and headache.
In addition, IAV and CoV strains can cause pandemics with even graver
death tolls and economic consequences. The most recent example is
the SARS-CoV-2 pandemic strain, the causative agent of CoV Disease
2019 (COVID-19).[1] Understanding how we
can efficiently prevent the spread of these viruses will be important
for current and future RNA virus outbreaks.An IAV particle
consists of a double-layered membrane in which
multiple copies of the viral hemagglutinin (HA), matrix 2 (M2), and
neuraminidase (NA) proteins are embedded.[2] The viral RNA genome resides inside the membrane and consists of
eight negative-sense single-stranded RNA segments that are encapsidated
by the viral nucleoprotein (NP) and RNA polymerase as ribonucleoprotein
(RNP) complexes.[3] The SARS-CoV-2 virion
consists of a double-layered membrane and the membrane proteins spike
(S), envelope (E), and matrix (M). In contrast to IAV, the SARS-CoV-2
genome is a non-segmented positive-sense RNA that is bound by the
viral nucleocapsid protein (N).[4,5] Infection of a host
cell requires binding of the SARS-CoV-2 S protein to the cellular
receptor ACE2, while IAV uses its HA protein to bind sialic acid receptors.[6]While antivirals and vaccines are available
for the treatment and
containment of IAV and SARS-CoV-2 infections,[7−10] the approaches may not be effective
against future emerging strains.[11,12] The use of
personal protective equipment (PPE), such as face masks, is therefore
recommended to reduce the spread of novel respiratory viruses.[13−15] However, PPE require careful decontamination to allow their re-use
because respiratory viruses are stable for days to hours on fabrics.[16−21] Development of PPE that can trap and inactivate respiratory viruses
may help address some of these concerns.Previous research has
shown that IAV and CoV can be inactivated
by silver nanoparticles, copper nanoparticles, cuprous oxide (Cu2O) or cupric oxide (CuO) spays, and copper or zinc surfaces
or fibers.[22−28] While the underlying inactivation mechanisms are not fully understood,
evidence suggests that metal ions can induce RNA hydrolysis, membrane
destabilization, or viral protein inactivation and degradation.[29−31] So far, few studies have investigated if metal ions embedded in
fabrics can inactivate RNA viruses, in part because absorbance and
fabric density differences present confounding factors that inactivation
protocols do not account for.We here show how we can remove
IAV H1N1 and pandemic SARS-CoV-2
from a woven PA66 fabric to measure the number of remaining active
viruses. Using this advancement, we find that a zinc-containing PA66-based
fabric decreased the IAV H1N1 and pandemic SARS-CoV-2 titer by approximately
2-logs. This reduction is more than sufficient to inactivate the number
of infectious IAV particles (∼24 plaque-forming units [pfu])
present in a cough.[32] Overall, these results
provide new insights into the development of testing protocols for
“pathogen-free” fabrics.
Results
Influenza Virus
Adsorbance by Cotton, Polypropylene, and Polyamide
Fabrics
vary by their filtration properties, breathability, hydrophobicity,
electrostaticity, and/or weight per square meter (gram/m2). In addition, fabrics can have different moisture retention abilities
depending on environmental conditions.[33] These different properties affect how fabrics trap and/or release
aerosols or liquid droplets containing respiratory RNA viruses. Presently,
it is not fully understood how moisture retention is correlated with
virus particle adsorption. To investigate this relationship, we added
IAV strain A/WSN/33 (H1N1) to International Antimicrobial Council
(IAC) issued cotton, a textile PA66 fabric, or polypropylene (PPP)
from a disposable type II 3-ply face mask (Figure A). After a 30 min of incubation at room
temperature, the fabrics were washed with phosphate-buffered saline
(PBS) to remove virus that had not been adsorbed (Figure B). To estimate the amount
of remaining liquid on each fabric, each sample tube with fabric was
weighed and compared to its dry weight. As shown in Figure C,D, cotton and PA66 retained
more liquid than PPP, both relative to the applied volume and the
weight of the fabric. Subsequent analysis of the IAV titer in the
input and fabric washes showed that the cotton and woven PA66 fabrics
readily adsorbed the applied virus, while less virus was adsorbed
by the PPP fabric (Figure E,F), which is in line with the higher hydrophobicity of PPP
relative to PA66 and cotton.[34]
Figure 1
Adsorption
and release of IAV and SARS-CoV-2 from fabrics. (A)
Photographs of cotton control, PA66, and PPP fabric samples. (B) Schematic
of experimental procedure for exposing and isolating RNA virus from
fabrics. (C) Analysis of virus medium retention by fabrics per volume
of input medium. Values were obtained by weighing each fabric before
and after addition of virus medium and after removal of the virus
medium. (D) Analysis of virus medium retention by fabrics normalized
by dry weight of each fabric. Values were obtained by weighing each
fabric before and after addition of virus medium and after removal
of the virus medium. (E) Plaque assay of IAV present in virus medium
after removal of the medium from each fabric. (F) Quantitation of
the amount of virus remaining on each fabric, normalized by the dry
weight of each fabric. (G) Effect of different tween-80 concentrations
on IAV plaque assay read-out. (H) Effect of 0.05% tween-80 in PBS
on the amount of virus released from each fabric. (I) Quantitation
of IAV titers after adsorption of the virus to the fabrics and washing
of the fabrics with PBS or PBS containing different concentrations
of tween-80. (J) Quantitation of SARS-CoV-2 titers after adsorption
of the virus to the fabrics and washing of the fabrics with PBS or
PBS containing different concentrations of tween-80. Error bars indicate
standard deviation. Asterisk indicates p-value, with
*p < 0.05, **p < 0.005, and
ns p > 0.05.
Adsorption
and release of IAV and SARS-CoV-2 from fabrics. (A)
Photographs of cotton control, PA66, and PPP fabric samples. (B) Schematic
of experimental procedure for exposing and isolating RNA virus from
fabrics. (C) Analysis of virus medium retention by fabrics per volume
of input medium. Values were obtained by weighing each fabric before
and after addition of virus medium and after removal of the virus
medium. (D) Analysis of virus medium retention by fabrics normalized
by dry weight of each fabric. Values were obtained by weighing each
fabric before and after addition of virus medium and after removal
of the virus medium. (E) Plaque assay of IAV present in virus medium
after removal of the medium from each fabric. (F) Quantitation of
the amount of virus remaining on each fabric, normalized by the dry
weight of each fabric. (G) Effect of different tween-80 concentrations
on IAV plaque assay read-out. (H) Effect of 0.05% tween-80 in PBS
on the amount of virus released from each fabric. (I) Quantitation
of IAV titers after adsorption of the virus to the fabrics and washing
of the fabrics with PBS or PBS containing different concentrations
of tween-80. (J) Quantitation of SARS-CoV-2 titers after adsorption
of the virus to the fabrics and washing of the fabrics with PBS or
PBS containing different concentrations of tween-80. Error bars indicate
standard deviation. Asterisk indicates p-value, with
*p < 0.05, **p < 0.005, and
ns p > 0.05.To remove IAV from the cotton and PA66 fabrics without inactivating
the virus, we added different concentrations of polysorbate-80 (tween-80)—a
mild detergent that is also used in IAV vaccine preparations—to
the PBS wash buffer (Figure G). We did not observe any cytopathic effects of the detergent
on the Madin–Darby Canine Kidney (MDCK) cells when diluted
in MEM for plaque assays. Interestingly, we did find that the presence
of 0.05–0.1% tween-80 increased the apparent viral titer relative
to infections in PBS (Figure G), whereas 0.25–0.5% tween-80 reduced the apparent
IAV plaque size (Figure G). In addition, we found that 0.05% tween-80 in PBS succeeded in
recovering more than 94% of the virus from the PA66 woven fabric,
whereas 61% was removed from the cotton fabric (Figure H,I). No virus plaques were recovered when
we used 1% or higher concentrations of tween-80, likely because tween-80
destabilized the membrane or membrane-embedded glycoproteins of the
virus particles (Figure I).We next measured if SARS-CoV-2 could be removed from cotton
and
woven PA66 and found that over 92% of SARS-CoV-2 can be recovered
from the woven PA66 fabric using 0.05% tween-80, while up to 59% could
be recovered from the cotton fabric (Figure J). Together, these results demonstrate that
IAV and SARS-CoV-2 in liquid suspension are strongly adsorbed by cotton
and PA66, suggesting that these materials would trap respiratory viruses
inside face masks. At the same time, these findings imply that PPP
is poor at trapping respiratory viruses. Since IAV and SARS-CoV-2
can be removed from a PA66 fabric with a mild detergent, this protocol
can be useful for testing the inactivating properties of fabrics.
Influenza Virus Is Inactivated by Zinc Ions
Copper
and zinc surfaces or particles can inactivate IAV strains, SARS-CoV-2,
and seasonal CoV HCoV-229E, and PPP imbued with copper oxide can inactivate
IAV.[22,25,26,29,30,35] As an embedded component of a polymer, zinc may provide at least
three benefits over copper. First, zinc has a much higher propensity
to ionize than copper, thereby providing a much faster reaction potential.
Second, zinc oxide is considered a Generally regarded as Safe (GRAS)
compound by the FDA, which can speed up the development process. Third,
zinc does not cause discoloration of the polymer or fabric, enabling
a broader applicability. However, like copper, zinc ions are cytotoxic
in tissue culture (Figure A), which confounds analysis of their effect on viral titers.
We found that addition of an equimolar concentration of EDTA following
the virus incubation with zinc ions (Figure B) can efficiently chelate zinc ions and
prevent cytotoxic effects (Figure C). EDTA alone does not have any cytotoxic effects
when diluted in a plaque assay and it does not reduce viral titers
(Figure A).
Figure 2
IAV is inactivated
by zinc ions. (A) Plaque assay showing the effect
of different zinc chloride and EDTA concentrations on IAV titers.
(B) Experimental approach for inactivating IAV with zinc ions and
neutralization of zinc ions using EDTA. (C) Cytotoxicity analysis
of zinc chloride and EDTA in MDCK cells. (D) IAV titers after exposure
to zinc chloride and neutralization with EDTA as measured on MDCK
and Vero E6 cells. (E) Western blot IAV HA and NP protein levels after
exposure to zinc chloride and neutralization with EDTA. The upper
panel shows quantitation of western signal and the middle panel shows
the western signal as detected with LI-COR. The bottom panel shows
NA segment RT-qPCR analysis of IAV after exposure to zinc chloride
and neutralization with EDTA. Error bars represent standard deviation.
Asterisk indicates p-value, with *p < 0.05, **p < 0.005, and ns p > 0.05.
IAV is inactivated
by zinc ions. (A) Plaque assay showing the effect
of different zinc chloride and EDTA concentrations on IAV titers.
(B) Experimental approach for inactivating IAV with zinc ions and
neutralization of zinc ions using EDTA. (C) Cytotoxicity analysis
of zinc chloride and EDTA in MDCK cells. (D) IAV titers after exposure
to zinc chloride and neutralization with EDTA as measured on MDCK
and Vero E6 cells. (E) Western blot IAV HA and NP protein levels after
exposure to zinc chloride and neutralization with EDTA. The upper
panel shows quantitation of western signal and the middle panel shows
the western signal as detected with LI-COR. The bottom panel shows
NA segment RT-qPCR analysis of IAV after exposure to zinc chloride
and neutralization with EDTA. Error bars represent standard deviation.
Asterisk indicates p-value, with *p < 0.05, **p < 0.005, and ns p > 0.05.To investigate if zinc ions can
directly inactivate IAV, we incubated
influenza virus with varying concentrations of zinc chloride. After
60 min, the reactions were stopped with an equimolar amount of EDTA
and subsequently diluted for virus titer determination by plaque assay
(Figure B). As shown
in Figure D, we found
that addition of zinc chloride resulted in a significant reduction
in the IAV titer. Previous research has shown that metal ions can
destabilize viral proteins and we noted that the zinc chloride affected
the pH of the incubation medium.[29] To gain
more insights into the mechanism of virus inactivation, viral protein
levels in the zinc chloride-treated samples were analyzed by western
blot. As shown in Figure E, we found that in the presence of zinc chloride, soluble
HA levels were reduced in a concentration-dependent manner, while
NP levels did not diminish (Figure E). This result thus suggests that zinc ions may affect
the IAV surface proteins more significantly than the internal proteins.
To test if IAV RNA levels were affected, we added a 120-nucleotide
long spike RNA to each sample, extracted viral RNA, and performed
reverse transcriptions (RT) using a 3′ terminal NA primer.
cDNA levels were next quantified using quantitative polymerase chain
reaction (qPCR) of the NA gene-encoding segment and normalized to
the spike RNA level (Figure E). No effect of zinc chloride on viral NA-encoding RNA segment
levels was found. Together, these results imply that zinc ions can
inactivate an IAV H1N1 strain by destabilization of the viral surface
proteins.
Construction of a Fabric Containing Zinc Oxide
The
above results suggest that zinc ions can directly inactivate an IAV
H1N1 strain. To investigate if these inactivating properties are also
present when zinc is embedded in a PA66 matrix (Figure A), we first prepared zinc-containing PA66
polymer pellets by adding zinc ions from a zinc oxide source to the
polymerization step. Next, the PA66 pellets were used to spin yarn
(Figure B) and knit
a single jersey fabric on a circular knitting machine. Scanning electron
microscopy shows that no zinc oxide particles were visible in the
polymer at 140,000× magnification (Figure C). The resulting fabrics, with internal
code KF1, contained 328 ppm zinc ions and had an air permeability
of 111 cfm/sq ft (Table ). As a control, we also prepared a PA66 fabric that had similar
characteristics but did not contain zinc (Table ).
Figure 3
Construction of zinc-containing fabric. (A)
Model for virus inactivation
by zinc incorporated into fibers. A single PA66 unit is colored orange.
(B) Schematic of a melt spinning operation to produce textile yarn.
(C) SEM of zinc-containing fabric at 3,000×, 16,000×, 60,000×,
and 140,000× magnification.
Table 1
Comparison of KF1 and Control Fabric
sample
Zn level (ppm)
basis weight (gsm)
thickness (mm)
air permeability (cfm/sq ft)
delta P
per EN 14683 (mmH2O/cm2)
KF1
328
186
0.66
111
1.35
control
0
182
0.66
133
1.11
Construction of zinc-containing fabric. (A)
Model for virus inactivation
by zinc incorporated into fibers. A single PA66 unit is colored orange.
(B) Schematic of a melt spinning operation to produce textile yarn.
(C) SEM of zinc-containing fabric at 3,000×, 16,000×, 60,000×,
and 140,000× magnification.To investigate
if fabrics constructed from fibers containing zinc
maintain their zinc content after washing, we performed two experiments.
In the first, 1 kg of fabric with 500 ppm zinc ions (equivalent to
5.3 mM; internal code KG6) was submerged into a wash solution (AATCC
procedure 1-2018) and the wash water was retrieved after agitation.
Next, the zinc content was measured using inductively coupled plasma
(ICP) before and after capture of the zinc ion content using a cation
exchange resin. We measured that only 0.149 ppm zinc was released
from the fabric into the leachate and that all zinc content was captured
by the exchange resin (Table ). In our second experiment, we washed the fabric up to 50
times using the standardized home laundry test protocol AATCC M6-2016.
Subsequent ICP-OES analysis of the zinc content in the fabric after
washing revealed that the zinc content remained relatively stable
in the PA66 fabrics during 50 washes (Table ). Overall, these data suggest that the PA66
fibers contain mostly zinc ions and that these zinc ions are stably
maintained in the fibers.
Table 2
Zinc Content in Leachate
after Washing
According to AATCC Test Protocol 1-2018 as Measured by ICP-OESa
leachate solution
Zn measured (ppm)
as prepared
0.149
stirred 30 min
below detection limit
stirred 60 min
below detection limit
The leachate was exposed to cation
exchange resin for 30 or 60 min under continuous stirring.
Table 3
Zinc Content in KG6
Fabric after Repeated
Washing According to the Standardized Home Laundry Test Protocol AATCC
M6-2016 as Measured by ICP-OES
no. of wash cycles
Zn
level (ppm) after machine washes
Zn retention
(%) in mask after machine washes
0
528
10
518
98%
25
499
95%
50
505
96%
The leachate was exposed to cation
exchange resin for 30 or 60 min under continuous stirring.
Influenza and Coronavirus Strains Are Inactivated on Fabrics
Containing Zinc Ions
We next incubated 0.4 g of KF1 with
virus and washed the fabrics using a PBS buffer containing 0.05% tween-80
and 10 mM EDTA (PBSTE; Figure A,B), which resulted in an approximately 2-log reduction of
the IAV and SARS-CoV-2 titers compared to a PA66 control fabric after
1 h (Figure C,D).
To confirm that inactivation of these viruses occurred on KF1, the
viral protein levels were analyzed in the PBSTE wash eluate by western
blot (Figure E,F).
Any virus that remained in the fabric after extraction with PBSTE
was lysed using Trizol and analyzed by western blot. Western blots
showed a reduction in the soluble HA and S protein level in the virus
eluate that was removed from the KF1 fabric compared to the control
fabric eluate for IAV and SARS-CoV-2, respectively (Figure E,F). The signal obtained from
the virus that remained on each fabric after the PBSTE extraction
was close to background, in line with the observations in Figure . We were only able
to quantify the SARS-CoV-2 signal but observed no statistically significant
difference.
Figure 4
Inactivation of IAV and SARS-CoV-2 on fabrics. (A) Schematic of
testing procedure for fabrics without or with embedded zinc oxide.
(B) Photo of fabric placed in Petri dish and exposed to 100 μL
sample (dyed red). (C) IAV titer in input or PA66 control or KF1 fabric
eluates. (D) SARS-CoV-2 titer in input or PA66 control or KF1 fabric
eluates. One representative experiment is shown. (E) Western blot
analysis of IAV HA and NP protein levels after exposure of IAV to
the KF1 or control fabric. Both the virus that was removed (eluate)
from each fabric with PBSTE as well as the virus that remained on
each fabric was analyzed. (F) Western blot analysis of SARS-CoV-2
S and N protein levels after exposure of virus to the KF1 or control
fabric. Both the virus that was removed (eluate) from each fabric
with PBSTE as well as the virus that remained on each fabric was analyzed.
G) Time course of IAV or SARS-CoV-2 titer reduction by the KF1 fabric
minus the titer reduction by the PA66 control without embedded zinc.
One representative time course is shown. Data were fit with logarithmic
equation. (H) Reduction rate of IAV or SARS-CoV-2 titer after exposure
to KF1 fabric. Data points were obtained by time course experiments
in which we varied the viral load and subsequently estimated the maximum
reduction rate (exponential phase) for each time course. Reduction
was normalized to pfu·gram–1·min–1 using the dry fabric weight. IAV and SARS-CoV-2 data points were
fit with a linear line, and no difference was observed between the
two fits. R2 for IAV fit is shown. (I)
Reduction rate of IAV titer after exposure to unwashed or washed KG6
fabric. Error bars represent standard deviation. Asterisk indicates p-value, with *p < 0.05 and ns p > 0.05.
Inactivation of IAV and SARS-CoV-2 on fabrics. (A) Schematic of
testing procedure for fabrics without or with embedded zinc oxide.
(B) Photo of fabric placed in Petri dish and exposed to 100 μL
sample (dyed red). (C) IAV titer in input or PA66 control or KF1 fabric
eluates. (D) SARS-CoV-2 titer in input or PA66 control or KF1 fabric
eluates. One representative experiment is shown. (E) Western blot
analysis of IAV HA and NP protein levels after exposure of IAV to
the KF1 or control fabric. Both the virus that was removed (eluate)
from each fabric with PBSTE as well as the virus that remained on
each fabric was analyzed. (F) Western blot analysis of SARS-CoV-2
S and N protein levels after exposure of virus to the KF1 or control
fabric. Both the virus that was removed (eluate) from each fabric
with PBSTE as well as the virus that remained on each fabric was analyzed.
G) Time course of IAV or SARS-CoV-2 titer reduction by the KF1 fabric
minus the titer reduction by the PA66 control without embedded zinc.
One representative time course is shown. Data were fit with logarithmic
equation. (H) Reduction rate of IAV or SARS-CoV-2 titer after exposure
to KF1 fabric. Data points were obtained by time course experiments
in which we varied the viral load and subsequently estimated the maximum
reduction rate (exponential phase) for each time course. Reduction
was normalized to pfu·gram–1·min–1 using the dry fabric weight. IAV and SARS-CoV-2 data points were
fit with a linear line, and no difference was observed between the
two fits. R2 for IAV fit is shown. (I)
Reduction rate of IAV titer after exposure to unwashed or washed KG6
fabric. Error bars represent standard deviation. Asterisk indicates p-value, with *p < 0.05 and ns p > 0.05.Overall, we conclude
that inactivation of IAV and SARS-CoV-2 occurs
on a fabric embedded with zinc oxide, analogous to the previously
observed effects of cupric and cuprous oxide.[25,26,35] To better investigate the rate of reduction,
we incubated KF1 with virus for different lengths of time and subtracted
the adsorbed virus titer in the negative control from the level of
reduction in the KF1 fabric and fitted the data with a logarithmic
equation (Figure G).
A maximum rate of virus titer reduction occurred between 30 s and
5 min of incubation, and the virus titer reduction reached a plateau
after approximately 50 min.
Inactivation of IAV and Coronavirus Scales
with Virus Load
To investigate the robustness and saturation
level of the inactivation
by fabrics containing embedded zinc oxide, we next performed experiments
with KF1 and varied the viral load added to each fabric over a range
of 103 to 107 pfu. The liquid volume applied
to each fabric was kept constant. After incubation for different periods
of time, fabrics were washed with PBSTE, and the virus titers were
estimated by plaque assay. The virus titer reduction rate for the
linear phase was subsequently calculated based on the shortest incubation
time. Reduction rates were subsequently normalized by the dry weight
of each fabric. As shown in Figure G, the rate of reduction in virus titer (in pfu·gram–1·min–1) scaled with virus load.
On a log–log plot, the data could be fit with a linear equation.
To confirm the robustness of these findings, we performed the same
experiments with SARS-CoV-2 and found a similar behavior (Figure H).Finally,
we confirmed that the washed fabrics, which retained their zinc content
after 50 washes (Table ), were still able to reduce virus titers and incubated 0.4 g of
unwashed or washed fabric with a fixed amount of IAV and removed inactivated
virus with PBSTE. Analysis of the virus titers showed that both washed
fabrics were able to reduce the IAV titer by approximately 2-logs
(Figure I). Overall,
these results suggest that the PA66 fabric containing zinc can inactivate
both IAV and SARS-CoV-2 and that this property is retained after 50
washes. Given that zinc does not leach from the fibers, we suggest
that both viruses are inactivated following adsorption to the solid
fabric phase.
Discussion
One way to fight RNA
viruses is to limit respiratory virus spread
through efficient PPE. To better understand how respiratory RNA viruses
are adsorbed and inactivated on fabrics, we here added IAV and SARS-CoV-2
to cotton, PA66, and PPP. We find strong liquid absorption by cotton
and PA66 in PBS and that addition of tween-80 results in efficient
virus release from PA66 but not from cotton. A previous clinical trial
found that cotton masks with strong liquid absorbing properties may
be associated with a higher risk of infection when reused and our
finding that cotton does not release IAV or SARS-CoV-2 efficiently
after washing is in line with this observation.[16] By contrast, virus retention on PPP, which is used for
the construction of disposable 3-ply masks, is poor, in line with
its hydrophobic properties.[34] This result
implies that respiratory viruses remain on the surface of these masks,
in line with findings that SARS-CoV-2 can survive up to 7 days on
PPP-based surgical face masks.[19,36] However, PPP has important
favorable properties, such as good breathability, filtration, and
electrostatic properties and will thus have a purpose in the right
situation.Zinc and copper ions can inactivate IAV and SARS-CoV-2
(Figures , 4).[22,24,30] Using a zinc-containing PA66-based fabric from which we could easily
remove adsorbed virus with a mild detergent (Figure ), we consistently found a rapid reduction
in the titer of both viruses and at viral loads that far exceed the
number of infectious IAV particles present in a cough (Figure ). After washing the fabrics
using a standardized protocol, both the zinc content and the inactivating
properties of the PA66 fabric were retained, suggesting that this
fabric is reusable. This property may be of particular importance
for designing reusable, “pathogen-free” PPE that could
help reduce environmental waste, virus transmission, and costs.We also investigated the mechanism by which zinc ions inactivate
IAV and SARS-CoV-2. RT-qPCR analysis showed no significant reduction
in viral RNA integrity after treatment with zinc ions. By contrast,
analysis of the solubility of the viral surface and capsid proteins
revealed a reduced level of the virus surface protein HA for IAV after
exposure to zinc ions, while no effect on the internal nucleoprotein
protein was detected. We observed a similar altered surface protein
to nucleoprotein ratio after exposure to the zinc-containing PA66
fabric KF1. Together, these results suggest that the reduction in
virus titer after exposure to zinc ions derives from inactivation
of the viral surface proteins. This is in line with previous biochemical
and electron microscopy studies showing the effect on divalent metals
on viral protein stability and particle morphology.[29,37] Research has shown that zinc and copper ions can also induce oxidative
reactions, inactivation of the viral proton channels, local pH changes,
or viral membrane destabilization, and we cannot exclude that these
processes may play a role in the inactivation as well.[31,38,39]
Conclusions
Overall,
we show that zinc ions can inactivate IAV H1N1 and that
a woven PA66 fabric containing zinc ions can decrease the IAV H1N1
and pandemic SARS-CoV-2 titer by approximately 2-logs. This reduction
is more than sufficient to inactivate the number of infectious IAV
particles (∼24 pfu) present in a cough.[32] Overall, these results provide insights into the protective
properties of fabrics and the development of testing protocols for
reusable “pathogen-free” fabrics. Our findings may be
important for healthcare workers who are exposed to infected patients
for prolonged periods, people with underlying risk factors needing
additional protection, and people who need to frequently remove their
PPE.
Methods
Influenza Viruses and Cells
HEK 293T and MDCK cells
were originally sources from ATCC. Influenza A/WSN/33 (H1N1) virus
was produced by transfecting a 12-plasmid rescue system into HEK 293T
cells.[40] After 2 days, the P0 virus was
amplified on MDCK cells in minimal essential medium (MEM) containing
0.5% fetal bovine serum (FBS) at 37 °C and 5% CO2.
P1 and P2 viruses were aliquoted and stored at −80 °C.
For plaque assays, samples were serially diluted in MEM containing
0.5% FBS. Diluted virus (μL) was next added to confluent MDCK
cells and incubated for 1 h 37 °C. After virus adsorption to
the MDCK cells, the inoculum was removed and replaced with 2 mL of
MEM/agarose overlay (MEM, 0.5% FBS, 1% low-melt agarose). Plaques
were grown for 2 days at 37 °C and then fixed with 4% paraformaldehyde
in PBS. Plaques were counter-stained with 0.01% crystal violet in
water and washed with tap water before analysis.
Coronaviruses
and Cells
SARS-CoV-2 (Bavpat-1 and USA-WA1/2020)
was grown on African Green Monkey kidney epithelial Vero-E6 cells
in Dulbecco’s minimal essential medium (DMEM) supplemented
with 10% FBS. For plaque assay analysis, Vero-E6 cells were seeded
in 12-well plates and infected at 100% confluency. Ten-fold virus
dilutions were grown under a 1% agarose overlay in DMEM containing
0.5% FBS for 2 days at 37 °C. Plaque assays were fixed with 4%
paraformaldehyde in PBS and stained with 0.01% crystal violet in water.
Experiments were performed in the Mt Sinai BSL3 lab according to the
approved biosafety standards.
Cell Viability
To measure the effect of zinc ions or
EDTA on the viability of the MDCK and Vero E6 cells used for plaque
assays, we used a CellTiter Blue assay (Promega). Briefly, confluent
cells were incubated with MEM containing 0.5% FBS and varying concentrations
of zinc or EDTA. After 24 h, the medium was replaced with MEM containing
0.5% MEM and redox dye resazurin according to the manufacturer’s
instructions. Following conversion of resazurin to the fluorescent
resofurin by viable cells, the fluorescent signal was measured using
a 560 nm excitation wavelength and a 590 nm emission wavelength on
a SpectraMax plate reader.
Construction of Zinc-Containing PA66 Fabrics
The PA66
fabrics were made from 70 denier 68 filament draw-textured PA66 yarn,
which was spun from PA66 polymer-containing embedded zinc oxide (Microban
Additive Zo7; EPA Reg. no. 42182-8). Zinc oxide (0.065% w/w) was brought
into an ionic form and incorporated into the polymer pellets prior
to the polymerization step. The polymer was made by Ascend Performance
Materials in their facility in Pensacola, FL, and it was subsequently
spun as a yarn, draw-textured into a bulk yarn, and then knitted on
a circular knitting machine into a single jersey fabric. The KF-1
fabric was dyed with Lanasyn Black S-DL-C p 120 (Anchroma USA, Inc)
according to the manufacturer’s instructions. The control and
other fabrics tested were not dyed.
Washing and Zinc Content
Analysis
For analysis of the
zinc release from the PA66 fabric, 1 kg of fabric containing 500 ppm
zinc was washed according to AATCC lab procedure 1-2018. After the
agitation cycle, a leachate sample was analyzed using ICP-OES to measure
the zinc content. Next, 50 g of leachate was mixed with 1 g of cation
exchange resin Lewatit TP 260 in H+ form and the remaining
zinc content of the supernatant measured using ICP-OES after 30 min.
For analysis of zinc release following repeated washing, PA66 fabrics
were washed according to the standardized home laundry test protocol
AATCC M6-2016. The zinc content in fabric samples was analyzed by
ICP-OES analysis. To test if zinc oxide had affected the polymerization
and yarn production process or whether zinc oxide particles were present
in the fibers, fabric samples with a thickness of ∼0.5 μm
were taken using a Reichert Jung Ultramicrotome. Samples were analyzed
by SEM/TED at 30.0 kV at different magnifications.
Other Fabrics
The cotton fabric was issued and certified
by the IAC (lot number IACVC01012020). The PPP disposable type II
3-ply face mask (Medical Products Co, Ltd) was BS EN14638:2019 type
II compliant.
Virus Adsorption and Extraction
Fabrics were stored
at room temperature in sealed plastic bags. Prior to each experiment,
fabric samples were cut to size using scissors sterilized with 75%
ethanol. The size of the fabrics varied from 1 cm2 to 0.4
g, as indicated in the figures. To test the ability of fabrics to
reduce viral titers, we used a modified ISO 18184 protocol. Briefly,
100 μL of IAV strain A/WSN/33 (H1N1) was carefully applied to
fabrics in 2–10 μL droplets that were spread over each
fabric in a serpentine pattern. After incubation at room temperature
as indicated, the fabrics were placed in 50 mL tubes containing 900
μL of PBS, PBS containing different percentages tween-80, or
PBS containing 0.05% tween-80 and 10 mM EDTA. Fabrics were washed
by vortexing them inside the 50 mL tubes for approximately 1 min.
After centrifugation, all liquid was squeezed from each fabric and
the 1 cm fabrics transferred to an Eppendorf tube containing 1 mL
of Trizol (Invitrogen) to extract remaining viral protein and RNA.
Experiments were performed in triplicate, unless noted otherwise.
Data was analyzed in Graphpad Prism 8 using 1-way ANOVA.
RT-qPCR and
Western Blot
RNA extraction from Trizol
was performed as described previously,[41] while protein was extracted from the interphase using isopropanol
precipitation.[42] The precipitated protein
was washed in ethanol, resuspended in 5× SDS-PAGE loading buffer,
sonicated for 10 s, and boiled for 10 min before 8% SDS-PAGE analysis.
Western blot was performed using antibodies directed against IAV HA
(Invitrogen, PA5-34929) and NP (GeneTex, GTX125989) and SARS-CoV-2
S (Abcam ab272504) and N (GeneTex, GTX632269). Membranes were washed
in TBS containing 0.1% tween-20. Spike RNA was purchased from IDT
and had the sequence 5′-AGUAGAAACAAGGCGGUAGGCGCUGUCCUUUAUCCAGACAACCAUUACCUGUCCACACAAUCUGCCCUUUCGAAAGAUCCCAACGAAAAGAGAGACCACAUGGUCCUUCCUGCUUUUGCU-3′.
Isolated RNA was reverse-transcribed using SuperScript III and a primer
binding to the 3′ end of the NA segment.[41] qPCR was performed as described previously.[41] Data was analyzed in Graphpad Prism 8 using
one-way ANOVA with multiple corrections.
Authors: Joana C Prata; Ana L P Silva; Tony R Walker; Armando C Duarte; Teresa Rocha-Santos Journal: Environ Sci Technol Date: 2020-06-25 Impact factor: 9.028
Authors: Peter Pak-Hang Cheung; Igor B Rogozin; Ka-Tim Choy; Hoi Yee Ng; Joseph Sriyal Malik Peiris; Hui-Ling Yen Journal: RNA Date: 2014-11-17 Impact factor: 4.942
Authors: André E S Simões; Diane M Pereira; Joana D Amaral; Ana F Nunes; Sofia E Gomes; Pedro M Rodrigues; Adrian C Lo; Rudi D'Hooge; Clifford J Steer; Stephen N Thibodeau; Pedro M Borralho; Cecília M P Rodrigues Journal: BMC Genomics Date: 2013-03-15 Impact factor: 3.969
Authors: Kai Man Alexander Ho; Hywel Davies; Ruth Epstein; Paul Bassett; Áine Hogan; Yusuf Kabir; John Rubin; Gee Yen Shin; Jonathan P Reid; Ryo Torii; Manish K Tiwari; Ramanarayanan Balachandran; Laurence B Lovat Journal: Sci Rep Date: 2021-12-17 Impact factor: 4.379
Authors: Andrew Gonzalez; Hamada A Aboubakr; John Brockgreitens; Weixing Hao; Yang Wang; Sagar M Goyal; Abdennour Abbas Journal: Sci Rep Date: 2021-12-21 Impact factor: 4.379