Inactivation of viruses in platelet and plasma products using a riboflavin-and-UV-based photochemical treatment

BACKGROUND Multilayered blood safety programs reduce the risk of transfusion‐transmitted diseases; however, there remains a risk of window period transmission of screened viruses and transmission of unscreened and emerging viruses from asymptomatic donors. To reduce this risk, a riboflavin‐and‐UV‐li...

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Veröffentlicht in:Transfusion (Philadelphia, Pa.) Pa.), 2015-07, Vol.55 (7), p.1736-1744
Hauptverfasser: Keil, Shawn D., Bengrine, Abderrahmane, Bowen, Richard, Marschner, Susanne, Hovenga, Nick, Rouse, Lindsay, Gilmour, Denise, Duverlie, Gilles, Goodrich, Raymond P.
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container_end_page 1744
container_issue 7
container_start_page 1736
container_title Transfusion (Philadelphia, Pa.)
container_volume 55
creator Keil, Shawn D.
Bengrine, Abderrahmane
Bowen, Richard
Marschner, Susanne
Hovenga, Nick
Rouse, Lindsay
Gilmour, Denise
Duverlie, Gilles
Goodrich, Raymond P.
description BACKGROUND Multilayered blood safety programs reduce the risk of transfusion‐transmitted diseases; however, there remains a risk of window period transmission of screened viruses and transmission of unscreened and emerging viruses from asymptomatic donors. To reduce this risk, a riboflavin‐and‐UV‐light–based pathogen reduction process was evaluated against eight viral agents. STUDY DESIGN AND METHODS Riboflavin and UV light was evaluated against the following eight viral agents: encephalomyocarditis virus (EMC), hepatitis A virus (HAV), hepatitis C virus (HCV), influenza A (FLUAV), La Crosse virus (LACV), pseudorabies virus (PRV), sindbis virus (SINV), and vesicular stomatitis virus (VSV). Before treatment, a sample was removed to determine the product's initial viral load. After treatment the product's viral load was reevaluated and the log reduction was calculated. RESULTS Virus reduction after treatment with riboflavin and UV light is equivalent in platelet (PLT) and plasma units, as demonstrated by a 3.2‐log reduction of EMC in plasma, PLTs, and PLT additive solution containing 35% plasma. Additionally, the following viral reductions values were observed: HAV 1.8 log, HCV at least 4.1 log, FLUAV at least 5.0 log, LACV at least 3.5 log, PRV 2.5 log, SINV 3.2 log, and VSV at least 6.3 log. CONCLUSIONS The results observed in this study suggest that treating PLT and plasma products with a riboflavin‐and‐UV‐light–based pathogen reduction process could potentially eliminate window period transmission of screened viruses and greatly reduce the risk of transfusion transmission of unscreened viruses.
doi_str_mv 10.1111/trf.13030
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To reduce this risk, a riboflavin‐and‐UV‐light–based pathogen reduction process was evaluated against eight viral agents. STUDY DESIGN AND METHODS Riboflavin and UV light was evaluated against the following eight viral agents: encephalomyocarditis virus (EMC), hepatitis A virus (HAV), hepatitis C virus (HCV), influenza A (FLUAV), La Crosse virus (LACV), pseudorabies virus (PRV), sindbis virus (SINV), and vesicular stomatitis virus (VSV). Before treatment, a sample was removed to determine the product's initial viral load. After treatment the product's viral load was reevaluated and the log reduction was calculated. RESULTS Virus reduction after treatment with riboflavin and UV light is equivalent in platelet (PLT) and plasma units, as demonstrated by a 3.2‐log reduction of EMC in plasma, PLTs, and PLT additive solution containing 35% plasma. Additionally, the following viral reductions values were observed: HAV 1.8 log, HCV at least 4.1 log, FLUAV at least 5.0 log, LACV at least 3.5 log, PRV 2.5 log, SINV 3.2 log, and VSV at least 6.3 log. CONCLUSIONS The results observed in this study suggest that treating PLT and plasma products with a riboflavin‐and‐UV‐light–based pathogen reduction process could potentially eliminate window period transmission of screened viruses and greatly reduce the risk of transfusion transmission of unscreened viruses.</description><identifier>ISSN: 0041-1132</identifier><identifier>EISSN: 1537-2995</identifier><identifier>DOI: 10.1111/trf.13030</identifier><identifier>PMID: 25731607</identifier><identifier>CODEN: TRANAT</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Blood Platelets - virology ; HIV ; Human immunodeficiency virus ; Humans ; Photosensitizing Agents - pharmacology ; Plasma ; Plasma - virology ; Riboflavin - pharmacology ; RNA Viruses ; Ultraviolet Rays ; Viral Load ; Virus Inactivation - drug effects ; Virus Inactivation - radiation effects ; Viruses ; Vitamin B</subject><ispartof>Transfusion (Philadelphia, Pa.), 2015-07, Vol.55 (7), p.1736-1744</ispartof><rights>2015 AABB</rights><rights>2015 AABB.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4610-e53c9af587ff953bda208b07301bc6ca38263e7ad18e96a30a7b7c8147c563fb3</citedby><cites>FETCH-LOGICAL-c4610-e53c9af587ff953bda208b07301bc6ca38263e7ad18e96a30a7b7c8147c563fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftrf.13030$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftrf.13030$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25731607$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keil, Shawn D.</creatorcontrib><creatorcontrib>Bengrine, Abderrahmane</creatorcontrib><creatorcontrib>Bowen, Richard</creatorcontrib><creatorcontrib>Marschner, Susanne</creatorcontrib><creatorcontrib>Hovenga, Nick</creatorcontrib><creatorcontrib>Rouse, Lindsay</creatorcontrib><creatorcontrib>Gilmour, Denise</creatorcontrib><creatorcontrib>Duverlie, Gilles</creatorcontrib><creatorcontrib>Goodrich, Raymond P.</creatorcontrib><title>Inactivation of viruses in platelet and plasma products using a riboflavin-and-UV-based photochemical treatment</title><title>Transfusion (Philadelphia, Pa.)</title><addtitle>Transfusion</addtitle><description>BACKGROUND Multilayered blood safety programs reduce the risk of transfusion‐transmitted diseases; however, there remains a risk of window period transmission of screened viruses and transmission of unscreened and emerging viruses from asymptomatic donors. To reduce this risk, a riboflavin‐and‐UV‐light–based pathogen reduction process was evaluated against eight viral agents. STUDY DESIGN AND METHODS Riboflavin and UV light was evaluated against the following eight viral agents: encephalomyocarditis virus (EMC), hepatitis A virus (HAV), hepatitis C virus (HCV), influenza A (FLUAV), La Crosse virus (LACV), pseudorabies virus (PRV), sindbis virus (SINV), and vesicular stomatitis virus (VSV). Before treatment, a sample was removed to determine the product's initial viral load. After treatment the product's viral load was reevaluated and the log reduction was calculated. RESULTS Virus reduction after treatment with riboflavin and UV light is equivalent in platelet (PLT) and plasma units, as demonstrated by a 3.2‐log reduction of EMC in plasma, PLTs, and PLT additive solution containing 35% plasma. Additionally, the following viral reductions values were observed: HAV 1.8 log, HCV at least 4.1 log, FLUAV at least 5.0 log, LACV at least 3.5 log, PRV 2.5 log, SINV 3.2 log, and VSV at least 6.3 log. CONCLUSIONS The results observed in this study suggest that treating PLT and plasma products with a riboflavin‐and‐UV‐light–based pathogen reduction process could potentially eliminate window period transmission of screened viruses and greatly reduce the risk of transfusion transmission of unscreened viruses.</description><subject>Blood Platelets - virology</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Photosensitizing Agents - pharmacology</subject><subject>Plasma</subject><subject>Plasma - virology</subject><subject>Riboflavin - pharmacology</subject><subject>RNA Viruses</subject><subject>Ultraviolet Rays</subject><subject>Viral Load</subject><subject>Virus Inactivation - drug effects</subject><subject>Virus Inactivation - radiation effects</subject><subject>Viruses</subject><subject>Vitamin B</subject><issn>0041-1132</issn><issn>1537-2995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10cFu1DAQBmALgei2cOAFkCUu9JDWjpM4OaKK3a1UFVS1cLQmzpi6JPbWdhb69njZtgckfBlZ-ubXaIaQd5yd8PxOUzAnXDDBXpAFr4Usyq6rX5IFYxUvOBflATmM8Y4xVnaMvyYHZS0Fb5hcEH_uQCe7hWS9o97QrQ1zxEito5sREo6YKLhh94kT0E3ww6xTpHO07gcFGmzvzQhb64rMiptvRQ8Rs7_1yetbnKyGkaaAkCZ06Q15ZWCM-PaxHpGb5efrs3Vx8WV1fvbpotBVw1mBtdAdmLqVxnS16AcoWdszKRjvdaNBtGUjUMLAW-waEAxkL3XLK6nrRpheHJGP-9w88P2MManJRo3jCA79HBVvOlnySrRtph_-oXd-Di5Pt1N5S7u1ZXW8Vzr4GAMatQl2gvCgOFO7K6h8BfX3Ctm-f0yc-wmHZ_m09gxO9-CXHfHh_0nq-mr5FFnsO2xM-Pu5A8JP1Ugha_X9cqWq9eV6ubz6qlbiDxDQoO4</recordid><startdate>201507</startdate><enddate>201507</enddate><creator>Keil, Shawn D.</creator><creator>Bengrine, Abderrahmane</creator><creator>Bowen, Richard</creator><creator>Marschner, Susanne</creator><creator>Hovenga, Nick</creator><creator>Rouse, Lindsay</creator><creator>Gilmour, Denise</creator><creator>Duverlie, Gilles</creator><creator>Goodrich, Raymond P.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201507</creationdate><title>Inactivation of viruses in platelet and plasma products using a riboflavin-and-UV-based photochemical treatment</title><author>Keil, Shawn D. ; Bengrine, Abderrahmane ; Bowen, Richard ; Marschner, Susanne ; Hovenga, Nick ; Rouse, Lindsay ; Gilmour, Denise ; Duverlie, Gilles ; Goodrich, Raymond P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4610-e53c9af587ff953bda208b07301bc6ca38263e7ad18e96a30a7b7c8147c563fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Blood Platelets - virology</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Photosensitizing Agents - pharmacology</topic><topic>Plasma</topic><topic>Plasma - virology</topic><topic>Riboflavin - pharmacology</topic><topic>RNA Viruses</topic><topic>Ultraviolet Rays</topic><topic>Viral Load</topic><topic>Virus Inactivation - drug effects</topic><topic>Virus Inactivation - radiation effects</topic><topic>Viruses</topic><topic>Vitamin B</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keil, Shawn D.</creatorcontrib><creatorcontrib>Bengrine, Abderrahmane</creatorcontrib><creatorcontrib>Bowen, Richard</creatorcontrib><creatorcontrib>Marschner, Susanne</creatorcontrib><creatorcontrib>Hovenga, Nick</creatorcontrib><creatorcontrib>Rouse, Lindsay</creatorcontrib><creatorcontrib>Gilmour, Denise</creatorcontrib><creatorcontrib>Duverlie, Gilles</creatorcontrib><creatorcontrib>Goodrich, Raymond P.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; 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however, there remains a risk of window period transmission of screened viruses and transmission of unscreened and emerging viruses from asymptomatic donors. To reduce this risk, a riboflavin‐and‐UV‐light–based pathogen reduction process was evaluated against eight viral agents. STUDY DESIGN AND METHODS Riboflavin and UV light was evaluated against the following eight viral agents: encephalomyocarditis virus (EMC), hepatitis A virus (HAV), hepatitis C virus (HCV), influenza A (FLUAV), La Crosse virus (LACV), pseudorabies virus (PRV), sindbis virus (SINV), and vesicular stomatitis virus (VSV). Before treatment, a sample was removed to determine the product's initial viral load. After treatment the product's viral load was reevaluated and the log reduction was calculated. RESULTS Virus reduction after treatment with riboflavin and UV light is equivalent in platelet (PLT) and plasma units, as demonstrated by a 3.2‐log reduction of EMC in plasma, PLTs, and PLT additive solution containing 35% plasma. Additionally, the following viral reductions values were observed: HAV 1.8 log, HCV at least 4.1 log, FLUAV at least 5.0 log, LACV at least 3.5 log, PRV 2.5 log, SINV 3.2 log, and VSV at least 6.3 log. CONCLUSIONS The results observed in this study suggest that treating PLT and plasma products with a riboflavin‐and‐UV‐light–based pathogen reduction process could potentially eliminate window period transmission of screened viruses and greatly reduce the risk of transfusion transmission of unscreened viruses.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25731607</pmid><doi>10.1111/trf.13030</doi><tpages>9</tpages></addata></record>
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subjects Blood Platelets - virology
HIV
Human immunodeficiency virus
Humans
Photosensitizing Agents - pharmacology
Plasma
Plasma - virology
Riboflavin - pharmacology
RNA Viruses
Ultraviolet Rays
Viral Load
Virus Inactivation - drug effects
Virus Inactivation - radiation effects
Viruses
Vitamin B
title Inactivation of viruses in platelet and plasma products using a riboflavin-and-UV-based photochemical treatment
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