Figure

Figure. Ebola virus inactivation results as tested in BALB/c mouse model. A) Survival in animal groups tested with samples inactivated by guanidinium isothiocyanate buffers. AVL140, 140 µL Buffer AVL (QIAGEN, Valencia, CA,...

Standard biologic specimens containing infectious EBOV commonly generated in high-level biocontainment operations were inactivated by several methods of chemical treatment (Figure; Table; Technical Appendix). For in vitro testing, we used wild-type EBOV expressing enhanced green fluorescent protein (EBOV-eGFP) (7), which allows for cytopathic effect (CPE) and fluorescence as simple readout parameters. For in vivo testing, we used mouse-adapted EBOV (MA-EBOV) (8) infection of BALB/c mice. Virus stocks were grown in Vero E6 cells and titrated by using a 50% tissue culture infectious dose (TCID₅₀) assay (9). Infected cells were produced by infecting Vero E6 cells at a multiplicity of infection of 0.01. Cells were harvested at CPE of ≈75%, pelleted, and resuspended in 6 mL Dulbecco’s phosphate-buffered saline (DPBS); 1 mL aliquots were stored at −80°C. Samples were chemically treated according to the specific testing parameters and dialyzed or run over detergent-removal columns to remove inactivating reagents. In brief, samples were dialyzed by using a 10-kDa molecular weight cutoff (Spectrum Laboratories, Lawrenceville, GA, USA, or Fisher Scientific, Pittsburgh, PA, USA) and using DPBS over a stir plate at 4°C (>500-fold exchange volumes, 5 changes over 32–48 h); detergent was removed by using DetergentOUT GBS10–5000 columns (G-Biosciences, St. Louis, MO, USA).

Negative control samples included DPBS and noninfected Vero E6 cells and tissue homogenates (mouse); positive control samples included untreated virus stocks and infected Vero E6 cells and mouse tissues. For in vitro testing, all samples were increased in volume to 3 mL and equally divided to infect Vero E6 cells (80% confluency) in triplicates. Cells were incubated at 37°C for 14 days and monitored regularly for CPE or fluorescence. For in vivo testing, samples were increased in volume to 1 mL and equally divided to infect 5 mice intraperitoneally. BALB/c mice (female, 6–8 weeks old; Charles River Laboratories, Wilmington, MA, USA) were housed in microisolator cages and were monitored daily for 28 days. Because in vitro and in vivo safety testing correlated well, we discontinued mouse infections for ethical reasons.

Nucleic acid extraction is often carried out with commercial guanidinium isothiocyanate buffers. We used Buffer AVL and Buffer RLT (QIAGEN, Valencia, CA, USA) and TRIzol (Life Technologies, Grand Island, NY, USA) according to manufacturers’ recommendations. AVL was mixed with stock virus at different ratios, and infected cells were resuspended in RLT (Table). Samples were either immediately dialyzed or treated with ethanol (AVL, 100% ethanol, 560 μL; RLT, 70% ethanol, 600 μL). Infected liver tissue was homogenized in RLT with a stainless steel bead (10 min at 30 Hz). A soluble aliquot (≈30 mg) was transferred to a new tube, and fresh RLT was added, followed by 70% ethanol (600 μL). After dialysis, samples were used to infect Vero E6 cells and mice. Similar to a results in a previous study (10), AVL and RLT treatment alone for 10 minutes at either ratio did not fully inactivate EBOV; however, the addition of ethanol (the next step of the manufacturer’s protocol) rendered all samples completely noninfectious. AVL alone resulted in complete inactivation with longer contact times (i.e., refrigerated overnight or frozen for 7 days) (Table; Figure).

Infected cells were resuspended and treated with TRIzol (1:4 vol/vol). Infected liver samples were homogenized in 1 mL TRIzol as described in the previous paragraph. After centrifugation, an aliquot of tissue homogenate (≈50 mg) was transferred to a new tube, and fresh TRIzol was added. Additionally, blood from infected animals was mixed (1:4 vol/vol) with TRIzol. After dialysis, Vero E6 cells were inoculated and monitored for CPE or fluorescence. In all cases, virus growth was not detected (Table), indicating complete inactivation.

Formalin, paraformaldehyde, and glutaraldehyde can be used to fix cells or tissues for histologic or microscopic studies. Infected cells were diluted 1:4 in 10% neutral-buffered formalin (7.5% fixative) or 1:5 in either 2.5% glutaraldehyde or 2.5% paraformaldehyde (2% fixative). Samples were dialyzed and used to infect Vero E6 cells or mice. Monitoring of cell culture and animals resulted in the absence of CPE or fluorescence and clinical signs, respectively, indicating complete inactivation of EBOV (Table; Figure).

Infected liver segments were incubated in 10% neutral-buffered formalin, 2% glutaraldehyde, or 2% paraformaldehyde (10 mL) for a period of 7 days (<1-cm³ piece) or 30 days (>1-cm³ piece) at 4°C. Subsequently, a small section of tissue (≈150 mg) was dissected, homogenized in DPBS with a stainless steel bead (10 min at 30 Hz), and then dialyzed. After dialysis, samples were used to infect Vero E6 cells. All samples were completely inactivated (Table).

Samples for protein assays are often inactivated by a combination of detergent and heat. We tested the parameters of 60°C for 30 min, 65°C for 15 or 30 min, and 70°C for 15 min in conjunction with a buffer containing 0.5% Triton X-100 and 0.5% Tween-20 (both from Sigma-Aldrich, St. Louis, MO, USA); this mixture is commonly used for ELISA. Stock virus was diluted 1:25 in this buffer and heated for the appropriate times before samples were clarified of detergent and used to infect Vero E6 cells or mice. All samples were completely inactivated as indicated by lack of CPE or fluorescence in cells and clinical signs in mice (Table; Figure).

Boiling (at 100°C for 10 min or 120°C for 5 min) might be sufficient to inactivate EBOV (Table) (11) but is often used in conjunction with sodium dodecyl sulfate (SDS)–containing buffers for protein analysis. Aliquots of infected cells were diluted in DPBS and 4× loading buffer (1% SDS final). Infected liver tissue (≈150 mg) were placed in DPBS and 4× loading buffer (1% SDS final). The samples were then homogenized with a stainless steel bead (10 min at 30 Hz). After detergent removal, samples were used to infect Vero E6 cells; all treated cells and tissue homogenates were negative for infectious EBOV (Table).

Our study establishes inactivation procedures for EBOV that can be safely applied to distinct specimen types and research purposes and might also apply to other enveloped, single-strand, negative-sense RNA viruses. Our findings should help to improve and approve SOPs for inactivation without the need for safety testing each individual sample, an unfeasible and unwarranted task in current diagnostic and research operations in high-level biocontainment settings. However, any changes to inactivation SOPs make further safety testing essential. Safety testing for inactivation, at least for EBOV, can rely on cell culture only because this seems to be as sensitive as in vivo testing.