Oh Deok Ja, Lee Yoo La, Kang Jae Won, Kwon So Yong, Cho Nam Sun, Kim In Seop
Blood Transfusion Research Institute, Korean Red Cross, Seoul, Korea.
Korean J Lab Med. 2010 Feb;30(1):45-50. doi: 10.3343/kjlm.2010.30.1.45.
The safety of plasma derivatives has been reinforced since 1980s by variable pathogen inactivation or elimination techniques. Nucleic acid amplification test (NAT) for the source plasma has also been implemented worldwide. Recently nanofiltration has been used in some country for ensuring safety of plasma derivatives to eliminate non-enveloped viruses such as parvovirus B19 (B19V) and hepatitis A virus (HAV). We evaluated the efficacy of nanofiltration for the elimination of B19V and HAV.
To verify the efficacy of nanofiltration, we adopted a 20 nm Viresolve NFP (Millipore, USA) in the scaling down (1:1,370) model of the antithrombin III production. As virus stock solutions, we used B19V reactive plasma and porcine parvovirus (PPV) and HAV obtained from cell culture. And 50% tissue culture infectious dose was consumed as infectious dose. The methods used to evaluate the virus-elimination efficacy were reverse-transcriptase polymerase chain reaction for B19V and the cytopathic effect calculation after filtration for PPV and HAV.
B19V was not detected by RT-PCR in the filtered antithrombin III solutions with initial viral load of 6.42 x 10(5) IU/mL and 1.42 x 10(5) IU/mL before filtration. The virus-elimination efficacy of nanofiltration for PPV and HAV were > or = (3.32) and > or = (3.31), respectively.
Nanofiltration would be an effective method for the elimination of B19V and HAV. It may be used as a substitute for NAT screening of these viruses in source plasma to ensure safety of plasma derivatives in Korea.
自20世纪80年代以来,通过各种病原体灭活或去除技术,血浆衍生物的安全性得到了加强。对原料血浆进行核酸扩增检测(NAT)也已在全球范围内实施。最近,一些国家已采用纳滤技术来确保血浆衍生物的安全性,以去除诸如细小病毒B19(B19V)和甲型肝炎病毒(HAV)等无包膜病毒。我们评估了纳滤对B19V和HAV的去除效果。
为验证纳滤的效果,我们在抗凝血酶III生产的缩小(1:1370)模型中采用了20纳米的Viresolve NFP(美国密理博公司)。作为病毒储备液,我们使用了B19V反应性血浆以及从细胞培养物中获得的猪细小病毒(PPV)和HAV。以50%组织培养感染剂量作为感染剂量。用于评估病毒去除效果的方法是针对B19V的逆转录聚合酶链反应以及针对PPV和HAV过滤后的细胞病变效应计算。
在初始病毒载量分别为过滤前6.42×10⁵IU/mL和1.42×10⁵IU/mL的过滤后的抗凝血酶III溶液中,通过RT-PCR未检测到B19V。纳滤对PPV和HAV的病毒去除效果分别≥(3.32)和≥(3.31)。
纳滤将是一种有效去除B19V和HAV的方法。它可作为韩国原料血浆中这些病毒NAT筛查的替代方法,以确保血浆衍生物的安全性。