Moore Mark A
LifeNet Health, Virginia Beach, VA 23453, USA.
Cell Tissue Bank. 2012 Aug;13(3):401-7. doi: 10.1007/s10561-011-9266-0. Epub 2011 Aug 3.
Human tissue allografts are widely used in a variety of clinical applications with over 1.5 million implants annually in the US alone. Since the 1990s, most clinically available allografts have been disinfected to minimize risk of disease transmission. Additional safety assurance can be provided by terminal sterilization using low dose gamma irradiation. The impact of such irradiation processing at low temperatures on viruses was the subject of this study. In particular, both human tendon and cortical bone samples were seeded with a designed array of viruses and the ability of gamma irradiation to inactivate those viruses was tested. The irradiation exposures for the samples packed in dry ice were 11.6-12.9 kGy for tendon and 11.6-12.3 kGy for bone, respectively. The viruses, virus types, and log reductions on seeded tendon and bone tissue, respectively, were as follows: Human Immunodeficiency Virus (RNA, enveloped), >2.90 and >3.20; Porcine Parvovirus (DNA, non-enveloped), 1.90 and 1.58; Pseudorabies Virus (DNA, enveloped), 3.80 and 3.79; Bovine Viral Diarrhea Virus (RNA, enveloped), 2.57 and 4.56; and Hepatitis A Virus (RNA, non-enveloped), 2.54 and 2.49, respectively. While proper donor screening, aseptic technique, and current disinfection practices all help reduce the risk of viral transmission from human allograft tissues, data presented here indicate that terminal sterilization using a low temperature, low dose gamma irradiation process inactivates both enveloped and non-enveloped viruses containing either DNA or RNA, thus providing additional assurance of safety from viral transmission.
人体组织同种异体移植物广泛应用于各种临床应用中,仅在美国每年就有超过150万例植入手术。自20世纪90年代以来,大多数临床可用的同种异体移植物都经过消毒,以尽量降低疾病传播风险。使用低剂量伽马射线进行终端灭菌可提供额外的安全保障。本研究的主题是这种低温辐照处理对病毒的影响。具体而言,将一系列设计好的病毒接种到人体肌腱和皮质骨样本上,测试伽马射线灭活这些病毒的能力。包装在干冰中的样本的辐照剂量分别为:肌腱11.6 - 12.9千戈瑞,骨11.6 - 12.3千戈瑞。接种在肌腱和骨组织上的病毒、病毒类型以及对数减少量分别如下:人类免疫缺陷病毒(RNA,包膜病毒),>2.90和>3.20;猪细小病毒(DNA,无包膜病毒),1.90和1.58;伪狂犬病病毒(DNA,包膜病毒),3.80和3.79;牛病毒性腹泻病毒(RNA,包膜病毒),2.57和4.56;以及甲型肝炎病毒(RNA,无包膜病毒),2.54和2.49。虽然适当的供体筛选、无菌技术和当前的消毒措施都有助于降低人类同种异体移植组织病毒传播的风险,但此处呈现的数据表明,使用低温、低剂量伽马射线辐照处理进行终端灭菌可灭活含有DNA或RNA的包膜病毒和无包膜病毒,从而为防止病毒传播提供了额外的安全保障。