Department of Medical Zoology, Kyung Hee University School of Medicine, Seoul, Republic of Korea.
Department of Biomedical Science, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
PLoS One. 2021 Sep 30;16(9):e0257827. doi: 10.1371/journal.pone.0257827. eCollection 2021.
Airborne transmission of infectious respiratory pathogens is a significant health hazard for the general public as well as healthcare professionals. Face masks have been frequently utilized as safety measures to limit the transmission of these infectious aerosolized particles. However, the efficacy of face masks in reducing respiratory virus infectivity and pathogenicity is unknown. Improving the effectiveness of masks in blocking viruses is urgently needed. In this study, surgical mask filters were modified by coating the filters with 1, 3, or 5 M of sodium dihydrogen phosphate, and subsequently exposed to the aerosolized respiratory influenza viruses (A/H3N2, A/H5N1) generated by a nebulizer set. Mask filter modification significantly reduced the size and counts of filter pores, which enabled entrapment of 40-60% of aerosolized viruses (captured viruses) with more than 90% of the captured viruses losing their infectivity. Upon contact with the coated mask filters, both the captured viruses and the viruses that managed to bypass the filter pore (passed viruses) were found to be inactivated. Passed viruses demonstrated significantly reduced pathogenicity in mice as indicated by significantly reduced lung virus titers, bodyweight loss, and prolonged survival compared to bare control. These findings highlight the potential of modified mask filters for reducing viral activity and pathogenicity, which contributes to improving facial mask efficacy as well as limiting airborne pathogen transmission.
空气传播的传染性呼吸道病原体对公众和医护人员都是重大的健康危害。口罩已被频繁用作安全措施,以限制这些传染性气溶胶颗粒的传播。然而,口罩在降低呼吸道病毒感染力和致病性方面的效果尚不清楚。迫切需要提高口罩阻断病毒的有效性。在这项研究中,通过在口罩过滤层上涂覆 1、3 或 5 M 的磷酸二氢钠来修饰手术口罩的过滤层,随后将过滤层暴露于由雾化器产生的雾化呼吸道流感病毒(A/H3N2、A/H5N1)中。口罩过滤层的修饰显著减小了过滤孔的尺寸和数量,从而使 40-60%的雾化病毒(被捕获的病毒)被捕获,超过 90%的被捕获病毒失去了感染力。与涂覆的口罩过滤器接触后,被捕获的病毒和设法绕过过滤孔的病毒(通过的病毒)都被发现失活了。与裸口罩对照相比,通过的病毒在小鼠中的致病性明显降低,这表现在肺部病毒滴度、体重减轻和存活时间延长方面。这些发现强调了修饰的口罩过滤器在降低病毒活性和致病性方面的潜力,有助于提高口罩的功效,限制空气传播病原体的传播。