Evaluation of Residual Infectivity after SARS-CoV-2 Aerosol Transmission in a Controlled Laboratory Setting

Severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) is mainly transmitted through respiratory droplets, aerosols, or direct contact with fomites from an infected subject. It has been reported that SARS-CoV-2 is stable and viable in aerosol up to 16 h in controlled laboratory conditions...

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Autores principales: Luisa Zupin, Sabina Licen, Margherita Milani, Libera Clemente, Lorenzo Martello, Sabrina Semeraro, Francesco Fontana, Maurizio Ruscio, Alessandro Miani, Sergio Crovella, Pierluigi Barbieri
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:6b2357c97c0342fa9ae65d258033ec352021-11-11T16:19:23ZEvaluation of Residual Infectivity after SARS-CoV-2 Aerosol Transmission in a Controlled Laboratory Setting10.3390/ijerph1821111721660-46011661-7827https://doaj.org/article/6b2357c97c0342fa9ae65d258033ec352021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11172https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) is mainly transmitted through respiratory droplets, aerosols, or direct contact with fomites from an infected subject. It has been reported that SARS-CoV-2 is stable and viable in aerosol up to 16 h in controlled laboratory conditions. However, the aerosolization conditions varied a lot between the studies. In this work, an experimental laboratory model of SARS-CoV-2 aerosolization was established, employing an impinger nebulizer, a cylindrical chamber for aerosol travel, and a SKC biosampler for the collection of particles. The efficiency of the system was assessed based on the molecular determination of the viral load in the nebulizer after the aerosolization and in the aerosol collected at the end of the travel. Moreover, the residual infectivity was tested in vitro on the Vero E6 cell line, through the observation of the cytopathic effect (CPE), and the quantification of the viral load in the supernatants at 7 days post inoculation (dpi). A high RNA viral load was found in the SKC biosampler after aerosolization, indicating that it was possible to transport a high virus titer through the 30-cm chamber with all the dilutions (initial 10<sup>5</sup>, 10<sup>4</sup>, 10<sup>3</sup> plaque forming unit—PFU/mL). At the 7 dpi, an increment of the RNA viral load was determined for the dilutions 10<sup>5</sup> and 10<sup>4</sup> PFU/mL tested, while only the initial 10<sup>5</sup> PFU/mL resulted in visible CPE. Our findings allowed us to achieve the resilience of SARS-CoV-2 in aerosol form, at a concentration comparable to those reported for clinical samples. This mode of transmission should be considered for the mitigation and preventive measures to counteract SARS-CoV-2 spreading.Luisa ZupinSabina LicenMargherita MilaniLibera ClementeLorenzo MartelloSabrina SemeraroFrancesco FontanaMaurizio RuscioAlessandro MianiSergio CrovellaPierluigi BarbieriMDPI AGarticleSARS-CoV-2aerosolresidual infectivityMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11172, p 11172 (2021)
institution DOAJ
collection DOAJ
language EN
topic SARS-CoV-2
aerosol
residual infectivity
Medicine
R
spellingShingle SARS-CoV-2
aerosol
residual infectivity
Medicine
R
Luisa Zupin
Sabina Licen
Margherita Milani
Libera Clemente
Lorenzo Martello
Sabrina Semeraro
Francesco Fontana
Maurizio Ruscio
Alessandro Miani
Sergio Crovella
Pierluigi Barbieri
Evaluation of Residual Infectivity after SARS-CoV-2 Aerosol Transmission in a Controlled Laboratory Setting
description Severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) is mainly transmitted through respiratory droplets, aerosols, or direct contact with fomites from an infected subject. It has been reported that SARS-CoV-2 is stable and viable in aerosol up to 16 h in controlled laboratory conditions. However, the aerosolization conditions varied a lot between the studies. In this work, an experimental laboratory model of SARS-CoV-2 aerosolization was established, employing an impinger nebulizer, a cylindrical chamber for aerosol travel, and a SKC biosampler for the collection of particles. The efficiency of the system was assessed based on the molecular determination of the viral load in the nebulizer after the aerosolization and in the aerosol collected at the end of the travel. Moreover, the residual infectivity was tested in vitro on the Vero E6 cell line, through the observation of the cytopathic effect (CPE), and the quantification of the viral load in the supernatants at 7 days post inoculation (dpi). A high RNA viral load was found in the SKC biosampler after aerosolization, indicating that it was possible to transport a high virus titer through the 30-cm chamber with all the dilutions (initial 10<sup>5</sup>, 10<sup>4</sup>, 10<sup>3</sup> plaque forming unit—PFU/mL). At the 7 dpi, an increment of the RNA viral load was determined for the dilutions 10<sup>5</sup> and 10<sup>4</sup> PFU/mL tested, while only the initial 10<sup>5</sup> PFU/mL resulted in visible CPE. Our findings allowed us to achieve the resilience of SARS-CoV-2 in aerosol form, at a concentration comparable to those reported for clinical samples. This mode of transmission should be considered for the mitigation and preventive measures to counteract SARS-CoV-2 spreading.
format article
author Luisa Zupin
Sabina Licen
Margherita Milani
Libera Clemente
Lorenzo Martello
Sabrina Semeraro
Francesco Fontana
Maurizio Ruscio
Alessandro Miani
Sergio Crovella
Pierluigi Barbieri
author_facet Luisa Zupin
Sabina Licen
Margherita Milani
Libera Clemente
Lorenzo Martello
Sabrina Semeraro
Francesco Fontana
Maurizio Ruscio
Alessandro Miani
Sergio Crovella
Pierluigi Barbieri
author_sort Luisa Zupin
title Evaluation of Residual Infectivity after SARS-CoV-2 Aerosol Transmission in a Controlled Laboratory Setting
title_short Evaluation of Residual Infectivity after SARS-CoV-2 Aerosol Transmission in a Controlled Laboratory Setting
title_full Evaluation of Residual Infectivity after SARS-CoV-2 Aerosol Transmission in a Controlled Laboratory Setting
title_fullStr Evaluation of Residual Infectivity after SARS-CoV-2 Aerosol Transmission in a Controlled Laboratory Setting
title_full_unstemmed Evaluation of Residual Infectivity after SARS-CoV-2 Aerosol Transmission in a Controlled Laboratory Setting
title_sort evaluation of residual infectivity after sars-cov-2 aerosol transmission in a controlled laboratory setting
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/6b2357c97c0342fa9ae65d258033ec35
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