West Nile virus in plasma is highly sensitive to methylene blue-light treatment

Harald Mohr1, Joseph Knüver-Hopf, Ute Gravemann

  • 1Blood Center of the German Red Cross Chapters of NSTOB, Institute Springe, Germany. hmohr@bsd-nstob.de

Transfusion
|May 26, 2004
PubMed
Abstract

Insights

Photodynamic treatment with methylene blue effectively inactivates West Nile virus (WNV) in fresh frozen plasma (FFP). This study demonstrates the potent capability of this method to safeguard blood supplies from WNV transmission.

Area of Science:

  • Blood safety research
  • Virology
  • Photochemistry

Background:

  • West Nile virus (WNV) poses a risk of transfusion-transmitted infections in the US.
  • Pathogen reduction technologies are crucial for blood supply safety.
  • Photodynamic treatment with methylene blue (MB) is a potential decontamination method.

Purpose of the Study:

  • To evaluate the efficacy of photodynamic treatment using methylene blue (MB) and light for inactivating West Nile virus (WNV) in fresh frozen plasma (FFP).
  • To assess the robustness of the WNV inactivation process under various conditions.

Main Methods:

  • Fresh frozen plasma (FFP) units were spiked with WNV.
  • Methylene blue (MB) was added, followed by illumination with white or yellow light.
  • WNV infectivity was assessed via bioassay, and WNV-RNA levels were quantified using real-time PCR.
  • Rechallenge experiments were conducted to evaluate the method's capacity.

Main Results:

  • Complete WNV inactivation was achieved within 2 minutes using MB and white light.
  • Light exposure of 20-40 J/cm(2) resulted in a 5.75 log10-step reduction in WNV.
  • Rechallenge experiments confirmed the method's substantial WNV inactivation capacity.
  • Quantitative PCR showed rapid destruction of WNV-RNA.

Conclusions:

  • Photodynamic treatment with MB demonstrates significant potency in inactivating WNV in plasma.
  • This method offers a promising approach for pathogen reduction in blood products.
  • The findings support the use of MB phototreatment for enhancing blood safety against WNV.