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Virucidal Effects of Contact Lens Disinfectants Against Enveloped and Nonenveloped Pathogenic Viruses Causing
Weiyin Hu1, Hiroshi Shimoda, Daisuke Hayasaka
1Laboratory of Veterinary Microbiology (W.H., H.S., D.H.), Department of Veterinary Medicine, Joint Graduate School of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan; Laboratory of Veterinary Microbiology (H.S., D.H.), Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan; and Division of Pathogenic Microorganism (H.S., D.H.), Research Center for Thermotolerant Microbial Resources, Yamaguchi University, Yamaguchi, Japan.
Objectives:
Contact lens (CL) contamination carries the risk of viral keratoconjunctivitis transmission, particularly to CL users. Inadequate disinfection and viral stability in CL disinfectants of Human adenovirus (HAdV-D) and Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can contribute to ocular infections. In this study, we evaluated the antiviral efficacy of commercial CL disinfectants against these viruses.
Methods:
Before the experiment, the cytotoxicity of CL disinfectants was assessed in A549 and Vero E6/TMPRSS2 cells to determine the detection limits. Stock viruses and each CL disinfectant were mixed in a 1:9 ratio and incubated according to the manufacturer's protocol. After the reactions, infectious viral titers were determined and compared with those of mock samples without disinfectants.
Results:
Sodium hypochlorite- and hydrogen peroxide-based CL disinfectants reduced both enveloped SARS-CoV-2 and nonenveloped HAdV-D56 to below the detection limits. Salicylic acid and some polyhexamethylene biguanide (PHMB)-based disinfectants effectively inactivated enveloped SARS-CoV-2 but not nonenveloped HAdV-D56. Other kinds of PHMB, ɛ-polylysine, PQ-1, and alexidine hydrochloride did not exhibit efficient inactivation against both viruses.
Conclusions:
Sodium hypochlorite- and hydrogen peroxide-based CL disinfectants have potent virucidal activities against enveloped and nonenveloped viruses. Human adenovirus is the most important causative agent of conjunctivitis. Contact lens disinfectants are recommended to sanitize contact lenses on a daily basis, following the manufacturer's protocol.
Insights
Sodium hypochlorite and hydrogen peroxide contact lens disinfectants effectively kill enveloped SARS-CoV-2 and nonenveloped Human Adenovirus. Other disinfectants showed limited efficacy against Human Adenovirus, highlighting the importance of proper contact lens care.
Area of Science:
- Ophthalmology
- Virology
- Microbiology
Background:
- Contact lens (CL) contamination poses a risk for viral keratoconjunctivitis transmission.
- Human adenovirus (HAdV-D) and SARS-CoV-2 can cause ocular infections due to inadequate disinfection and viral stability in disinfectants.
Purpose of the Study:
- To evaluate the antiviral efficacy of commercial CL disinfectants against HAdV-D and SARS-CoV-2.
- To identify effective disinfectants for preventing viral transmission via contact lenses.
Main Methods:
- Cytotoxicity of CL disinfectants was assessed in cell lines.
- Viruses were incubated with disinfectants following manufacturer protocols.
- Infectious viral titers were determined post-incubation and compared to controls.
Main Results:
- Sodium hypochlorite and hydrogen peroxide disinfectants inactivated both SARS-CoV-2 and HAdV-D56.
- Salicylic acid and some PHMB-based disinfectants inactivated SARS-CoV-2 but not HAdV-D56.
- Other disinfectants (PHMB, ɛ-polylysine, PQ-1, alexidine hydrochloride) showed limited efficacy against both viruses.
Conclusions:
- Sodium hypochlorite and hydrogen peroxide-based CL disinfectants demonstrate potent virucidal activity against enveloped and nonenveloped viruses.
- Human adenovirus is a significant cause of conjunctivitis.
- Daily disinfection of contact lenses using manufacturer protocols is recommended.
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