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Recovery and inactivation of infectious retroviruses from factor VIII concentration

Lancet (London, England)
|September 29, 1984
PubMed

Insights

Infectious retroviruses can survive factor VIII concentration procedures, remaining infectious in lyophilized samples. Heating factor VIII concentrates to 68°C for hours is necessary to inactivate these viruses.

Area of Science:

  • Virology
  • Hematology
  • Biotechnology

Background:

  • Factor VIII concentrates are crucial for treating hemophilia.
  • The potential role of retroviruses in Acquired Immunodeficiency Syndrome (AIDS) was a significant concern.
  • Viral safety of blood products, including factor VIII, is paramount.

Purpose of the Study:

  • To investigate the survival of infectious retroviruses during factor VIII concentration.
  • To determine the efficacy of standard procedures in inactivating retroviruses in factor VIII concentrates.
  • To assess the heat stability of retroviruses in lyophilized factor VIII preparations.

Main Methods:

  • Mouse retroviruses were intentionally added to human plasma.
  • Plasma underwent standard factor VIII concentration procedures.
  • Infectivity of retroviruses in resulting lyophilized factor VIII samples was tested.
  • Lyophilized factor VIII was subjected to heat treatment at 68°C for varying durations.

Main Results:

  • Mouse retroviruses consistently survived the factor VIII concentration process.
  • Infectious retroviruses remained viable in lyophilized factor VIII concentrates.
  • Substantial inactivation of infectious retroviruses required prolonged heating at 68°C.
  • Standard concentration methods alone were insufficient for retroviral inactivation.

Conclusions:

  • Factor VIII concentration procedures do not reliably inactivate infectious retroviruses.
  • Lyophilized factor VIII concentrates may harbor infectious retroviruses.
  • Heat treatment at 68°C for several hours is essential for inactivating retroviruses in factor VIII concentrates.
  • These findings support the consideration of retroviruses in AIDS pathogenesis and highlight the need for heat inactivation in factor VIII concentrate production.

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