Efficacy of alcohol-based hand sanitizers against human norovirus using RNase-RT-qPCR with validation by human intestinal enteroid replication

Lett Appl Microbiol. 2020 Dec;71(6):605-610. doi: 10.1111/lam.13393. Epub 2020 Oct 4.

Abstract

Successful human norovirus (HuNoV) cultivation in stem cell-derived human intestinal enteroids (HIE) was recently reported. The purpose of this study was to evaluate the anti-HuNoV efficacy of two alcohol-based commercial hand sanitizers and 60% ethanol by suspension assay using RNase-RT-qPCR, with subsequent validation of efficacy by HuNoV cultivation using the HIE model. In suspension, when evaluated by RNase-RT-qPCR, 60% ethanol resulted in less than one log10 reduction in HuNoV genome equivalent copies (GEC) regardless of contact time (30 or 60s) or soil load. The two commercial products outperformed 60% ethanol regardless of contact time or soil load, providing 2·2-3·2 log10 HuNoV GEC reductions by suspension assay. Product B could not be validated in the HIE model due to cytotoxicity. Following a 60s exposure, viral replication in the HIE model increased 1·9 ± 0·2 log10 HuNoV GEC for the neutralization (positive) control and increased 0·9 ± 0·2 log10 HuNoV GEC in challenged HIE after treatment with 60% ethanol. No HuNoV replication in HIE was observed after a 60 s exposure to Product A.

Keywords: RT-qPCR; disinfection; food safety; human intestinal enteroids; human norovirus.

MeSH terms

  • Caliciviridae Infections / virology*
  • Drug Evaluation, Preclinical
  • Ethanol / pharmacology*
  • Hand Sanitizers / pharmacology*
  • Humans
  • Intestines / virology*
  • Norovirus / drug effects*
  • Norovirus / genetics
  • Norovirus / growth & development
  • Norovirus / physiology
  • Real-Time Polymerase Chain Reaction / instrumentation
  • Ribonucleases / metabolism
  • Virus Replication / drug effects

Substances

  • Hand Sanitizers
  • Ethanol
  • Ribonucleases

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