Rapid Bedside Inactivation of Ebola Virus for Safe Nucleic Acid Tests

Author:

Rosenstierne Maiken Worsøe1,Karlberg Helen2,Bragstad Karoline3,Lindegren Gunnel2,Stoltz Malin Lundahl2,Salata Cristiano4,Kran Anne-Marte Bakken5,Dudman Susanne Gjeruldsen3,Mirazimi Ali26,Fomsgaard Anders17

Affiliation:

1. Virus Research & Development Laboratory Statens Serum Institut, Copenhagen, Denmark

2. Public Health Agency of Sweden, Solna, Sweden

3. National Influenza Centre Norway, Norwegian Institute of Public Health, Oslo, Norway

4. Department of Molecular Medicine, University of Padova, Padua, Italy

5. Department of Microbiology, Oslo University Hospital, Oslo, Norway

6. Karolinska Institutet, Solna, Sweden

7. Infectious Disease Research Unit, University of Southern Denmark, Odense, Denmark

Abstract

ABSTRACT Rapid bedside inactivation of Ebola virus would be a solution for the safety of medical and technical staff, risk containment, sample transport, and high-throughput or rapid diagnostic testing during an outbreak. We show that the commercially available Magna Pure lysis/binding buffer used for nucleic acid extraction inactivates Ebola virus. A rapid bedside inactivation method for nucleic acid tests is obtained by simply adding Magna Pure lysis/binding buffer directly into vacuum blood collection EDTA tubes using a thin needle and syringe prior to sampling. The ready-to-use inactivation vacuum tubes are stable for more than 4 months, and Ebola virus RNA is preserved in the Magna Pure lysis/binding buffer for at least 5 weeks independent of the storage temperature. We also show that Ebola virus RNA can be manually extracted from Magna Pure lysis/binding buffer-inactivated samples using the QIAamp viral RNA minikit. We present an easy and convenient method for bedside inactivation using available blood collection vacuum tubes and reagents. We propose to use this simple method for fast, safe, and easy bedside inactivation of Ebola virus for safe transport and routine nucleic acid detection.

Funder

Innovative Medicine Initiative 2

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference31 articles.

1. World Health Organization. 2016. Ebola situation report 30 March 2016. http://apps.who.int/iris/bitstream/10665/204714/1/ebolasitrep_30mar2016_eng.pdf?ua=1&ua=1.

2. Mobile diagnostics in outbreak response, not only for Ebola: a blueprint for a modular and robust field laboratory;Wölfel R;Euro Surveill,2015

3. World Health Organization. 2014. Laboratory diagnosis of Ebola virus disease 19 September 2014. http://apps.who.int/iris/bitstream/10665/134009/1/WHO_EVD_GUIDANCE_LAB_14.1_eng.pdf.

4. World Health Organization. 2004. Laboratory biosafety manual (3rd ed). http://www.who.int/csr/resources/publications/biosafety/Biosafety7.pdf.

5. World Health Organization. 2014. How to safely ship human blood samples from suspected Ebola cases within a country by road rail and sea. http://apps.who.int/iris/bitstream/10665/137549/1/WHO_EVD_Guidance_Lab_14.3_eng.pdf.

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