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Bone tissue, lyophilized and stored at room temperature for 15 days or more, is not capable of transmitting HIV, HCV or HBV

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Abstract

Over the past 57 years, 17 recipients of frozen bone have been infected with: HIV (Centers for Disease Control and Prevention in Morb Mortal Wkly Rep MMWR 37(39):597–599, 1988; Li et al. in J Formos Med Assoc 100(5):350–351, 2001; Simonds et al. in NEJM 326(11):726–732, 1992; Schratt et al. in Unfallchirurg 99(9):679–684, 1996); HCV (Eggen and Nordbo in NEJM 326(6):411, 1992; Conrad et al. in J Bone Joint Surg Am 77:214–224, 1995; Trotter in J Bone Joint Surg Am 851(11):2215–2217, 2003; Tugwell et al. in Ann of Internal Med 143(9):648–654, 2005); or HBV (Shutkin in J Bone Joint Surg Am 36:160–162, 1954). However, bone, lyophilized and stored at room temperature, has never transmitted these viral diseases. A literature review was undertaken to determine whether there is any evidence that lyophilized bone is capable of transmitting HIV, HCV and HBV.

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References

  • Asselmeier MA, Caspari B, Bottenfield S (1993) A review of allograft processing and sterilization techniques and their role in transmission of the human immunodeficiency virus. Am J Sports Med 21(2):170–175. doi:10.1177/036354659302100202

    Article  PubMed  CAS  Google Scholar 

  • Berge TO, Jewett RL, Blair WO (1971) Preservation of enteroviruses by freeze-drying. Appl Microbiol 22(5):850–853 PMCID: PMC376432

    PubMed  CAS  Google Scholar 

  • Bode AP, Read MS (2000) Lyophilized platelets for transfusion. In: Seghatchan J, Snyder EL (eds) Platelet therapy: current status and future challenges. Elsevier, Amsterdam, pp 131–167

    Google Scholar 

  • Boyce T, Edwards J, Scarborough N (1999) Allograft bone. The influence of processing on safety and performance. Orthop Clin North Am 30(4):571–581

    Article  PubMed  CAS  Google Scholar 

  • Brockbank KGM, Siler DJB (2001) Aseptic and antiseptic treatment of donated and living engineered organs and tissues. In: Block SS (ed) Disinfection, sterilization and preservation, 5th edn. Lippincott Williams & Wilkins, Philadelphia, pp 1011–1022

    Google Scholar 

  • Carter PR, Malinin TI, Abbey PA, Sommerkamp TG (1989) The scaphoid allograft: a new operation for treatment of the very proximal scaphoid nonunion or for the necrotic, fragmented scaphoid proximal pole. Am Soc Surg Hand 14A(1):1–12. doi:10.1016/0363-5023(89)90052-X

    Article  Google Scholar 

  • Centers for Disease Control and Prevention (1988) Transmission of HIV through bone transplantation: case report and public health recommendations. Morb Mortal Wkly Rep MMWR 37(39):597–599

    Google Scholar 

  • Conrad EU, Gretch DR, Obermeyer KR, Moogk MS, Sayers M, Wilson JJ, Strong DM (1995) Transmission of the hepatitis-C virus by tissue transplantation. J Bone Joint Surg Am 77:214–224

    PubMed  CAS  Google Scholar 

  • Crawford JJ, Swenson CL, Arnoczky SP, O’Shea RH Jr (2004) Lyophilization does not inactivate infectious retrovirus in systemically infected bone and tendon allografts (Winner of the 2004 Cabaud Award). Am J Sports Med 32(3):580–586

    Article  PubMed  Google Scholar 

  • Eggen BM, Nordbo SA (1992) Letter to the editor. NEJM 326(6):411

    PubMed  CAS  Google Scholar 

  • Favero MS, Maynard JE (1974) Detection methods for study of the stability of hepatitis B antigen on surfaces. J Infect Dis 129(2):210–212

    Article  PubMed  CAS  Google Scholar 

  • Greiff D, Rightsel WA (1967) Stabilities of suspensions of viruses after freezing or drying by vacuum sublimation and storage. Cryobiology 3(6):432–444

    Article  PubMed  CAS  Google Scholar 

  • Hsia CC, Purcell RH, Farshid M, Lachenbruch PA, Yu MW (2006) Quantification of Hepatitis B virus genomes and infectivity in human serum samples. Transfusion 46(10):1829–1835

    Article  PubMed  CAS  Google Scholar 

  • International Atomic Energy Agency (IAEA) (2007) Radiation sterilization of tissue allografts: requirements for validation and routine control—A code of practice. Vienna ISBN 978-92-0-109002-2

  • Kamili S, Krawczynski K, McCaustland K, Li X, Alter M (2007) Infectivity of Hepatitis C virus in plasma after drying and storing at room temperature. Infect Control Hosp Epidemiol 28(5):519–524. doi:10.1086/513727

    Article  PubMed  Google Scholar 

  • Katayama K, Kumagai J, Komia Y, Mizui M, Yugi H, Kishimoto S, Yamanaka R, Tamatsukuri S, Tomoguri T, Miyakawa Y, Tanaka J, Yoshizawa H (2004) Titration of Hepatitis C virus in chimpanzees for determining the copy number required for transmission. Intervirology 47:57–64. doi:10.1159/000076643

    Article  PubMed  CAS  Google Scholar 

  • Komiya Y, Katayama K, Yugi H, Mizui M, Matsukura H, Tomoguri T, Miyakawa Y, Tabuchi A, Tanaka J, Yoshizawa H (2008) Minimum infection dose of Hepatitis B virus in chimpanzees and difference in the dynamics of viremia between Genotype A and Genotype C. Transfusion 48(2):286–294

    PubMed  Google Scholar 

  • Kurth R, Werner A, Barrett DF (1986) Stability and inactivation of the human immunodeficiency virus (HIV); A review. AIDS-FORSCHung (AIFO) 11:601–608

    Google Scholar 

  • Levy JA, Fieldsteel H (1982) Freeze-drying is an effective method for preserving infections Type C retroviruses. J Virol Methods 5:165–171

    Article  PubMed  CAS  Google Scholar 

  • Li C-M, Ho Y-R, Liu Y-C (2001) Transmission of human immunodeficiency virus through bone transplantation: a case report. J Formos Med Assoc 100(5):350–351

    PubMed  CAS  Google Scholar 

  • Pruss A, von Versen R, Pauli G (2005) Viruses and their relevance for gamma irradiation sterilisation of allogenic tissue transplants. In: Kennedy JF, Phillips GO, Williams PA (eds) Sterilisation of tissue using ionizing radiations, vol Part 4, 1st edn. Woodhead Publishing Ltd, Cambridge, pp 235–254

    Chapter  Google Scholar 

  • Sattar SA, Springthorpe VS (1991) Survival and disinfectant inactivation of the human immunodeficiency virus: a critical review. Rev Infect Dis 13(3):430–447

    Article  PubMed  CAS  Google Scholar 

  • Sattar SA, Springthorpe VS (1996) Transmission of viral infections through animate and inanimate surfaces and infection control through chemical disinfection. In: Hurst CJ (ed) Modeling disease transmission and its prevention by disinfection. Cambridge University Press, Cambridge, pp 224–257

    Google Scholar 

  • Schratt HE, Regel D, Kiesewetter B, Tscherne H (1996) HIV-Infektion durch kaltekonservierte Knochentransplantate. Unfallchirurg 99(9):679–684

    Article  PubMed  CAS  Google Scholar 

  • Scott EM, Woodside W (1976) Stability of pseudorabies virus during freeze-drying and storage: effect of suspending media. J Clin Microbiol 4(1):1–5

    PubMed  CAS  Google Scholar 

  • Shutkin NM (1954) Homologous-serum hepatitis following the use of refrigerated bone-bank bone. J Bone Joint Surg Am 36:160–162

    PubMed  Google Scholar 

  • Simonds RJ, Holmberg SD, Hurwitz RL, Coleman TR, Bottenfield S, Conley LJ, Kohlenberg SH, Castro KG, Dahan BA, Schable CA, Rayfield MA, Rogers MF (1992) Transmission of human immunodeficiency virus type 1 from a seronegative organ and tissue donor. NEJM 326(11):726–732

    Article  PubMed  CAS  Google Scholar 

  • Tomford WW (1995) Current concepts review: transmission of disease through transplantation of musculoskeletal allografts. J Bone Joint Surg Am 77-A(11):1742–1754

    Google Scholar 

  • Trotter JF (2003) Transmission of Hepatitis C by implantation of a processed bone graft. J Bone Joint Surg Am 851(11):2215–2217

    Google Scholar 

  • Tscherne DM, Jones CT, Evans MJ, Lindenbach BD, McKeating JA, Rice CM (2006) Time and temperature—dependent activation of Hepatitis C virus for low pH-triggered entry. J Virol 80(4):1734–1741. doi:10.1128/JVI.80.4.1734-1741.2006

    Article  PubMed  CAS  Google Scholar 

  • Tugwell BD, Patel PR, Williams IT, Hedberg K, Chai F, Nainan OV, Thomas AR, Woll JE, Bell BP, Cieslak PR (2005) Transmission of Hepatitis C virus to several organ and tissue recipients from an antibody-negative donor. Ann Intern Med 143(9):648–654

    PubMed  Google Scholar 

  • Uhlenhaut C, Dorner T, Pauli G, Pruss A (2005) Effects of Lyophilization on the infectivity of enveloped and non-enveloped viruses in bone tissue. Biomaterials 26(33):6558–6564. doi:10.1016/j.biomaterials.2005.04.049

    Article  PubMed  CAS  Google Scholar 

  • van Bueren J, Simpson RA, Jacobs P, Cookson BD (1994) Survival of Human immunodeficiency virus in suspension and dried onto surfaces. J Clin Microbiol 32(2):571–574 PMCID: PMC263082

    PubMed  Google Scholar 

  • Wang W (2000) Lyophilization and development of solid protein pharmaceuticals. Int J Pharm 203(1–2):1–60

    Article  PubMed  CAS  Google Scholar 

  • Zhai S, Hansen RK, Taylor R, Skepper JN, Sanches R, Slater N (2004) Effect of freezing rates and excipients on the infectivity of a live viral vaccine during lyophilization. Biotechnol Prog 20(4):1113–1120

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

Special thanks to Professor Glyn O. Phillips for his encouragement and invitation to present this paper in outline form in Kuala Lumpur at the 2008 5th World Congress On Tissue Banking & 12th International Conference Of The Asia Pacific Association Of Surgical Tissue Banks, and, to Professor Axel Pruss with whom I enjoyed a constructive dialogue immediately after the presentation.

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Correspondence to John T. Salvucci.

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Mr. Salvucci is a member of the United States law firm, Nelson Levine de Luca & Horst, LLC. Previously, while affiliated with another United States law firm, he defended a tissue processor in multidistrict litigation.

All references to bone tissue allografts is abbreviated by the use of the word “bone”.

The use of the word “lyophilized” will designate biologic products that have been freeze-dried, without the addition of cryopreservative agents, and thereafter stored at room temperature.

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Salvucci, J.T. Bone tissue, lyophilized and stored at room temperature for 15 days or more, is not capable of transmitting HIV, HCV or HBV. Cell Tissue Bank 12, 99–104 (2011). https://doi.org/10.1007/s10561-010-9173-9

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