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02/01/2022 12:00

Hard to break down

Dr. Jan Grabowski Presse- und Öffentlichkeitsarbeit
TWINCORE - Zentrum für Experimentelle und Klinische Infektionsforschung

    Hepatitis E virus defies alcohol-based hand disinfectants

    Joint press release by TWINCORE, Hannover Medical School and Ruhr University Bochum

    Hepatitis E virus (HEV) can cause serious liver inflammation and is the most common cause of acute virus-mediated hepatitis worldwide. Infection can be prevented through appropriate hygiene measures. Scientists from TWINCORE, Centre for Experimental and Clinical Infection Research, the Hannover Medical School (MHH) and the Ruhr University Bochum (RUB), together with partners from industry and supported by the German Centre for Infection Research (DZIF), have investigated the effectiveness of various common hand disinfectants against HEV.

    They were able to show that most formulations do not completely inactivate the virus. They publish these results in the Journal of Hepatology on 24 January 2022.

    Infection from pork

    In Germany and Europe, HEV has its natural reservoir in pigs. The infection can pass from the animals to humans, which is referred to as a zoonosis. This often happens through incompletely heated or raw meat products such as minced meat. In tropical regions of the world, infections occur via contaminated water, sometimes with large outbreaks. "Some of these infections could possibly be prevented with the right hygiene measures," says Dr Patrick Behrendt, a doctor in the Department of Gastroenterology, Hepatology and Endocrinology at the MHH and head of the junior research group "Translational Virology" at TWINCORE. This includes, above all, correct hygienic hand disinfection in everyday clinical practice when dealing with hepatitis E patients and infected animals.

    Together with the team of Prof. Dr. Eike Steinmann, head of the Department of Molecular and Medical Virology at RUB, Behrendt investigated whether common hand disinfectants can render the virus harmless. "We tested the effect of the alcohols ethanol and propanol, both individually and in the mixing ratios recommended by the WHO, and also commercial hand disinfectants," says Steinmann. "However, only one product that contained another component was effective."

    Normally, HEV occurs unenveloped and, like all unenveloped viruses, is very resistant to chemical influences. However, such virus particles circulate in the blood of patients that are surrounded by a lipid envelope. "Not all disinfectants are effective against enveloped and non-enveloped viruses at the same time," says Steinmann. "We used both forms of HEV for our tests."

    Alcohol alone does not work

    Although some of the disinfectants tested were certified to inactivate both enveloped and non-enveloped viruses, they were not sufficiently effective against HEV. "The alcoholic components dissolve the lipid envelope, but the resulting naked viruses are still infectious," says Behrendt. So HEV is literally hard to get down. A product that contains phosphoric acid as well as alcohol had the decisive advantage. This neutralised all the virus particles sufficiently.

    "We were able to show that HEV can resist most common hand disinfectants," says Behrendt. "We hope that these findings will be considered in the future when hygiene measures are recommended for handling contaminated meat products and HEV outbreaks."

    ---
    At TWINCORE, Centre for Experimental and Clinical Infection Research, a research centre jointly founded by the Helmholtz Centre for Infection Research (HZI) and the Hannover Medical School (MHH), medical doctors and natural scientists work side by side. The focus of the centre is on translation, the interface between basic research and clinical development. The latest results from science are thus to reach patients via short routes. At the same time, basic researchers are looking for answers to questions that arise in clinical work.


    Contact for scientific information:

    Dr. Patrick Behrendt
    Junior Research Group "Translational Virology"
    TWINCORE, Centre for Experimental and Clinical Infection Research
    Tel.: +49 511 22002 7133
    E-Mail: patrick.behrendt@twincore.de 

    Prof. Dr. Eike Steinmann
    Department of Molecular and Medical Virology
    Ruhr University Bochum
    Tel.: +49 234 32 28189
    E-Mail: eike.steinmann@rub.de


    Original publication:

    Patrick Behrendt, Martina Friesland, Jan-Erik Wißmann, Volker Kinast, Yannick Stahl, Dimas Praditya, Lucas Hueffner, Pia Maria Nörenberg, Birgit Bremer, Benjamin Maasoumy, Jochen Steinmann, Britta Becker, Dajana Paulmann, Florian H.H. Brill, Joerg Steinmann, Rainer G. Ulrich, Yannick Brüggemann, Heiner Wedemeyer, Daniel Todt, Eike Steinmann
    Hepatitis E virus is highly resistant to alcohol-based disinfectants
    Journal of Hepatology, 2022, DOI: https://doi.org/10.1016/j.jhep.2022.01.006


    More information:

    https://www.twincore.de/en/infothek-and-press/infothek-news-single/news/schwer-k... This press release on twincore.de


    Images

    Most common hand disinfectants have little effect on hepatitis E viruses.
    Most common hand disinfectants have little effect on hepatitis E viruses.
    Marquard
    © RUB, Marquard


    Criteria of this press release:
    Business and commerce, Journalists, Scientists and scholars, all interested persons
    Biology, Chemistry, Medicine
    transregional, national
    Research results, Scientific Publications
    English


     

    Most common hand disinfectants have little effect on hepatitis E viruses.


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