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Pathogen inactivation methods

Pathogen inactivation methods
Method Used for Comments Licensure
Solvent/detergent treatment Plasma
  • Damages lipid membranes
  • Destroys lipid-enveloped viruses (HIV, HCV, HBV, HTLV, EBV, CMV)
  • Does not inactivate non-enveloped viruses (HAV, HEV, parvovirus B19)
  • Used in "Octaplas" system
  • CE marked
  • FDA approved
Amotosalen + UVA light Cryoprecipitate; plasma; platelets
  • Crosslinks DNA, preventing replication
  • Used in "INTERCEPT" systems
  • CE marked
  • FDA approved
Riboflavin + UV light Cryoprecipitate; plasma; platelets; whole blood
  • Oxidizes guanine nucleotides in DNA, preventing replication
  • Used in "Mirasol" systems
  • CE marked
Methylene blue + visible light Cryoprecipitate; plasma
  • Inactivates lipid-enveloped viruses
  • May reduce concentrations of some clotting factors
  • Used in "THERAFLEX" systems
  • CE marked
UV light alone Platelets
  • Damages DNA, preventing replication
  • Used in "THERAFLEX" systems
  • CE marked
These methods are used for plasma and cellular products (eg, platelets). Plasma derivatives (immune globulins, albumin, coagulation factors) undergo additional purification and fractionation steps, freezing and thawing, and/or lyophilization, which further inactivates pathogens. Refer to UpToDate and the product information for details of these products.
HCV: hepatitis C virus; HBV: hepatitis B virus; HTLV: human T-cell leukemia virus; EBV: Epstein-Barr virus; CMV: cytomegalovirus; HAV: hepatitis A virus; HEV: hepatitis E virus; CE: "Conformité Européenne," a mark of conformity to European standards for products sold in the European Union; FDA: US Food and Drug Administration; UV: ultraviolet.
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