2020
DOI: 10.1111/trf.15673
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Inactivation of yellow fever virus with amotosalen and ultraviolet A light pathogen‐reduction technology

Abstract: BACKGROUND The reemergence of yellow fever virus (YFV) in Africa and Brazil, and massive vaccine campaigns triggered to contain the outbreaks, have raised concerns over blood transfusion safety and availability with increased risk of YFV transfusion‐transmitted infections (TTIs) by native and vaccine‐acquired YFV. Blood donor deferral for 2 to 4 weeks following live attenuated YFV vaccination, and deferral for travel to endemic/epidemic areas, may result in blood donor loss and impact platelet component (PC) s… Show more

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Cited by 4 publications
(6 citation statements)
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References 31 publications
(63 reference statements)
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“…Flaviviruses have ranked high on the priority list of agents posing a threat to the blood supply . Their sensitivity to inactivation by amotosalen/UVA was first demonstrated for West Nile virus (WNV) and dengue virus, and was further confirmed with Zika virus (ZIKV) and yellow fever virus (YFV) . The LRF for all emerging flaviviruses tested is >4.0 log in plasma and PC‐PAS or PC‐100% (Table ).…”
Section: Resultsmentioning
confidence: 99%
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“…Flaviviruses have ranked high on the priority list of agents posing a threat to the blood supply . Their sensitivity to inactivation by amotosalen/UVA was first demonstrated for West Nile virus (WNV) and dengue virus, and was further confirmed with Zika virus (ZIKV) and yellow fever virus (YFV) . The LRF for all emerging flaviviruses tested is >4.0 log in plasma and PC‐PAS or PC‐100% (Table ).…”
Section: Resultsmentioning
confidence: 99%
“…The reemergence of YFV in Angola in 2015 and in large areas of Brazil in 2017‐2018, resulted in the deferral of thousands of platelet donors for several weeks following vaccination with live virus. The amotosalen/UVA PRT may be considered in the future as an alternative approach to deferrals during massive YFV vaccination campaigns . In Europe, the expansion of Aedes species and Culex species mosquitoes and associated dengue virus, CHIKV, and WNV outbreaks have led to more deferrals and blood screening requirements.…”
Section: Discussionmentioning
confidence: 99%
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“…Pathogen reduction technologies (PRT) are being increasingly used to ensure safety of critical blood components such as plasma and platelets: progressive deployment has been often accelerated by emerging epidemics, such as Zika virus, 1,2 Dengue virus, 3,4 Chikungunya virus, 5 Yellow fever virus, 6 Middle East respiratory syndrome coronavirus 7 and severe acute respiratory syndrome (SARS)‐1 coronavirus 8 . Different PRT brands exist on the market, having interstrand cross‐links and fragmentation of nucleic acids in both blood cells and different classes of pathogens as the common mechanism of action (MOA): when photochemicals are used, DNA fragmentation is triggered by ultraviolet irradiation (photoactivation) of the active ingredient 9 : formation of adducts between the photochemical and nucleic acid block replication, transcription and translation.…”
Section: Introductionmentioning
confidence: 99%