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International Journal of Bioprinting                            3D-printed plasma devices for decontamination




               In this study, we examined the efficiency of three CAP   3).  However,  H O likely  played  a  significant role  in  our
                                                                            2
                                                                              2
            devices for selecting enveloped and nonenveloped viruses   analysis of bacterial inactivation in saline solution because
            and a clinically important gram-negative bacterium. The   of the low solubility of RONS in water. In contrast to the
            three devices were produced via a 3D printer and could be   long CAP exposure times required for virus inactivation
            easily adjusted to the desired size, shape, and inner chamber   (up to 120 min;  Figures 7  and  8), bacterial cells were
            geometry. Along with the original device used in earlier   inactivated by devices 2 and 3 within 1 min (Figure 5),
            studies, we tested two optimized versions containing a   where evaporation of the liquid is not expected to be a
            closed chamber that produces a more densely concentrated   relevant factor. The antibacterial effect of CAP was also
            particle environment. These versions incorporated a   reflected by a greater degree of physical damage, including
            tubular “volcano” design, which accurately directs particle   membrane impairment and cell content leakage, as
            flow toward the sample. Another feature of potential   visualized via TEM. This damage was more rapidly inflicted
            improvement was the use of two electric discharges in   by devices 2 and 3 (Figure 6). CAP exposure damages the
            parallel (Figure 1). All three devices demonstrated good   bacterial cell wall, leading to high levels of oxidative stress
            performance in decontaminating surfaces from pathogens,   and cell membrane rupture, as well as bacterial cell death
            but the devices displayed different efficiencies defined by   due to DNA damage. 60–64  Many studies have reported
            the  time  of exposure  to  CAP required  for  inactivation.   pronounced antibacterial effects of CAP generated in
            According to the parameters recorded, optimized devices   gaseous environments (i.e., containing a single RONS or a
            2 and 3 were superior to the original device 1 in all analyses   combination of RONS), which produces H O  and NO - in
            performed, including the reduction in infectivity, nucleic   aqueous environments. 58,65–69  2  2  2
            acid  degradation, and  external membrane damage  in
            relation to the duration of CAP exposure.             The antiviral efficiency exhibited a similar trend as
                                                               described above, with devices 2 and 3 outperforming
               To characterize the CAP composition produced by   device  1 in all the assays performed (Figures  7  and  8;
            individual devices, we analyzed the concentration of   Tables S1–S4). Given the long exposure time required for
            RONS accumulated in gaseous (Figures 2  and  3) and   viral inactivation (up to 120 min), significant evaporation
            aqueous (Figure 4) environments. The optimized devices   of the liquid surrounding the viral particles is likely.
            yielded relatively  high  concentrations  of  O ,  N O,  and   Hence, both RONS detected in a gaseous environment
                                                3
                                                    2
            NO   in  the  gaseous  environment  and  relatively  high   and H O  detected at high concentrations in the aqueous
               2
                                                                      2
                                                                    2
            H2O2  concentrations  in the  saline  solution.  The pH  of   environment upon treatment by devices 2 and 3 appear to
            the exposed saline drop was generally low, with the lowest   play a relevant role in the virucidal effects observed. Viral
            value generated by device 3 (pH 0.5). All the tested devices   infectivity decreased gradually over the CAP exposure
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            yielded comparable concentrations of NO  and NO  in   time, and complete elimination was generally achieved
                                              3
                                                       2
            the aqueous environment (based on SEM images). The   more rapidly with the optimized devices. The reduction in
            results indicate that the use of closed-chamber formats   viral genome copy number, which was analyzed to monitor
            (devices 2 and 3) led to changes in the CAP atmosphere,   the physical integrity of virus particles, exhibited the
            thereby increasing decontamination efficiency. Notably,   same trend, albeit more slowly, indicating that infectivity
            the inclusion of an additional discharge electrode (device   was diminished before complete particle disintegration.
            2) had a minimal impact on decontamination efficiency.  This trend was previously reported by us  and supports
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               The antibacterial properties of CAP apparently   the notion that perfect virus fitness viability is required
            correlate with the concentration of RONS produced by   for infectivity but does not directly correlate with particle
            the devices. This notion is reflected by the greater efficacy   integrity. Repeated measurements often reveal fluctuating
            of optimized devices 2 and 3 in eliminating the viability   readouts, especially for HAdV and HRV, at shorter CAP
            of  P. aeruginosa almost instantaneously, whereas device   exposure times. This was also the case for the  control
            1 required 30 min for the same effect (Figure 5). In this   measurements before CAP exposure, thus reflecting the
            study, bacteria suspended in saline solution during CAP   biological complexity of the experimental system. In line
            treatment suggested that RONS, specifically H2O2, may   with previous observations,  enveloped RNA viruses
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            play a crucial role in antibacterial efficacy, especially in   (SARS-CoV-2 and IAV in the present study) and the
            direct bacterial  exposure  to  CAP.   This  assumption  is   nonenveloped virus HRV were more rapidly inactivated
                                        56
            supported by the considerably greater H O concentration   by CAP, whereas HAdV displayed a greater degree
                                            2
                                              2
            in the CAP-exposed saline drop generated by devices 2   of stability. It has been previously reported that both
            and 3 (Figure 4). The antimicrobial effect of RONS is well   enveloped and nonenveloped viruses can be inactivated
            described in the literature, 57–59  and their presence has also   by reactive plasma particles through oxidative damage to
            been validated in a gaseous environment (Figures 2 and   proteins, viral envelopes (if present), and nucleic acids.
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            Volume 10 Issue 5 (2024)                       456                                doi: 10.36922/ijb.3679
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