Efficacy of “Essential Iodine Drops” against Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2)
Zolta ´n Ko ¨nto ¨s
PLOS ONE, doi:10.1371/journal.pone.0254341
Background Aerosolization of respiratory droplets is considered the main route of coronavirus disease 2019 . Therefore, reducing the viral load of Severe Acute Respiratory Syndrome-Coronavirus 2 (SARS-CoV-2) shed via respiratory droplets is potentially an ideal strategy to prevent the spread of the pandemic. The in vitro virucidal activity of intranasal Povidone-Iodine (PVP-I) has been demonstrated recently to reduce SARS-CoV-2 viral titres. This study evaluated the virucidal activity of the aqueous solution of Iodine-V (a clathrate complex formed by elemental iodine and fulvic acid) as in Essential Iodine Drops (EID) with 200 μg elemental iodine/ml content against SARS-CoV-2 to ascertain whether it is a better alternative to PVP-I.
Methods SARS-CoV-2 (USAWA1/2020 strain) virus stock was prepared by infecting Vero 76 cells (ATCC CRL-1587) until cytopathic effect (CPE). The virucidal activity of EID against SARS-CoV-2 was tested in three dilutions (1:1; 2:1 and 3:1) in triplicates by incubating at room temperature (22 ± 2˚C) for either 60 or 90 seconds. The surviving viruses from each sample were quantified by a standard end-point dilution assay.
Results EID (200 μg iodine/ml) after exposure for 60 and 90 seconds was compared to controls. In both cases, the viral titre was reduced by 99% (LRV 2.0). The 1:1 dilution of EID with virus reduced SARS-CoV-2 virus from 31,623 cell culture infectious dose 50% (CCID 50 ) to 316 CCID 50 within 90 seconds.
Conclusion Substantial reductions in LRV by Iodine-V in EID confirmed the activity of EID against SARS-CoV-2 in vitro, demonstrating that Iodine-V in EID is effective at inactivating the virus in vitro and therefore suggesting its potential application intranasally to reduce SARS-CoV-2 transmission from known or suspected COVID-19 patients.
Author Contributions Conceptualization: Zolta ´n Ko ¨nto ¨s.
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'<jats:title>Background</jats:title>\n'
'<jats:p>Aerosolization of respiratory droplets is considered the main route of coronavirus '
'disease 2019 (COVID-19). Therefore, reducing the viral load of Severe Acute Respiratory '
'Syndrome-Coronavirus 2 (SARS-CoV-2) shed via respiratory droplets is potentially an ideal '
'strategy to prevent the spread of the pandemic. The <jats:italic>in vitro</jats:italic> '
'virucidal activity of intranasal Povidone-Iodine (PVP-I) has been demonstrated recently to '
'reduce SARS-CoV-2 viral titres. This study evaluated the virucidal activity of the aqueous '
'solution of Iodine-V (a clathrate complex formed by elemental iodine and fulvic acid) as in '
'Essential Iodine Drops (EID) with 200 μg elemental iodine/ml content against SARS-CoV-2 to '
'ascertain whether it is a better alternative to PVP-I.</jats:p>\n'
'</jats:sec>\n'
'<jats:sec id="sec002">\n'
'<jats:title>Methods</jats:title>\n'
'<jats:p>SARS-CoV-2 (USAWA1/2020 strain) virus stock was prepared by infecting Vero 76 cells '
'(ATCC CRL-1587) until cytopathic effect (CPE). The virucidal activity of EID against '
'SARS-CoV-2 was tested in three dilutions (1:1; 2:1 and 3:1) in triplicates by incubating at '
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'<jats:sec id="sec003">\n'
'<jats:title>Results</jats:title>\n'
'<jats:p>EID (200 μg iodine/ml) after exposure for 60 and 90 seconds was compared to controls. '
'In both cases, the viral titre was reduced by 99% (LRV 2.0). The 1:1 dilution of EID with '
'virus reduced SARS-CoV-2 virus from 31,623 cell culture infectious dose 50% '
'(CCID<jats:sub>50</jats:sub>) to 316 CCID<jats:sub>50</jats:sub> within 90 seconds.</jats:p>\n'
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