key: cord-0936606-7veiqqo2
authors: De Maio, Flavio; Palmieri, Valentina; Babini, Gabriele; Augello, Alberto; Palucci, Ivana; Perini, Giordano; Salustri, Alessandro; Spilman, Patricia; De Spirito, Marco; Sanguinetti, Maurizio; Delogu, Giovanni; Rizzi, Laura Giorgia; Cesareo, Giulio; Soon-Shiong, Patrick; Sali, Michela; Papi, Massimiliano
title: Graphene Nanoplatelet and Graphene Oxide Functionalization of Face Mask Materials Inhibits Infectivity of Trapped SARS-CoV-2
date: 2021-06-25
journal: iScience
DOI: 10.1016/j.isci.2021.102788
sha: 5d3c587bed5ccdf3b6c7d46620f9cea0db03f721
doc_id: 936606
cord_uid: 7veiqqo2

Recent advancements in bidimensional nanoparticles production such as Graphene (G) and Graphene oxide (GO) have the potential to meet the need for highly functional personal protective equipment (PPE) against SARS-CoV-2 infection. The ability of G and GO to interact with microorganisms provides an opportunity to develop engineered textiles for use in PPE and limit the spread of COVID-19. PPE in current use in high-risk settings for COVID transmission provide only a physical barrier that decreases infection likelihood and does not inactivate the virus. Here, we show that virus pre-incubation with soluble GO inhibits SARS-CoV-2 infection of VERO cells. Furthermore, when G/GO functionalized polyurethane or cotton were in contact SARS-CoV-2, the infectivity of the fabric was nearly completely inhibited. The findings presented here constitute an important innovative nanomaterial-based strategy to significantly increase PPE efficacy in protection against the SARS-CoV-2 virus that may implement water filtration, air purification, and diagnostics methods.

The emergence of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and the resultant coronavirus infectious disease 2019 pandemic has prompted the ubiquitous use of face masks (Clase et al., 2020; Feng et al., 2020; Sommerstein et al., 2020; Sunjaya and Jenkins, 2020; Palmieri et al., 2021) to curb transmission in clinical, public, and working contexts. A global shortage of medical-grade masks such as N95 masks has resulted in the widespread use of cloth masks, including woven cotton masks, to reduce airborne transmission (Clase et al., 2020) . While these masks offer some protection against viral transmission, there is a continuing high demand for personal protective equipment (PPE). In particular, due to the inability to avoid or difficulty in isolation of infectious persons that are contagious during the initial days of infection when symptoms are mildest or not present (Arons et al., 2020; Liu et al., 2020) , masks and PPE with better protective characteristics are needed.

Design of a protective surgical face mask consists of the use of materials with different roles and properties, layered in a sequence to optimize functionality. The first layer, in contact with the skin of the wearer, allows droplets to pass through and be absorbed in the adjacent hydrophilic layer, thereby keeping the skin dry (Sarkar et al., 2020) . This second hydrophilic layer also absorbs and holds microorganisms in the mask, limiting their ability to spread to other people.

In contrast, the outside layer of the mask is typically a hydrophobic non-woven tissue sheet.

Its low wettability prevents the escape of fluids from the middle layer to the outside and at the same time stops entry of droplets from the exterior.

To improve the protective properties of masks, nanomaterials scientists have proposed integration of virus-inactivating properties with standard propylene-and cloth-filtering properties with the goal of developing improved PPE (O'Dowd et al., 2020; Palmieri and Papi, 2020; Raghav and Mohanty, 2020; Sportelli et al., 2020; Weiss et al., 2020) .

In recent years, the bidimensional material Graphene nanoplatelet (G), and its derivatives have captured much attention due to their interactions with microorganisms (Valentini et al., 2016; Shams et al., 2017; Matharu et al., 2020) . Pristine G is a single-atom-thick sheet of hexagonally arranged carbon atoms (Bourque and Rutledge, 2018) , while Graphene oxide (GO) is its oxidized form. Being a single layer of atoms, G has an exceptionally high surface area and interacts uniquely with organisms with sizes in the order of hundreds of nanometers, i.e., bacteria and viruses (Palmieri and Papi, 2020) . GO oxygen groups make surface more hydrophilic compared to G (V. Palmieri, Bugli, Lauriola, et al., 2017; Kumar and Parekh, 2020) .

It has been demonstrated that bacteria that come into contact with the G surface lose integrity (V. Palmieri, Bugli, Lauriola, et al., 2017; V. Palmieri, Carmela Lauriola, Ciasca, et al., 2017) and that G has good viral inhibition capacity (Ziem et al., 2016) . Graphene interacts directly with viruses mainly by hydrogen bonding, electrostatic interactions, and redox reactions (Song et al., 2015) ; and many G-derived materials have an intrinsic ability to adsorb charged lipids and destroy membranes (Frost et al., 2012; Rui et al., 2015; Chen et al., 2016) , suggesting a likely interaction with enveloped viruses like SARS-CoV-2. Furthermore, G itself can be additionally functionalized with anti-viral particles and drugs (Akhavan, Choobtashani and J o u r n a l P r e -p r o o f Ghaderi, 2012; Ziem et al., 2016 Ziem et al., , 2017 Yang et al., 2017; Palmieri et al., 2018; Donskyi et al., 2019; Naskalska et al., 2019; Jones et al., 2020) .

In the last months, it has been evidenced how G and G-related products could improve face masks performance and recycling process or could be embedded as sensing material for viruses in textiles (Kumar, Sharma and Dixit, 2020; Lin et al., 2020; Palmieri and Papi, 2020; Raghav and Mohanty, 2020; Srivastava et al., 2020; Tabish and Hamblin, 2020; Zhong et al., 2020) but the effects of G and GO either in solution or embedded in fabrics for PPE on Sars-CoV-2 have not been quantified experimentally.

To verify the Sars-CoV-2 inhibition of G-related nanomaterials, we first investigated the ability of GO in solution (due to its relative hydrophilicity) to bind and entrap suspended SARS-CoV-2 viral particles. We found that pre-incubation of virus with GO nearly completely suppressed infectivity in the commonly used VERO cells model of SARS-CoV-2 infection. Then we show the potential to exploit the interaction of graphene with viruses in the fabrication of masks by testing the efficacy of G and GO functionalization of cotton and non-woven, polyurethane (PU) material. We found that virus filtration through either G or GO functionalized cotton or PU was also almost wholly eradicated SARS-CoV-2 infectivity. Finally, because protection against bacterial infection is also desirable for face mask materials (Zhiqing et al., 2018) , as biocompatibility, we tested the materials functionalized with G or GO for their antibacterial effects against E. coli and effects on viability of the euckatyotic cell line. We found the functionalized materials showed antibacterial effects but did not affect eukaryotic cell viability.

On the whole, a plethora of applications of G and GO are presented in this work.

In the first experimental setting, the ability of GO in solution to trap SARS-CoV-2 and reduce infectivity in VERO cells was assessed. SARS-CoV-2 viral particles at a concentration of ~10 5 particles/mL were incubated with increasing concentrations of GO for 2 hours. Following incubation, solutions were centrifuged, and supernatants were used to infect VERO cells to measure the infectivity of the virus (Fig. 1A) . Controls were treated with centrifuged viral solutions without GO.

Incubation of SARS-CoV-2 viral particles in suspension with GO reduced viral infectivity even at the lowest concentration of GO (0.06 mg/mL) as reflected by the cell density observed The trapping of microbial species is a mechanism known for bacteria and is caused by the propensity of GO surface to interact with lipidic membranes, like SARS-CoV-2 virus.

Therefore, as occurs with bacterial species, we hypothesize that the surface of GO entraps viral J o u r n a l P r e -p r o o f particles, possible favoured by the bridging of cations of cell medium (Valentina Palmieri, Bugli, et al., 2017) , causing a lack of infection of VERO cells.

To assess if functionalization of cotton material or PU is feasible and can result in better protection against viral penetration, we integrated G or GO into these materials. The functionalized materials were then imaged by scanning electron microscopy (SEM). As seen in Figure 2 , SEM imaging reveals platelets of G or GO distributed on fibers that are particularly apparent on PU.

Two experimental paradigms were then used to test the potential for protection against SARS-CoV-2 infection by functionalized materials: static incubation and flow filtration.

The static and flow experimental designs are shown in Figure S1 .

In the static testing paradigm, viral particles suspended in medium were put in contact with G or GO functionalized materials for two hours. Then materials were washed with cell medium to recover particles from fabric and the medium was used to treat VERO cells ( Just as with static incubation, integration of G or GO into either of the test materials resulted in a significant decrease in viral cytotoxicity that can be seen both in images of Crystal violet stained cells ( Fig. 3F and G). The protection against virus-induced cell death was highly significant for both G or GO functionalized PU or cotton (Fig. 3H ).

In Table 1 To confirm the functionalized materials are biocompatible and not cytotoxic, A549 and VERO cells were incubated with cell culture medium exposed to graphene functionalized materials. No decrease in cell viability was seen after incubation with medium exposed to either PU or cotton functionalized with G or GO ( Fig. 4A and B).

Material functionalization with G or GO also can protect against the transmission of bacteria. Therefore, we also tested the protective effects of G-integrated materials on E. coli growth. Antibacterial efficacy was expressed with value R which is obtained by R=U T -A T . U T is the average of the common logarithm of the number of viable bacteria, in cells/cm 2 , recovered J o u r n a l P r e -p r o o f from the untreated test specimens after 24 h; A T is the average of the common logarithm of the number of viable bacteria, in cells/cm 2 , recovered from the treated test specimens after 24 h.

As shown in Fig. 4C , after 2 hours of incubation with functionalized fabric, E. coli growth was reduced on PU-G and cotton-G with a R value of ~ 0.5 for both; R values were higher for GOcompared to G-functionalized materials. The R value is essentially the difference between viable bacteria in an untreated culture and a treated culture, thus if fewer bacteria are viable after a given treatment, the R value is increased. After 24 hours, the R value was 3.8 and 4.4 for PU with G and cotton with G respectively, and 3.8 and ~5 for PU with GO and cotton with GO, respectively; indicating a significant inhibition of bacterial growth by both functionalized materials (Fig. 4C) . These experiments confirm that the contact of microorganisms with carbon materials causes a strong interaction that impedes the release of infectious agents in the environment.

The ability of GO to trap pathogens was one of the first properties attributed to this nanomaterial and was reported to result in inhibition of macrophage infection by Mycobacterium tuberculosis (De Maio, Palmieri, De Spirito, et al., 2019; De Maio, Palmieri, Salustri, et al., 2019; De Maio et al., 2020) , as well as bacteriostatic effect on both Gram-positive and Gramnegative bacteria (Palmieri et al., 2018) .

In addition to the potential for integration of GO in PPE, the ability of GO to trap infectious viral particles provides an opportunity for the treatment of water effluents from hospitals and municipalities. This may be a critical application of GO technology, given that coronaviruses can maintain viability in sewage and hospital wastewater, and can persist in aquatic environments and wastewater treatment plants (Naddeo and Liu, 2020) . With further development, GO technology could be applied to water treatment, air purification and -in combination with J o u r n a l P r e -p r o o f monitoring programs -has the potential to reduce environmental viral loads and secondary transmission.

The GO trapping effect has the potential to be leveraged for other applications; for example, it can be used to concentrate analytes in solution, such as DNA, RNA, and viruses (Palmieri et al., 2020) , a feature that is useful for the design of new diagnostic assays.

While the promising results presented here point to the benefits of either G or GO in PPE material, G and GO are not interchangeable. The hydrophilicity of the material is significantly increased with GO, compared to the hydrophobic G (Fig. S2) . Depending upon the final design of the face mask incorporating a G or GO functionalized material, the first choice may be G if a hydrophobic quality is desired, or GO if the material is positioned between the inner and outer layers where it could trap and neutralize virus. The more hydrophilic nature of GO makes it a better choice in applications that require solutions such as molecular diagnostic devices or water treatment. In Fig. 5 , a summary of the main results of the manuscript and of possible exploitation of graphene materials in the future is reported.

The findings presented in this work support the further development of integration of Graphene or Graphene oxide into face mask materials given the specific inhibition of live Sars-CoV-2 particles. In our ongoing efforts, we are applying our knowledge of material functionalization (Cesareo, Parrini and Rizzi, 2020) to develop a feasible and practical material with stability to temperature, and mechanical or other forces that can be utilized in masks and PPE for widespread use. The routine use of face masks, now encouraged throughout the world where COVID-19 is present, can reduce viral transmissibility, and preserve healthcare capacity (Stutt et al., 2020) . Graphene and GO nanomaterials present a critical opportunity to increase face mask efficacy, especially in light of the development of multivalent strategies against SARS-CoV-2, bringing the world closer to the goal of stopping the spread of COVID-19 (Tabish and Hamblin, 2020) . 

Quantifications are averages of at least three replicates. (C) Antibacterial efficacy of either G-or GO-functionalized cotton or PU is shown, determined by calculating the R value for E.coli for each sample where a higher R value indicates an antibacterial effect in treated cultures. Data are represented as mean +/-SD. Statistically significant results are indicated with "*" according to p value (p < 0.05 = *; p < 0.01 = **; p < 0.001 = ***; p<0.0001=****)

Further information and requests for resources and reagents should be directed to and will be fulfilled by the lead contact, Massimiliano Papi (massimilianopapi@unicatt,it).

This study did not generate new unique reagents.

All data reported in this paper will be shared by the lead contact upon request. This paper does not report original code. Any additional information required to reanalyze the data reported in this paper is available from the lead contact upon request.

African green monkey kidney (VERO) epithelial cells (ATCC CCL-81 sex of cell Female) were cultured in Dulbecco's Modified Eagle's Medium (DMEM) supplemented with 10% inactivated fetal calf serum (FCS) (EuroClone, Milan, Italy), 1 mM glutamine (EuroClone, Milan, Italy), 1% streptomycin -penicillin antibiotics (EuroClone, Milan, Italy) and incubated in a humidified atmosphere (5% CO 2 at 37°C) as reported elsewhere (Ammerman, Beier-Sexton and Azad, 2008) . Cells were washed with sterile warm phosphate buffered saline (PBS), trypsinized and counted. Cells were replated in 48-well plates (Wuxi NEST Biotechnology Co., Ltd, China) at 7 J o u r n a l P r e -p r o o f

x 10 4 cells/mL. Cells were infected with SARS-CoV-2 virus when > 90% confluent monolayer was observed comprising approximately 1 x 10 6 cells/well after 72 hours. A549 cells (ATCC sex of cell male) were maintained in DMEM (Sigma-Aldrich) supplemented with 10% fetal bovine serum (FBS, EuroClone), 2% penicillin-streptomycin (Sigma-Aldrich) and 2% L-glutamine (Sigma-Aldrich). Cells were cultivated in T75 flasks and kept at 37°C in 5% CO 2 humidity. Biocompatibility test has been performed also on VERO cells using cell culture conditions specified above.

G (G+, Directa Plus) and GO (GO, GrapheneA) were used for all experiments. Commercial materials were used to ensure consistency between experiments. G+ is produced according to a proprietary patented technology that involves three different steps: expansion, exfoliation, and drying (Bonetti et al., no date) . GO water dispersion (4 mg/mL) synthesis was performed using the Hummers' method (Wang et al., 2016) . In the Table S1 , the main parameters for each nanomaterial are summarized. Full characterization of these nanomaterials is reported elsewhere (Valentina Palmieri, Barba, et al., 2017; Cesareo, Parrini and Rizzi, 2020) .

To assay the ability of GO to trap SARS-CoV-2, we incubated previously titred SARS-CoV-2 particles in suspension with GO diluted in phosphate buffered saline (PBS) supplemented with 1% penicillinstreptomycin. Briefly, 0.06, 0.12, 0.25, and 0.5 mg/mL of GO were incubated with SARS-CoV-2 virus (~10 5 virus particles/mL). Incubation was performed at 37°C with agitation (100 rpm). Two hours later, GO was removed by centrifugation (14,000 rpm, 5 J o u r n a l P r e -p r o o f minutes) and supernatant was used to infect VERO cells ( Figure 1A) . The cytopathic effect of SARS-CoV-2 was evaluated 72 hours after the infection including full-spectrum light microscopy and image collection for quantification of area covered by viable cells labelled with crystal violet staining. Further infection evaluation was done by labeling of SARS-CoV-2 particles with an anti-spike antibody and performing lactate dehydrogenase (LDH) assay, all described below.

To initiate infection, cells were washed with sterile warm PBS and then infected with 0.1 mL of solution containing SARS-CoV-2 (10 5 virus particles/mL). Cells were incubated for two hours at standard atmosphere conditions (37 °C, 5% CO 2 ), then the infection solution was removed and replaced with fresh DMEM medium supplemented with 2% FCS, 1 mM glutamine, and 1% streptomycin -penicillin as above. Cells were incubated and infection status was evaluated daily.

All experiments that involved SARS-CoV-2 manipulation was carried out in Biosafety level 3 laboratory (BSL3) in the Institute of Microbiology of IRCCS -Fondazione Policlinico Gemelli.

IF was performed to assess viral replication in VERO cells. Cells were fixed by using 4% paraformaldehyde for 30 minutes. After three washes, fixed cells were permeabilized (0.02% Triton X-100 in PBS) and a blocking step was performed by using PBS supplemented with 0.3% bovine serum albumin (BSA) (De Maio et al., 2014) . SARS-CoV-2 viral particles were labelled with monoclonal rabbit anti-Spike S1 subunit antibodies (Novusbio, clone CR3022), the plate was incubated for 3 hours at room temperature, and after washes with PBST, incubated with secondary anti-rabbit IgG -FITC labelled antibodies (Ref: 65-6111/ lot: UG285467, Invitrogen).

The fluorescent signal was detected by using a Nikon eclipse TS100 and images used for quantification of the signal as described below.

To evaluate cell viability, LDH levels in cell culture media supernatants were determined. Each supernatant was diluted according to the LDH kit manufacturer's instructions (LONZA) before incubation with the substrate. Thirty minutes later absorbance at 450 nm was measured with a plate reader (BioRad).

Crystal violet labels the DNA of live, adherent cells and was used to quantify viable cells. Cells were fixed as described above and then stained by using Crystal violet for 30 minutes. After incubation, five washes were carried out and images of random fields for each condition were acquired and the stain signal quantified as described below.

Images were analyzed using open-access ImageJ software version 1.47v (NIH, USA). Every set of .tiff images corresponding to crystal violet staining were analyzed through the "Process>Batch>Macro tool". Each image was converted to 8-bit image. Minimum and Maximum thresholds were manually set for each batch of images to correctly convert areas to white and black, respectively. Prior to perform the "Measure" tool of ImageJ, images were processed with the "Smooth" and "Convert to Mask". The fraction of the area covered by cells is then automatically stored in the results file. IF images were generated by merging image of cells acquired with direct light and the corresponding image acquired with 476 nm light (UV) by ImageJ software built-in tool "Image>Color>Merge" using the grey and green channels, respectively.

Polyurethane (PU) and cotton materials were functionalized with G+ or GO as previously described (Zhao et al., 2013; Rizzi, Cesareo and Popescu, 2021) .

SEM was performed to evaluate graphene and GO distribution on materials. A piece of each material was cut (1x1 cm) and sputter-coated with platinum then imaged with SEM Supra 25 (Zeiss, Germany). Images were acquired at several magnifications.

A 3D printed custom sample holder was produced using Ultimaker S3 to hold material samples.

SARS-CoV-2 infection solution was prepared as indicated above and 1 mL was filtered through the device containing the material. Positive and negative controls are represented by infection solution and sterile PBS passed through empty filters, respectively. 0.1 mL of each eluate was used to infect VERO cells as indicated above. The cytopathic effect was evaluated at 72 hours after the infection.

The antiviral property of materials was evaluated following ISO18184 procedures. 0.05 mL of PBS containing SARS-CoV-2 virus was put on the surface of a 1x1 cm 2 textile TNT and cotton and corresponding graphene functionalized materials. After two hours of incubation, each material was recovered in a new tube containing 5 ml of DMEM supplemented with 2% inactivated FCS, 1 mM glutamine, 1% streptomycin -penicillin antibiotics. Additionally, 0.1 mL was used to wash and to collect infection solution in the wells containing the materials. Each tube containing infected material was vigorously vortexed five times and 0.1 mL was used to J o u r n a l P r e -p r o o f infect VERO cells as described above. The cytopathic effect was monitored daily by visual inspection.

To assess if the cotton or PU materials functionalized with G or GO were toxic to cells, in the absence of virus, A549 lung cancer cells and VERO cells were incubated with material-exposed medium.

Material biocompatibility was evaluated according to ISO 10993. Material pieces (2 x 2 cm) were incubated in 10 mL of complete medium at 37°C for 24 hours. Meanwhile, cells were seeded on 96-well (Corning) at a density of 10 5 cells/mL, and kept at 37°C in 5% CO 2 humidity for 24 hours. After incubation, supernatant in the multiwell was aspirated and replaced with 100 μL of culture medium incubated with functionalized materials. Cells were then kept at 37°C in 5% CO 2 humidity. After 24 hours, MTT assay (3-(4,5-dimethylthiazol-2-yl)-2,5diphenyltetrazolium bromide (Invitrogen, Life technologies, Italy)) was performed. Briefly, culture medium was removed and replaced with fresh medium containing 12 mM MTT. Cells were incubated for 4 hours at 37°C in 5% CO 2 humidity. After incubation, 100 µL of component B (1 mg of sodium dodecyl sulfate in 10 mL of 0.01 M HCl) per 100 µL of medium was added to each well, and incubated for 16 hours. Absorbance was read at 570 nm with a microplate reader (Cytation3, Biotek) and results were normalized by control cells.

E. coli (ATCC 25922) was used to perform tests of antibacterial effects of materials according to ISO 20743:2013 using a colony plate count method. Cotton or PU without G or GO were used as control materials to validate the growth condition of test bacteria and validate the test. Bacteria were grown in sterile Luria-Broth (LB) medium at 37 °C overnight. A sub-inoculum of the J o u r n a l P r e -p r o o f bacteria was grown until a logarithmic phase of growth was achieved and diluted to a concentration of 10 5 cells/mL. Material test specimens were cut in pieces (2 cm x 2 cm) and incubated with 200 L of bacterial suspension and incubated at 37°C. Bacteria were retrieved from each specimen at several time points to count colony forming units (CFU) on LB agar plates. Antibacterial efficacy is expressed with R value which is obtained by R=U T -A T . U T is the average of the common logarithm of the number of viable bacteria, in cells/cm 2 , recovered from the untreated test specimens after 24 h; A T is the average of the common logarithm of the number of viable bacteria, in cells/cm 2 , recovered from the treated test specimens after 24 h. All tests were performed in triplicate.

All experiments have been replicated at least three times. Microsoft Excel 2010 (Microsoft Office) and GraphPad Prism 8.0 software (GraphPad) were used to compile and analyze data. All data are expressed as mean with standard deviation (SD) and analyzed by one-way ANOVA comparison tests followed by Tukey's correction. Statistically significant results are indicated with "*" according to p value (p < 0.05 = *; p < 0.01 = **; p < 0.001 = ***; p<0.0001=****).

Statistical methods details can be found in the Figure Legends .

Acknowledgments *This paper is in memory of G.B. that deceased prematurely. Work presented in this paper has been partially supported by Directa Plus Srl and Università Cattolica del SC. LGR and GC developed and produced graphene nanoplatelets and realized G material functionalization. MP and VP realized GO material functionalization. All authors read, critically revised and approved the final manuscript.

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