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(21) Appl.No.: 11/538,262 Lnasdown, “Silver in health care: antimicrobial effects and safety in
use”, Current Problems in Dermatology (2006), 33, 17-34
(22) Filed: Oct. 3, 2006 (abstract).*
Translation of Korean Patent 2006-079388 (2006).*
(65) Prior Publication Data Translation of Korean Patent No. 2006-079388 (Cho et al, 2006).*
US 2007/0190174 A l Aug. 16, 2007 Machine translation for JP2003-221304 (Aug. 2003).*
Medical Uses of Silver, Wikipedia, http://en.wikipedia.org/wiki/
Related U.S. Application Data M edical_uses_of_silver, accessed May 26, 2010.
Gui, Fang et al., “Study of Nanometer Catalyst on Antiviral Actions,”
(63) Continuation-in-part of application No. 10/641,938, Virolica Sinica, Feb. 2005, 20(1), pp. 70-74.
filed on Aug. 15, 2003, now Pat. No. 7,135,195, and a “Antiviral Metal” Google Search—accessed Mar. 19, 2012—http://
continuation-in-part of application No. 09/946,834, www.google.com/search?q=%22antiviral+metal%22&rls=com.
filed onSep. 4,2001, now Pat. No. 6,743,348, whichis microsoft:en-us&ie=. . . .
a continuation of application No. 09/323,310, filed on Galdiero, Stefania et al., “Silver Nanoparticles as Potenţial Antiviral
Jun. 1, 1999, now Pat. No. 6,214,299. Agents”, Molecules, 2011, 16, Issn. 1420-3049, pp. 8894-8918.
Wikipedia—Antiviral Drug, pp. 1-10, http://en.wikipedia.org/wiki/
(60) Provisional application No. 60/475,657, filed on Jun. Anliviral drug. (accessedMar. 19, 2012).
3, 2003. International Search Report of PCT/US2007/080278, (mailed Sep.
22, 2009).
(51) Int.Cl. Office Action dated May 13, 2011 in Malaysian application No.
A61K33/38 (2006.01) PI20091359.
A61L2/18 (2006.01)
(52) U.S. CI. * cited by examiner
CPC .. A 61K 33/38 (2013.01); A61L 2/18 (2013.01)
USPC ............................................................. 424/618 Primary Examiner — Daniel Sullivan
(58) Field of Classification Search Assistant Examiner — Barbara Frazier
None (74) Attorney, Agent, or Firm — Venable LLP; Ştefan J.
See application file for complete search history. Kirchanski
Time 1:1 x 101 1.:1 x 102 1:1 x IO3 1 :1 x 104 1:1 x IO5 1:1 x 106
30 m in — _ TN TC TN TC 57 10
— — TN TC TN TC 51 7
1 hr — — TN TC TN TC 28 3
— — TN TC TN TC 55 3
2 hr — TNTC TN TC 126 23 —
— TNTC TN TC 183 17 —
4 hr TN TC TNTC 88 12 — —
TN TC TNTC 69 12 — —
TNTC = too numerous to count
Neutralization Control: 1:1 x IO8
oughly.
d) After two min, the neutralized suspension was serially 25
diluted 1:10, in physiological saline solution (PSS).
e) The number of viable oiganisms in selected dilution Solution containing 10 ppm silver and 1.0% H20 2:
tubes was assayed by membrane filtration. One ml aliquots D ilution o f B. subtilis spore/disinfectant suspension:
were plated in duplicate. The membranes were washed with
Time 1:1 x 101 1:1 x 102 1:1 x IO3 1:1 x 104 1:1 x IO5
about 100 ml of sterile PSS and removed to Columbia Agar 30
plates. The plates were incubated at 37° C. for 20 hr. 10 min _ _ TN TC TNTC 230
f) The number of colonies on each filter was counted and — — TN TC TNTC 287
30 min — — TN TC TNTC 254
log reductions computed. — — TN TC TNTC 260
4. Controls: 1 hr — — TN TC TNTC 146
a) Titers of the test suspensions were computed by per- 35 — — TN TC TNTC 124
forming membrane filtration assays of selected 1:10 dilutions 2 hr — TNTC TN TC 64 —
— TNTC TN TC 71 —
of the test suspensions in PSS. 4 hr TN TC 72 5
b) A neutralizer control was performed by inoculating a TN TC 77 5
mixture of 9 ml of neutralizer and 1 ml of disinfectant with 6 hr 0 0 0
100 pl of the 1: IO3 dilution of the titer. This produced about 40 2 0 0
8 hr 0 0 0
2,000 cfu/ml in the tube, which was allowed to stand for 20
0 0 0
minutes prior to diluting 1:10. Both tubes were assayed by
membrane filtration using duplicate 1 ml. samples. TNTC = too numerous to count.
C. Results
Titer of Bacillus subtilis Spores: 45 Neutralization Control:
45
1.03933x. These equations predict that the time for a 6-log Data are presented as MIC/MBC (minimum inhibitory
reduction is 5.02 hrs for the 4 ppm composition and 6.35 hrs concentration/minimum bactericidal concentration) in parts
for the 10 ppm composition. per million (ppm)); denotes that the concentration needed
The neutralization control data showed that the disinfec- to obtain the MIC or the MBC was higher than test parameters
tant was adequately neutralized. Expected counts corre- 50 measured for the test. For example, the highest concentration
sponded to those expected from the dilution. of tetracycline used on S. pyogene was 5 ppm. At that con
The experimental disinfectant Solutions tested exhibited centration there was still growth upon subculturing of the “no
significant sporicidal activity against B. subtilis spores. The growth” tubes. Therefore, the MBC must be > (greater than)
B. subtilis străin used in these evaluations is the same one 5 ppm.
specified in the AOAC sporicidal test. Spores from this organ 55 The MIC/MBC of E. coli străin 0 157: H7, which has been
ism represent a significant challenge for most disinfectants. associated with outbreaks of hemorrhagic diarrhea and coli-
The times required to effect a six log reduction are in line with tis, was determined in a subsequent study. The MIC was
the sporicidal labei claims of many cold sterilants. determinedto be 2.5 ppm and the MBC was determined to be
5. Evidence of Efficacy of 10 PPM Silver Composition as 5 ppm.
a Broad Spectrum Antimicrobial 60 C. Conclusion
A. Methods The 10 ppm silver composition of the present invention
MIC (minimum inhibitory concentration) and MBC (mini was tested and found to be both bacteriostatic and bactericidal
mum bactericidal concentration) tests were performed for all organisms tested. In other studies, this composition
according to the standard broth microdilution method. The was compared to other commercially available colloidal sil
MIC is defined as the lowest concentration of an antibiotic 65 ver products and found to have a superior activity to all other
that will inhibit the (in vitro) growth of an infectious organ preparations tested (data not shown). The most interesting
ism. Results are reported in micrograms per ml. For medical observation was the broad spectrum that the 10 ppm silver
US 8,753,691 B2
13 14
composition possesses. The antimicrobial activity that was ferred to tubes of letheen broth (LETH). The tubes of LETH
observed was fairly constant independent of the particular were incubated at 37±2° C. for 2 days.
organism tested. With the exception of Streptococcusfaecalis Carrier Titration.
and Streptococcus aureus (which had MIC values of 10 ppm For titration of carriers, 10 ml blanks of peptone Tween®
and 5 ppm, respectively), MIC values ranged between 1.25 5 (brand of polysorbate) (PEPT) solution were prepared. Two
ppm and 2.5 ppm for both gram positive and gram negative carriers were placed into the individual tubes, representing
organisms. The MBC values behaved similarly with values the first 1:10 dilution. The tubes were agitated vigorously
ranging from 1.25 ppm to 5 ppm with the exception of Strep enough to get bacteria into solution and serial dilutions were
tococcus mutans, Streptococcus gordonii, and Streptococcus made into 9 ml blanks of LETH medium. The dilution blanks
faecalis (which all had MBC values of 10 ppm). The data 10 were incubated at 37±2° C. The last tube with growth indi-
suggest that 10 ppm silver embodiment of this invention cated the log0 titer of oiganisms on the carrier. AOAC requires
exhibits an equal or broader spectrum of activity than any one carriers to have minimum populations of lx l0 4 cfu/carrier.
antibiotic tested. Antibiotics generally have restricted anti- Test of Silver Composition.
bacterial spectra limited to susceptible organisms, but as the Using sterile glass pipettes, 10 ml aliquots of the prepared
data demonstrate, the silver composition of the present inven 15 disinfectants were placed into sterile test tubes and allowed to
tion is equally effective against both gram positive and gram equilibrate in a refrigerated water bath held at 20±2° C. With-
negative organisms. The data suggest that with the low tox- out touching the sides of the test tubes, one contaminated
icity associated with silver, in general, and the broad spec dried carrier was added at 30 second intervals to each tube of
trum of antimicrobial activity of this silver composition, this silver composition and placed back into the water bath. For
preparation can be effectively used as an alternative to anti 20 each organism the disinfectant was tested against 60 dried
biotics. contaminated carriers at 5 and 10 minute exposure intervals.
D. Reference for Preceding Example Following exposure, the carriers were removed from the dis
1 U.S. EPA IRIS Report for Silver-CASRN 7440-22-4 infectant and transferred to a tube of LETH. The culture tubes
2 Fox C L, Modak S M. Mechanism of Silver Sulphadiazine were incubated at 37±2° C. for 2 days and scored as positive
Action on Bum Wound. Infections. Antimicrobial Agents 25 (+) or negative (0) for growth of the challenge oiganism.
Chemother. 5:582-588.1974. Controls.
3. Furchner, J E, Richmond C R, and GA Drake. Comparative For each organism, a dried contaminated carrier was added
Metabolism of Radionuclides in Mammals. IV. Retention to a tube of LETH as a positive control. Uninoculated media
of Silver-110 m in the Mouse, Rat, Monkey, and Dog. tubes served as negative Controls. After incubation, all nega
Health Phys. 15:505-514.1968. 30 tive tubes were spiked with 1-100 colony forming units (cfu)
4. Grier, N. Silver and its Compounds in Disinfection, Ster- of the corresponding organisms to demonstrate neutralizaţi on
ilization, and Preservation. (Seymour S. Block, ed) 2"d efficacy. To demonstrate growth promotion of the media, the
Edn, pp 395-407. 1977. negative control tubes were also inoculated with the same
5. Hindler, J A, and J H Joigensen. Procedure in Antimicrobial 1-100 cfu for all three oiganisms. The inoculating volumes
Testing in Diagnostic Microbiology. (C R Mahon and G 35 were plated in triplicate onto soybean casein digest agar
Manuselis, eds) pp 63-91.1995. (SCDA) to verify the inoculating titers. The tubes and plates
6. Evidence of Efficacy of 32 PPM Silver Composition were incubated at 37±2° C. until growth was seen in all tubes.
Against PseudomonasAeruginosa, Salmonella Choleraesuis On the P. aeruginosa neutralization, the iniţial titer of
and Staphylococcus Aureus inoculum was found to be >100 cfu which was too high for the
A. Methods 40 protocol. Because all original tubes hadbeen spiked, a simu-
Pseudomonas aeruginosa ATCC #15442, Salmonella lated test was performed with same lot of media used in
choleraesuis ATCC #10708 and Staphylococcus aureus testing by placing carriers into disinfectant tubes from all
ATCC #6538 were tested using the AOAC (Association of three lots of silver compositions for 10 minutes. The carriers
Official Analytical ChemistsAOC Methods, voi. 1, 15thedi- were sub-transferred to LETH blanks. These tubes were then
tion, 1990, AOAC Arlington, Va.) official methods 955.14, 45 spiked with 1-100 cfu of organism. The tubes were incubated
95515 and 964.02. Nutrient broth (NBAOAC) tubes were as before and scored for growth or no growth. New tubes of
inoculated from the stock culture, and the tubes incubated at sterile media from the same lot were also inoculated as a
37±2° C. Transfers to fresh tubes of nutrient broth were made growth promotion verification.
for three successive days with the final transfer being incu B. Results
bated at 37±2° C. for 48-54 hr. The Pseudomonas culture was 50 Iniţial testing using S. aureus demonstrated passing results
decanted into a fresh tube to remove the pellicle. The other for sample #1 and #2, but sample #3 failed. Upon investiga-
cultures were vortexed for 3-4 seconds and allowed to stand tion it was decided that sample #3 may have been damaged
for 10 min at room temperature. Finally the cultures were prior to shipment. A new bottle was obtained from the same
diluted 1:100 in peptone water (PEPW) to which equine lot as sample #3, and the new bottle was labeled as sample #4.
serum was added to yield a 5% total organic challenge. Test 55 The S. aureus challenge was repeated using sample #4. AOAC
carriers (10 mm long polished 304 stainless Steel cylinders guidelines state that for any one time point and organism, only
with an 8 mm outside diameter and 6 mm inside diameter) 1 carrier is allowed for growth for each lot tested.
were soaked in challenge solution for 15 min, removed, Positive Controls demonstrated growth and negative Con
drained and dried at 37±2° C. for 40±2 min prior to use. trols demonstrated no growth for all lots, time points, and
Phenol Resistance. 60 oiganisms.
Five-one ml aliquots of each dilution of the test phenol Carrier titration was run in duplicate for all organisms. The
were placed into sterile test tubes and allowed to equilibrate in reported titer is an average of the replicates. For all three
a 20±2° C. water bath. At 30 second intervals, 0.5 ml of each oigamsms, the average titer found on the carriers ranged from
challenge culture was added to the appropriate dilutions of 5.5xl04 to 5.5xl06 cfu/carrier. AOAC requires carriers to
phenol, agitated, and replaced into the water bath: After the 65 have a minimum of 1.0x104 cfu/carrier.
appropriate exposuretimes of 5,10, and 15 minutes, a loopful For P. aeruginosa 3/180 carriers showed growth at the 5
of suspension was removed from the assay tubes and trans- min test point and 2/180 carriers showed growth at the 10 min
US 8,753,691 B2
15 16
testpoint. For S. aureus 16/180 carriers showed growth at the the respective culture was inoculated into a 5 ml solution of
5 min test point and 2/180 carriers showed growth at the 10 TSB and incubated for 24 hour at 35° C. to obtain a pure
min test point. For S. choleraesuis 6/180 carriers showed culture. After incubation, 1 ml of the respective culture was
growth at the 5 min test point and 1/180 carriers showed inoculated into 49 ml TSB and incubated for 24 hours at 35°
growth at the 10 min test point. 5 C. Following incubation, samples were centrifuged
The test Pseudomonas culture showed growth following a (15,300xg at 4° C.), and the supematant material decanted
5, 10 or 15 min treatment with 1:90 phenol and showed and the pellet was re-suspended with 50 ml of 0.1% peptone
growth following a 5 or 10 min treatment with 1:80 phenol but and centrifuged (15,300xg at 4° C.) a final time. The peptone
no growth following 15 min treatment with 1:80 phenol. The was decanted and the remaining pellet was re-suspended with
Staphylococcus culture showed growth following a 5, 10 or 10 10 ml of 0.1% peptone. The five 10 ml bottles of respective
15 min treatment with 1:70 phenol and showed growth fol culture were mixed together to create a 50 ml cocktail con-
lowing 5 or 10 min treatment with 1:60 phenol but no growth taining 109 cfu/ml of Salmonella species. The cocktail was
following a 15 min treatment with 1:60 phenol. The Salmo- diluted to IO6 cfu/ml or 104 cfu/ml using 0.1% peptone. Cul
nella culture showed growth following a 5, 10 or 15 min tures were confirmed by cultivation on selective and differ-
treatment with 1:100 phenol but no growth following a 5, 10 15 ential media, and biochemical analysis of presumptive colo-
or 15 min treatment with 1:90 phenol. nies using API 20E kits.
7. Evidence of Effectiveness of 32, 22, and 10 PPM Silver Method of Inoculation.
and 22 PPM Silver and 1.5% H20 2 and 10 PPM Silver and 10 Samples of beef flank steak (rectus abdominus muscle)
ppm K2S20 8 Against Salmonella and Escherichia Coli in were trimmed to 13 x8 cm (104 cm2) and were inoculated with
Freshly Inoculated Beef Samples 20 a five străin cocktail of Salmonella species. or Escherichia
A. Purpose of Example coli 0157:h7 at a high inoculum solution level (IO6 log cfu/
The purpose of this example is to demonstrate the antimi- cm2) and separately at a low inoculum solution level (104 log
crobial activity of the silver-based composition embodiments cfu/cm2). This inoculum was misted onto the tissue surface
of the present invention on samples of beef flank steak inocu using a plastic spray bottle with samples contained within a
lated on the exterior surface with a five străin cocktail of 25 sealed inoculum chamber. The actual Salmonella species.
Salmonella species. or Escherichia coli 0157:h7 at a high concentration on the meat surface was approximately 5.0 and
inoculum solution level (lxlO 6 cfu/cm2) and separately at a 3.4 log cfu/cm2 for the high and low level inoculum solution,
low inoculum solution level (lxlO 4 cfu/cm2) (cfu=colony respectively. ForE. coli 0 1 5 7 :H7, the respective meat surface
forming unit). inoculation levels were 4.2 and 3.9 log cfu/cm2.
B. Material and Methods 30 The beef samples were then hung vertically on stainless
Beef Samples. Steel hooks attached to a motorized track that pulled the beef
Beef tissue samples were obtained from slaughter houses samples through a model spray cabinet (Kansas State Univer
within 8 hours of evisceration. The rectus abdominus muscle sity, Food Safety Laboratory) while spray treatments were
was peeled off carcasses hanging in the chill cooler by mak- applied. Treatments with either the silver compositions of this
ing an incision between the 11* and 12,h ribs and then peeling 35 invention or deionized water were applied to the beef at 20 psi
the muscle out along the natural seam. The aseptically from a distance of 13 cm in the model pressure rinse cabinet
retrieved samples were placed in plastic bags and on ice packs for 20 seconds. The spray nozzle (BETE NF0580 303) deliv-
and were transported on the same day to the laboratory, where ered approximately 20 ml of solution to the surface of the beef
the samples were promptly packed in a Multi-Vac (A-300) sample. The temperature of Solutions and treatment applica-
and placed in a 4° C. cooler. Samples usedfortestinghad a pH 40 tion room was approximately 14° C. After treatment, dupli
between 5.8 and 6.0 and were no more than 36 hours post cate 3.5 cm2 core samples were randomly drawn from the
evisceration. From randomly selected rectus abdominus lateral surface of the beef sample at 0,20, 60 and 240 minutes.
muscles, 13x8 cm samples were cut and treated. After treat Samples were cultivated and enumerated on selective differ-
ment, a 3.5 cm2 flame sterilized stainless Steel coring device ential and recovery media. Log reductions were calculated by
and surgical scalpel were utilized to aseptically retrieve two 45 subtracting the log10 of cfu/cm2 of the inoculated/treated
meat cores per sampling interval from each sample. Tissue samples at the specified sampling times (0, 20, 60, and 240
cores were placed in a sterile stomacher bag with 25 ml of minutes) from the log10 of cfu/cm2 of the inoculated/un-
0.1% peptone and were mixed for two minutes in a stomacher treated samples at 0 minutes. Sample treatment included the
(Lab Bender 400). Serial dilutions were prepared and spiral use of 32 ppm silver, 22 ppm silver, and 10 ppm silver com
plated at 0 minutes, 20 minutes, 1 hour, 4 hours, and 24 hours 50 positions according to the present invention. Separately, com-
post-treatment on selective and recovery media. binations of 22 ppm Ag with 1.5 wght % hydrogen peroxide
Bacterial Cultures. and 10 ppm Ag with 10 ppm peroxydisulfate (K2S2Og) were
Bacterial cultures were obtained from the Kansas State tested.
University (KSU) stock culture collection and were stored C. Results with 32 ppm Silver Composition
using the “Protected Bead” storage system. The following 55 The use of a composition of 32 ppm silver according to this
cultures were used for the Salmonella specimen: S. lille invention produced a reduction in bacteria on beef steak. In
(UGA), S. montevideo (UGA), S. typhimurium (UGA), S. the following, this reduction is expressed as the log10 of the
agona (KSU 05 from CDC outbreak isolate), and S. newport ratio of the number of bacteria in the control at time 0 to the
(KSU 06 CDC outbreak isolate). The following cultures were amount of bacteria in the treated specimen at the sampling
used for the Escherichia coli specimen: E. coli 0157:H7 60 (i.e., treatment) time.
(CDC 01,03), E. coli 0157:H7 (USDA-FSIS 011-82 Rif For Salmonella, at the lower iniţial bacteria level (104), the
resistant 100 ppm), E. coli 0157:H7 (ATCC 43895 HUS following log reductions were recorded: 0.78 at 0 minutes,
associated Type I & II toxins Rif. Res.) and E. coli 1.11 at 20 minutes, 1.08 at 60 minutes, and 1.23 at 240
ATCC#23740 (Genotype K-12 prototrophic lambda). minutes. Thus, at 4 hours (240 minutes), the ratio of the iniţial
Stock cultures were cultivated by placing one impregnated 65 bacteria count in the control to bacteria in the sample treated
bead into a 5 ml solution of Difco® Tryptic Soy Broth (TSB) with 32 ppm silver is IO123. For the higher iniţial bacteria
and incubating for 24 hours at 35° C. Next, a 0.05 ml loop of level (IO6), the following log reductions were recorded: 0.86
US 8,753,691 B2
17 18
at O minutes, 0.95 at 20 min, 0.98 at 60 min and 1.17 at 240 Force Station Hospital underthe direction of Dr. Kwabiah, at
min. The results indicate that the 32 ppm silver embodiment the Korie-Bu Teaching Hospital under the direction of Sr.
of this invention shows an effective bactericidal effect for Sackey, and at the Justab Clinic/Matemity Hospital under the
Salmonella on beef steak. It will be appreciated that disin- direction of Dr. Abraham. In total, fifty-eight (58) patients
fecting a meat surface is an extreme challenge for any disin- 5 were treated using a composition of the present invention
fectant. comprising 10 ppm silver. The composition was used both
For E. coli, for the lower iniţial bacteria level (104), the internally and extemally as an alternative to tradiţional anti-
following log reductions were recorded: 1.03 at 0 minutes, biotics. The ailments treated included malaria, upper respira-
1.28 at 20 minutes, 1.42 at 60 minutes, and 1.58 at 240 tory tract infections, urinary tract infections, sinusitis, vaginal
minutes. For the higher iniţial bacteria level (IO6), the follow 10 yeast infections, eye, nose and ear infections, cuts, fungal skin
ing log reductions were recorded: 0.65 atO minutes, 0.60 at 20 infections, and sexually transmitted diseases, such as gonor-
minutes, 0.83 at 60 minutes and 0.87 at 240 minutes. The rhea.
results indicate that the 32 ppm silver embodiment of this B. Treatment Methods and Outcomes
invention shows an effective bactericidal effect for patho- Abdominal Pain and Diarrhea.
genic E. coli on beef steak. 15 The method comprises the step of administering approxi-
D. Results with 22 ppm Silver Composition mately 5-25 ml of silver composition, one to five times a day
Results with Silver in Water. orally until there was a response. One patient was treated with
For Salmonella at the lower iniţial bacteria level (104), the about 10 ml (about two teaspoons) of a composition of the
following log reductions were recorded: 0.41 at 0 minutes, present invention three times in one day. The patient had a full
0.43 at 20 minutes, 0.48 at 60 minutes, and 0.68 at 240 20 recovery in one day.
minutes. For the higher iniţial bacteria level (IO6), the follow Bronchitis.
ing log reductions were recorded: 0.24 at 0 minutes, 0.24 at 20 The method comprises the step of administering ca. 2-25
minutes, 0.42 at 60 minutes and 0.61 at 240 minutes. The ml of silver composition orally, one to five times a day until
results indicate that the 22 ppm silver embodiment of this there was a response. Two patients were treated with about 5
invention fumishes an effective bactericidal effect for Salmo 25 ml (about one teaspoon) each of a composition of the present
nella on beef steak. invention for two times a day for three days. The patients had
Results with Silver in Water and 1.5 wght % Hydrogen a full recovery in three days.
Peroxide. Vaginal Yeast (Candida).
For Salmonella, for the lower iniţial bacteria level (104), The method comprises the step of administering ca. 5-25
the following log reductions were recorded: 0.34 at 0 minutes, 30 ml of silver composition, one to five times a day as vaginal
0.33 at 20 minutes, 0.36 at 60 minutes, and 0.62 at 240 douches until there was a response. Five patients were treated
minutes. For the higher iniţial bacteria level (IO6), the follow with about 10 ml (about two teaspoons) each of a composition
ing log reductions were recorded: 0.28 at 0 minutes, 0.14 at 20 of the present invention for two times per day. The patients
minutes, 0.30 at 60 minutes and 0.69 at 240 minutes. The showed a full recovery within six days.
results indicate that the 22 ppm silver with 1.5 wght % hydro 35 Conjunctivitis.
gen peroxide embodiment of this invention provides an effec The method comprises the step of administering ca. several
tive bactericidal effect for Salmonella on beef steak. drops of a silver composition, one to five times a day to the
E. Results with 10 ppm Silver Composition infected eye until there was a response. Two patients were
Results with Silver Composition in Water. treated with several drops of a composition of the present
For Salmonella, for the lower iniţial bacteria level (104), 40 invention in each of the infected eyes for two times per day.
the following log reductions were recorded: 0.38 at 0 minutes, The patients had a full recovery after one day.
0.41 at 20 minutes, 0.39 at 60 minutes, and 0.61 at 240 Externai Cuts and Infection (Including Staphylococcus
minutes. For the higher iniţial bacteria level (IO6), the follow Skin Infections, Septic Ulcers and Infected Abscesses).
ing log reductions were recorded: 0.24 (at 0 minutes, 0.21 at The method comprises the step of administering a silver
20 minutes, 0.41 at 60 minutes and 0.54 at 240 minutes. The 45 composition, one to five times a day to the infected area until
results indicate that the 10 ppm silver embodiment of this there was a response. Six patients were treated with about 5
invention provides an effective bactericidal effect for Salmo ml (about one teaspoon) each of a composition of the present
nella on beef steak. invention on the infected areas for two times per day. The
Results with Silver Composition in Water with 10 ppm patients showed a full recovery within three days.
k 2s 2o 8. 50 Externai Otitis.
For Salmonella, for the lower iniţial bacteria level (104), The method comprises the step of administering a silver
the following log reductions were recorded: 0.26 at 0 minutes, composition, one to five times a day to the infected ear until
0.28 at 20 minutes, 0.35 at 60 minutes, and 0.58 at 240 there was a response. Six patients were treated with approxi-
minutes. For the higher iniţial bacteria level (IO6), the follow mately two drops of a composition of the present invention
ing log reductions were recorded: 0.03 at 0 minutes, 0.16 at 20 55 into the infected ears for three times per day. The patients
minutes, 0.21 at 60 minutes and 0.36 at 240 minutes. The showed a full recovery after about four days.
results indicate that the 10 ppm silver with lOppmpotassium Otitis Media.
peroxydisulfate (K2S2Og) embodiment of this invention pro The method comprises the step of administering a silver
vides an effective bactericidal effect for Salmonella on beef composition, one to five times a day to the infected ear until
steak. 60 there was a response. One patient was treated with approxi-
8. Evidence of Effectiveness of 10 PPM Silver for Treat- mately two drops of a composition of the present invention
ment o f Human Ailments comprising into the infected ear three times per day. The
A. Purpose of Example patient showed a full recovery in four days.
The purpose of this example is to demonstrate the utility of Fungal Skin Infection.
silver-based composition embodiments of the present inven 65 The method comprises the step of administering a silver
tion for treating a variety of human ailments. The studies in composition, one to five times a day topically to the infected
this section were performed in Ghana, West Africa, at the Air area until there was a response. Two patients were treated
US 8,753,691 B2
19 20
with about ten ml (two teaspoons) each of a composition of Urinary Tract Infections.
the present invention three times per day. The patients showed The method comprises the step of administering a silver
a full recovery within eight days. composition, one to five times a day orally until there was a
Gonorrhea. response. Three patients were each treated with about ten ml
The method comprises the step of administering a silver 5 (two teaspoons) of a composition of the present invention two
composition to the infected area until there was a response. to three times per day. The patients showed full recovery
Two patients were each treated with about ten ml (two tea within six days.
spoons) o f a composition of the present invention three times C. Discussion
per day. The patients showed an absence of symptoms within These results are consistent with the various in vitro tests
six days. 10 reported herein. Essentially, the silver composition is
Malaria. extremely effective against a large number of microbes in
The method comprises the step of administering a silver vitro. However, the tests indicate that this effectiveness
composition, one to five times a day orally to the patient until remains even in the presence of a large amount of organic
there was a response. Eleven patients were treated with about material. The silver compositions are widely effective invivo
ten ml (two teaspoons) each of a composition of the present 15 where the oiganic background is extremely high. Many other
invention three times per day. The patients showed a resolu- disinfecting agents are ineffective in the presence of a large
tion of symptoms within five days. amount of oiganic material and/or are too caustic or toxic to
Halitosis and Gingivitis. be used in vivo.
The method comprises the step of administering a silver 9. Evidence of Efficacy of 10 PPM Silver Against Tuber-
composition, one to five times a day as a mouthwash until 20 culosis Bacteria
there was a response. Two patients were each treated with the A. Purpose
composition as a mouthwash. There was a full resolution of The purpose of this example is to demonstrate the efficacy
symptoms within three days (gingivitis) and within one day of a silver composition of the present invention against the
(halitosis). bacteria that cause tuberculosis. This example describes the
Pelvic Inflammatory Disease. 25 procedures for evaluation of the present invention for tuber-
The method comprises the step of administering about culocidal efficacy. The methodology is based on the Tuber-
5-25 ml of silver composition, one to five times a day as a culocidal Activity Test Method as accepted by the EPA on
vaginal douche until there was a response. One patient was Dec. ff, f 985. [Refer to United States Environmental Pro-
treated with about 5 ml (approximately one teaspoon) of a tection Agency, f 986. Office of Pesticides and Toxic Sub-
composition of the present invention two times per day. The 30 stances. Data Call-In Notice for Tubercuolocidal Effective
patient’s symptoms resolved within five days. ness Data for AII Antimicrobial Pesticides with
Pharyngitis. Tuberculocidal Claims. (Received Jun. f3, f 986).
The method comprises the step of administering a silver B. Material and Methods
composition, one to five times a day as a gaigle until there was Materials.
a response. Four patients were each treated with about ten ml 35 The silver composition of the present invention comprised
(two teaspoons) of a composition of the present invention 10 ppm silver in water. The silver composition was evaluated
three times per day. The patients showed full recovery within employing a liquid to liquid matrix against Mycobacterium
six days. bovis BCG (TMC 1028). This organism causes tuberculosis
Retrovirus Infection (HIV). in animals and can cause tuberculosis in humans. It is used as
The method comprises the step of administering a silver 40 a “stand-in” for M. tuberculosis, the major cause of human
composition, comprising 5 to 40 ppm silver one to five times tuberculosis, as tests have shown it to have a similar suscep-
a day orally area until there was a response. One patient tibility to M. tuberculosis. The test oiganism was exposed to
exhibiting HIV (human immunodeficiency virus) was treated the silver composition in duplicate at four exposure times and
with about 5 ml (approximately one teaspoon) of a composi quantified using membrane filtration.
tion of the present invention two times per day. The patient’s 45 Procedure.
symptoms resolved within five days. A vial of frozen stock culture was removed from storage
Sinusitis and Rhinitis. and thawed. An equal volume of buffered gelatin (BUGE)
The method comprises the step of administering a silver was added to the cell suspension and homogenized with a
composition, one to five times a day to the nose until there was Teflon® (brand of polytetrafluoroethylene) tissue grinder for
a response. Six patients with nasal infections (four with 50 1 minute while keeping the culture at 0 to 4° C. in an ice bath.
sinusitis and two with rhinitis) were each treated with The homogenized cell suspension was diluted with saline
approximately two drops of a composition of the present Tween® 80 (brand of polysorbate) solution (ST80) to
invention comprising in their nasal passages three times per approximately 107 cfu/ml.
day. The patients showed full recovery within four days. Challenge Titration.
Tonsillitis. 55 Tenfold serial dilutions of the culture were prepared in
The method comprises the step of administering a silver dilution blanks containing 9 ml of neutralizer broth (NEUB)
composition, one to five times a day as a gaigle until there was through a 10-6 dilution. Three 1 ml aliquots of the appropriate
a response. One patient was treated with a composition of the dilutions were membrane filtered by first adding 10-20 ml
present invention three times per day. The patient showed full physiological saline solution (PHSS) to the filter housing and
recovery within seven days. 60 then adding a 1 ml aliquot of the appropriate dilution. The
Upper Respiratory Tract Infection. filter was then rinsed with approximately 100 ml of PHSS.
The method comprises the step of administering a silver The filters were aseptically removed from the filter housing
composition, one to five times a day orally until there was a and placed onto 7H11 agar plates. The plates were incubated
response. Two patients were each treated with about 5 ml in a humidified chamber at 37±2° C. for 21 days.
(approximately one teaspoon) of a composition of the present 65 Positive Control.
invention three times per day. The patients showed full recov A tube containing 9 ml of ST80 was prepared and equili-
ery within six days. brated to 20±0.5° C. At time 0, 1 ml of test organism culture
US 8,753,691 B2
21 22
was added to the tube (1:10 dilution). The sample was held for tion with a 95.2% recovery in a disinfectant/neutralizer solu
60 minutes. Tenfold serial dilutions were prepared in dilution tion when compared to a media blank.
blanks containing 9 ml ofNEUB through IO-6 dilution. Three For the test plates, expected counts were underestimated
1 ml aliquots of the appropriate dilutions were membrane and therefore the reported counts exhibit “>” to mark that the
filtered by first adding 10-20 ml PHSS to the filter housing 5 count is an estimation and that accurate counts are beyond the
and then adding a 1 ml aliquot of the appropriate dilution. The limit of detection for the dilutions plated.
filter was rinsed with approximately 100 ml PHSS. The filters In calculating the log and percent reductions of the disin
were aseptically removed from the filter housing and placed fectant against M. bovis, the estimated counts which have
onto 7H11 agarplates. Theplates were incubated in a humidi- “greater than” counts resulted in “less than” log and percent
10 reductions (“<”)• The purpose of this is to demonstrate that
fied chamber at 37±2° C. for 21 days.
the results are an estimation and beyond the accurate limit of
Tests.
detection for the dilutions plated. AII reductions were calcu-
Two 25x150 mm tubes containing 9 ml of the test sample
lated using the positive control as the iniţial starting titer of the
were equilibrated to 20±0.5° C. in a water bath. To each tube oiganism. The results for log and percent reductions are sum-
containing the test disinfectant (i.e., silvercomposition), 1 ml 15 marized below. As a measure of the resistance of the chal
of test organism culture was added. The tube was mixed by lenge culture, the phenol resistance of the M. bovis showed a
swirling and placed back into the water bath. At 15, 30, 45, =1.81 log reduction with 20 minutes of exposure to 0.8%
and 60 minutes, 1.0 ml aliquots of the disinfectant-cell sus- phenol.
pension were transferred to 9 ml of NEUB and mixed thor- Replicate One:
oughly. Tenfold serial dilutions were prepared in dilution 20
blanks containing 9 ml ofNEUB through the IO-6 dilution.
Three 1 ml aliquots of the appropriate dilutions were mem-
brane-filtered by first adding 10-20 ml PHSS to the filter Exposure tim e Log reduction Percent reduction
housing and then adding a 1 ml aliquot of the appropriate 15 m inutes <0.12 <12.3%
dilution. The filter was rinsed with approximately 100 ml 25 30 m inutes <0.22 <40.0%
PHSS. The filters were aseptically removed from the filter 45 m inutes <1.57 <97.2%
60 m inutes <1.56 <97.2%
housing and placed onto 7H11 agar plates. The plates were
incubated in a humidification chamber at 37±2° C. for 21
days. Replicate Two:
Phenol Control. 30
To demonstrate minimum culture viability and resistance,
the culture was tested against a 0.8% phenol solution. A 1 ml
aliquot of test oiganism culture was placed into 9 ml of the Exposure tim e Log reduction Percent reduction
phenol solution equilibrated to 25±0.5° C. and incubated for 15 m inutes <0.26 <44.8%
20 minutes. After the exposure period, 1 ml from the phenol/ 35 30 m inutes <0.20 <36.9%
organism solution was removed and added to 9 ml ofNEUB. 45 m inutes <1.58 <97.3%
60 m inutes <1.53 <97.1%
Tenfold serial dilutions were prepared in dilution blanks con-
taining 9 ml of NEUB through IO-6 dilution. Three 1 ml
aliquots of the appropriate dilutions were membrane filtered D. Conclusions
by first adding 10-20 ml PHSS to the filter housing and then 40 The use of silver compositions of the present invention is
adding a 1 ml aliquot of the appropriate dilution. The filter effective against tuberculosis bacteria. A method comprising
was rinsed with approximately 100 ml PHSS. The filters were the step of administering silver compositions of the present
aseptically removed from the filter housing and placed onto invention is effective against tuberculosis organisms.
7H11 agar plates. The plates were incubated in a humidified 10. Evidence of Efficacy of 10 PPM Silver Against Can
chamber at 37±2° C. for 21 days. 45 dida Albicans ATCC #10231, Trichomonas Vaginalis ATCC
Neutralization Verification. #20235, and MRSA Staphyloccocus Aureus ATCC #BAA-44
A 1 ml aliquot of the disinfectant was added to 8 ml of A. Purpose of Example
NEUB. The disinfectant/neutralizer broth was allowed to The purpose of this example is to illustrate the efficacy of
equilibrate to the same temperature as the test samples. One silver compositions of the present invention against Candida
ml of test oiganism culture was added to the mixture and 50 albicans ATCC10231, Trichomonas vaginalis ATCC 20235,
mixed thoroughly. Incubation was continued for the approxi- and drug resistant Staphylococcus aureus ATCC BAA-44.
mate time it would take to filter a sample. Additionally, a 1 ml Candida albicans, a yeast, and Trichomonas vaginalisis, a
aliquot of test organism was added to 9 ml of NEUB and protozoa, can cause numerous health problems including
mixed thoroughly (1:10 dilution). Tenfold serial dilutions of vaginal infections, diaper rash, and thrush. The results below
both tubes were prepared in dilution blanks containing 9 ml of 55 show that silver compositions of the present invention pro-
NEUB thought IO-6 dilution. Three 1 ml aliquots of the duced nearly a 100% kill of both organisms. The results show
appropriate dilutions were membrane filtered by first adding the utility o f silver compositions of the present invention in a
10-20 ml PHSS to the filter housing and then adding a 1 ml feminine hygiene product and in a diaper rash product.
aliquot of the appropriate dilution. The filter was rinsed with Staphylococcus aureus can cause serious blood poisoning
approximately 100 ml PHSS. The filters were aseptically 60 when it enters a wound. It once was easily treated with peni-
removed from the filter housing and placed on 7H11 agar cillin, but the organism has now mutated to the point where it
plates. The plates were incubated in a humidified chamber at is totally resistant to penicillin. The next defense on the anti
37±2° C. for 21 days. biotic ladder has been methicillin, but methicillin-resistant
C. Results strains have become increasingly common, especially in hos-
The starting titer for the challenge culture was 4.7x107 65 pitals. These strains are known as MRSA (methicillin-resis
cfu/ml. The positive control titer was 6.5xl06 cfu/ml. The tant Staphylococcus aureus) and have been dubbed the
media used in this study effectively demonstrated neutraliza- “superbug.” People who contract MRSA can die in a matter of
US 8,753,691 B2
23 24
days. In the results reported in this example, a silver compo- tion processes, which involve reverse transcriptase and DNA
sition of the present invention was found to kill 91.6% of the polymerase enzymes. The DNA polymerase causes the liver
MRSA injust 10 minutes, and 99.5% in an hour. The results cell to make copies of hepatitis B DNA. These copies of the
show the utility of silver compositions of the present inven virus are released from the liver cell membrane into the blood
tion in killing MRSA, a known infectious threat. 5 stream. From there, they can infect other liver cells and thus
B. Methods and Results replicate effectively. The incubation period of the hepatitis B
Employing the USP Preservative Rapid Challenge Test virus is about 6 to 25 weeks (i.e., time before physical and
with a composition of the present invention comprising 10 generally detectable histological or physical symptoms
ppm silver in water, the following results were obtained. occur). However, there are several biochemical andhistologi-
These results show that silver compositions of the present 10 cal changes that occur in the early stages following infection
invention can be effective against yeast infections, protozoa with the hepatitis B virus.
infections, and drug resistant bacteria infections. B. Materials
Candida albicans ATCC #10231. Solutions comprising 10 ppm, 14 ppm, 22 ppm, and 32
The iniţial concentration of Candida albicans yeast was ppm silver compositions according to the present disclosure
6.8xl05 cfu/ml. After contact for either 10 minutes, 30 min 15 were used. The nucleotides dATP, dGTP, dCTP, and [3H]-
utes, 1 hour, or one day with the silver composition, there dTTP were obtained from standard commercial sources, as
were no colonies detected. were the compounds lamivudine (a synthetic antiretroviral
Trichomonas vaginalis ATCC #30235. agent) and zidovudine (AZT). Isolated Hepatitis B virus was
The iniţial concentration of Trichomonas vaginalis proto freshly obtained from a person suffering from Hepatitis B
zoa was 6.0x104 cfu/ml. After contact with the silver compo 20 infection and was taken up by Haffine Institute, Mumbai
sition for either 10 minutes, 30 minutes, 1 hour, or one day, INDIA (a WHO certified testing laboratory). Test cell cul-
there was 0%motility of lOOOiganisms. Thatis, onehundred tures (Vero and Hep2) were grown as confluent monolayers
(100) Trichomonas vaginalis parasites were analyzed via by typical cell culture methods.
microscopy for motility of flagella. None of the one-hundred C. Methods
(100) parasites demonstrated motility after only ten (10) min 25 1) Procedure for Test of DNA Polymerase Inhibition.
utes of contact with the silver composition indicating inhibi- Overall Approach.
tory or lethal properties of the silver composition on the Hepatitis B viral extracts from human subjects are incu-
parasites. The outermembranes oftwenty-five (25) percent of bated with radiolabelled nucleotides and an active inhibitor.
the parasites had ruptured after contact of one (1) day. Percent inhibition is calculated based on the amount of de
Staphylococcus aureus MRSA ATCC #BAA-44. The ini 30 novo viral nucleic acid synthesized with respect to lamivu
ţial concentration of methicillin-resistant Staphylococcus dine as a positive control and phosphate buffer saline (PBS) as
aureus (MRSA) was 6.0xl06 cfu/ml. After contact with the a negative control.
silver composition, there were 500,000 cfu/ml detected after Specific Procedure.
10 minutes contact (91.6% killed), 70,000 cfu/ml after 30 Isolated Hepatitis B virus was lysed to extract free poly
minutes contact (98.8% killed), 30,000 cfu/ml after 1 hour 35 merase enzyme, which is free from contaminating enzymes.
contact (99.5% killed), andfewerthan 10 cfu/ml after one day A virus extract (25 pi) was added to a reaction mixture com
contact (virtually total kill). prising dATP, dGTP, dCTP and [3H]dTTP nucleotides (25 pl).
11. Evidence of the Efficacy and Lack of Cytotoxicity of 10 Active inhibitor (3 pl) was added to the mixture comprising
PPM Silver, 14 PPM Silver+1.5% H20 2, and 22 PPM Silver virus extract and nucleotides. The resultant mixture was incu-
in Inhibiting DNA Polymerase and Reverse Transcriptase in 40 bated at 37° C. for 2 hours.
the Context of Hepatitis B A separate negative control experiment was performed in
A. Purpose of Example which phosphate buffer saline (PBS, 3 pl) was used instead of
The purpose of the example is to illustrate the efficacy of the inhibitor (3 pl).
silver compositions of the present invention against hepatitis A separate positive control experiment was performed in
B. This example shows that silver compositions of the present 45 which a known DNA polymerase inhibitor (3 pl of lamivu
invention have antiviral properties. Any agent used in antivi- dine at a concentration 3 mg/ml) was used instead of the
ral therapy should exhibit little or no cytotoxicity so cytotox tested inhibitor (3 pl).
icity of the silver compositions was analyzed. The reaction was stopped by adding 25 pl EDTA and 25 pl
Hepatitis B is caused by a DNA virus of the hepadnaviridae TCA (trichloroacetic acid). The reaction mixture was then
family of viruses. The Hepatitis B Virus (HBV) is a 3.2 kb 50 spotted on ionic paper (DEAE paper). The paper was washed
DNA virus, replicating almost exclusively in the liver cells three times with TCA and then with ethyl alcohol. The filter
(hepatocytes). Replicationinvolves two main enzymes: DNA paper was air dried and put into a scintillation vial with a
polymerase and reverse transcriptase. The results of this scintillation cocktail. Radioactivity was measuredby a liquid
example show that silver compositions of the present inven scintillation counter (Blue Star). As a counting control, a
tion interfere with replication involving either DNA poly 55 blank silver composition was run through the complete pro
merase or reverse transcriptase. The results of this example cedure without viral load, to check any potenţial interference
show that silver compositions of the present invention have in the scintillation counter method.
antiviral properties. The results of this example show that A reference for this method is P. S. Venkateswaran, I.
silver compositions of the present invention can be effective Millman, and B. S. Blumberg, “Effect of an extract from
against hepatitis B. 60 Phyllanthus niruri on hepatitis B and woodchuck hepatitis
As ffirther detail, when hepatitis B enters the body of a new viruses: in vitro and in vivo studies,” Proc. Natl. Acad. Sci.,
host, it infects the liver if it gets past the host’s immune USA, 1987, 84, 274-278, which is incorporated herein by
system. In the infection, the virus attaches to the membrane of reference.
a liver cell, and the core partide of the virus enters the liver 2) Procedure for Test of Reverse Transcriptase Inhibition.
cell. The core partide then releases its contents of DNA and 65 A commercial viral enzyme preparation of Moloney
DNA polymerase into the liver cell nucleus. Within the liver murine leukemia virus reverse transcriptase (MoMuLV) hav-
cell, the virus replicates via reverse transcription and transla- ing Poly(A)dT (primer for RT) was used. 50 pl of the
US 8,753,691 B2
25 26
MoMuLV preparaţi on was combined with a mixture of dATP, Thus, silver compositions of the present invention inhibit
dGTP, dCTP and [3H]dTTP nucleotides. reverse transcriptase. Silver compositions of the present
This mixture was combined with 3 pl of the inhibitor to be invention would be expected to be effective against human
tested, and the resultant mixture was incubated at 37° C. for 2 ailments propagated by viruses, such as hepatitis B.
hours. 5 Results for Test o f Cytotoxicity:
A negative control experiment was performed in which
phosphate buffer saline (PBS, 3 pl) was used instead of the
inhibitor.
Sample Vero Hep2
A positive control experiment was performed in which a
10
known reverse transcriptase inhibitor (3 pl of AZT at a con- control (PBS) N o CPE N o CPE
Silver, 10 ppm N o CPE N o CPE
centration 0.625 microgram/ml) was used instead of the
Silver, 14 ppm w ith 1.5% H 2 0 2 CPE positive C PE positive
tested inhibitor. Silver, 22 ppm N o CPE N o CPE
The reaction was stopped by adding 25 pl EDTA and 25 pl
TCA. The reaction mixture was then spotted on ionic paper 15
These results indicate that the silver composition is essen-
(DEAE paper). The paper was washed three times with TCA
tially non-cytotoxic. As expected, hydrogen peroxide, which
and then with ethyl alcohol. The filter paper was air dried and
is known to be cytotoxic, shows a cytotoxic effect. Thus, the
put in a scintillation vial with a scintillation cocktail. Radio-
silver should be harmless to cells when used in vivo.
activity was measured by a liquid scintillation counter (Blue
12. Evidence of Efflcacy of Silver Composition as Water
Star). 20
Disinfectant
3) Procedure for Testing Cytotoxicity.
A. Purpose
Cells were prepared from healthy, confluent Vero and Elep2 Tests were carried out to demonstrate the efflcacy of the
cell cultures that were maintained by passage every 3-4 days. inventive composition in disinfecting drinking water.
One day prior to the test cells were released from the cultures B. Methods
using standard techniques and suspended in a growth medium 25 A sample of raw river water was spiked with two loopfuls
and dispensed into wells of a microtiter plate and placed in a of Klebsiella oxtyoca. 100 ml aliquots of this of this spiked
5% C 0 2 incubator at 37±2° C. Analiquot (100 pl) ofeachtest water solution were brought to 0.05 ppm, 0.1 ppm, 0.2 ppm,
substance was introduced into a well (in triplicate) with 100 pl 0.5 ppm, or 1.0 ppm of inventive silver composition. After an
of PBS as a control. Every 24 hrs the wells were examined incubation of 5-60 minutes, the samples were membrane
under high power of an inverted microscope to check for any 30
filtered. The filter was rinsed with approximately 100 ml
cytopathic effect (CPE). sterile water. The filters were aseptically removed from the
D. Results filter housing and placed on coliform nutrient agar plates. The
Results for Test of Reverse Transcriptase Inhibition: plates were incubated under growth conditions for 24 hours
and counted.
35
Sample % Inhibition
15. Antiviral Properties of Colloidal Silver Solutions. 55 monitoring the virus specific cytopathic effect (CPE) on the
A. Purpose appropriate indicator cell line, Rhesus monkey kidney. The
indicator cell line chosen is capable of supporting the growth
The purpose of this study was to evaluate the antiviral
of the virus.
properties of the inventive silver colloids (10 ppm and 32
Protocol Summary
ppm) against Influenza A (H1N I) virus or Avian Influenza A 60
(H3N2) virus (“bird ’flu”) when exposed (in suspension) for A suspension o f virus was exposed to the use dilution o f the
a specified exposure period(s). The protocol used is a modi- product. At each pre-determined exposure time an aliquot
was removed, neutralized by serial dilution, and assayed for
fication of the Standard Test Method for Efficacy ofVirucidal
the presence o f virus. The positive virus Controls, cytotoxicity
Agents Intended for Special Applications (ASTM E1052). ^
Controls, and neutralization Controls were assayed in parallel.
This in-vitro virucidal suspension assay was designed to Antiviral properties o f the test product was evaluated and
evaluate the antiviral properties of a product against Influenza compared at the specified concentrations and time intervals.
US 8,753,691 B2
31 32
lized in the test. The virus control titer was used as a baseline
to compare the percent and log reduction of each test param-
Test Param eters eter following exposure to the test substance.
D ilutions to Cytotoxicity Controls
be assayed C ultures/diln 5
A 4.5 ml aliquot of each concentration of the test substance
C ell Control 4 is mixed with a 0.5 ml aliquot of test medium containing any
V irus C ontrol (for each exposure tim e) lC r2 to IO -7" 4
Test (for each exposure tim e and/or lC r2 to IO -7" 4
requested oiganic soil load in lieu of virus and treated as
concentration) previously described. The cytotoxicity of the cell cultures was
C ytotoxicity C ontrol (for each product 1Cr2 to ÎC M ' 4 10 scored at the same time as virus-test substance and virus
concentration)
N eutralization C ontrol (for each product lC r2 to IO-4' 4
control cultures. Cytotoxicity was graded on the basis of cell
concentration) viability as determined microscopically. Cellular alterations
due to toxicity were graded and reported as toxic (T) if greater
*Alternate dilutions m ay be assayed as determined by the stoclc virus titer.
than or equal to 50% of the monolayer is affected.
15
The virus stocks were prepared by collecting the superna- Neutralization Controls
tant culture fluid from 75-100% infected culture cells. The Each cytotoxicity control mixture (above) was challenged
cells were disrupted and cell debris removed by centrifuga- with low titer stock virus to determine the dilution of test
tion. The supematant was removed, aliquoted, and the high substance at which virucidal activity, if any, was retained.
titer stock virus was stored at <-70° C. until the day of use. 20 Dilutions that showed virucidal activity will not be consid-
Altematively, virus propagated in 9-11 day old embryonated, ered in determining reduction of the virus by the test sub
fertilized eggs was utilized. On the day of use an aliquot of stance.
frozen virus was removed, thawed and kept under refrigera-
Neutralization
tion until use in the assay. If an organic soil load challenge was
required, fetal bovine serum (FBS) was incorporated into the 25 As previously described, 0.1 ml of each test and control
stock virus aliquot and adjusted to yield the percent soil load parameter following the exposure period was added to a 0.9
requested. ml aliquot of neutralizer followed immediately by 10-fold
Cell Cultures and Test Medium serial dilutions in test medium to stop the action of the test
Rhesus monkey kidney (RMK) cells were obtained from substance. To determine if the neutralizer chosen for the assay
ViroMed Laboratories, Inc. Cell Culture Division. Cultures 30 was effective in diminishing the virucidal activity of the test
were maintained and used as monolayers in tissue culture substance, low titer stock virus was added to each dilution of
labware at 36-38° C. in a humidified atmosphere of 5-7% the test substance-neutralizer mixture. This mixture was
co2. assayed for the presence of virus (neutralization control
The test medium used for the virucidal assays was Mini above).
mum Essential Medium (MEM) supplemented with 1-10% 35
(v/v) heat inactivated FBS. The medium may also be supple Infectivity Assays
mented with one or more of the following: 10 pg/ml gentami- The RMK cell line, which exhibits cytopathic effect (CPE)
cin, 100 units/ml penicillin, and 2.5 pg/ml amphotericin B. in the presence of Influenza A (H1N1) or Avian Influenza A
Method (H3N2) virus, was used as the indicator cell line in the infec
Preparation o f Test Substance 40 tivity assays. Cells in multiwell culture dishes were inocu-
The test substance was used directly after being equili- lated in quadruplicate with 0.1 ml of the dilutions prepared
brated to the exposure temperature. from test and control groups. Uninfected indicator cell cul
Treatment of Virus Suspension tures (cell Controls) were inoculated with test medium alone.
A 4.5 ml aliquot of each concentration of the test substance The cultures were incubated at 36-38° C. in a humidified
was dispensed into separate tubes and each was mixed with a 45
atmosphere of 5-7% C 0 2 in sterile disposable cell culture
0.5 ml aliquot of the stock virus suspension. The mixtures
labware. The cultures were scored periodically for approxi-
were vortex mixed for a minimum of 10 seconds and held for
mately seven days for the absence or presence of CPE, cyto
the remainder of the specified exposure times at the appro-
toxicity and for viability.
priate temperature. Immediately following each exposure
period, a 0.1 m; aliquot was removed from each tube and the 50 Test Criteria
mixtures were titered by 10-fold serial dilutions (0.1 ml+0.9 A valid test will require 1) that stock virus be recovered
ml test medium) and assayed for the presence of virus. Note: from the virus control, 2) that the cell Controls be negative for
to decrease the product cytotoxicity, the first dilution may be virus, and 3) that negative cultures be viable.
made in fetal bovine serum or other appropriate neutralizer Calculations
with the remaining dilutions in test medium. 55
If excessive cytotoxicity to the indicator cell cultures was Viral and cytotoxicity titers will be expressed as -log 10 of
caused by the test substance or suspected, the affected dilu- the 50 percent titration endpoint for infectivity (TCID50) or
tion(s) may be passed through individual Sephadex gel filtra- cyctotoxicity (TCD50), respectively, as calculated by the
tion columns following titration to aid in reducing the toxic - method of Spearman Karber.
ity. In such a case identical dilutions of the Controls must also 60 Log of 1st Dilution Inoculated
be passed through individual columns.
Treatment of Virus Control
A 0.5 ml aliquot of the stock virus suspension was exposed 'lY S um of % mortality at each dilution)) 3 '
to a 4.5 ml aliquot of test medium instead of test substance and ((---------------- m ---------------- )H X
treated as previously described under Treatment of Virus 65 (logarithmof dilution)
Suspension. A virus control was performed for each exposure
time tested. AII Controls employed the same neutralizer uti-
US 8,753,691 B2
33 34
Percent (%) Reduction Formula onstrated a 96.8% reduction in viral titer following a six hour
exposure period to Avian Influenza A (H3N2) virus (Avian
Reassortant). The log reduction in viral titer was 1.5 log10.
TCID 50 test 1
% R eduction = 1 - -------------- --------------- x 100 Following the twelve hour exposure period at 37.0° C., test
TCID 50 virus control]
virus infectivity was detected in the virus-test substance mix-
ture at 1.75 log10. Underthe conditions of this investigation,
in the presence of no organic soil load, Silver 32 ppm dem-
onstrated a 99.9% reduction in viral titer following a twelve
Log Reduction Formula 10 hour exposure period to Avian Influenza A (FI3N2) virus
(Avian Reassortant). The log reduction in viral titer was 3.0
TC ID 50 o f the virus con tro l-T C ID 50 o f the test
l°g io -
Results Results for Avian Virus
Virus Controls
The titer of the virus control following a two hour exposure 15
time at 37.0° C. was 5.0 log10. The percent and log reduction
calculations were calculated from this result for all test sub-
Test: A vian Influenza A (H3N2) virus
stances exposed for two hours.
The titer of the virus control following a six hour exposure (Avian R eassortant) + S ilver 10 ppm
time at 37.0° C. was 5.25 log10. The percent and log reduction 20
calculations were calculated from this result for all test sub- Exposure Time Exposure Time Exposure Time
stances exposed for six hours.
D ilution Two Hours Six Hours Twelve Hours
The titer of the virus control following a twelve hour expo
sure time at 37.0° C. was 4.75 log10. The percent and log
reduction calculations were calculated from this result for all 25 Cell Control 0000 0000 0000
test substances exposed for twelve hours. 10“2 ++++ ++++ ++++
virus infectivity was detected in the virus-test substance mix- 10“ 7 0000 0000 0000
ture at 4.5 log10. Under the conditions of this investigation, in TC ID 5O/0.1 m L i o 4 -5 IO475
1 Q 2 .7 5
the presence of no oiganic soil load, Silver 10 ppm demon- Percent 68.4% 68.4% 99.0%
strated a 68.4% reduction in viral titer following a two hour 35
Reduction
exposure period to Avian Influenza A (H3N2) virus (Avian
Reassortant). The log reduction in viral titer was 0.5 log10. L o g 10 Reduction 0.5 lo g 10 0.5 lo g 10 2.0 lo g 10
Test substance cytotoxicity was not observed in any dilu- IO”3 ++++ ++++ 0000
tion assayed (<1.5 log10). The neutralization control demon- 55 10-4 ++++ 0000 0000
strated that the test substance was neutralized at <1.5 log10. 10“5 0000 000+3 0000
Following the two hour exposure period at 37.0° C., test 1 0 -6 0000 0000 0000
virus infectivity was detected in the virus-test substance mix- IO -7 0000 0000 0000
ture at 4.5 log10. Under the conditions of this investigation, in TC ID 5O/0.1 m L IO4-5 IO3-75 IO1-75
the presence of no oiganic soil load, Silver 32 ppm demon- 60
Percent 68.4% 96.8% 99.9%
strated a 68.4% reduction in viral titer following a two hour
Reduction
exposure period to Avian Influenza A (H3N2) virus (Avian
L o g 10 Reduction 0.5 lo g 10 1.5 lo g 10 3.0 lo g 10
Reassortant). The log reduction in viral titer was 0.5 log10.
Following the six hour exposure period at 37.0° C., test
virus infectivity was detected in the virus-test substance mix- 65 (+) = Positive for the presence of test virus
ture at 3.75 log10. Underthe conditions of this investigation, (0) = No test virus recovered and/or no cytotoxicity present
in the presence of no organic soil load, Silver 32 ppm dem-
US 8,753,691 B2
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