key: cord-0723923-f3frfi72
authors: Lo, Chieh-Wen; Matsuura, Ryosuke; Iimura, Kazuki; Wada, Satoshi; Shinjo, Atsushi; Benno, Yoshimi; Nakagawa, Masaru; Takei, Masami; Aida, Yoko
title: UVC disinfects SARS-CoV-2 by induction of viral genome damage without apparent effects on viral morphology and proteins
date: 2021-07-05
journal: Sci Rep
DOI: 10.1038/s41598-021-93231-7
sha: a125d2c6f04cee77e11b1228a8e24db7b88b4710
doc_id: 723923
cord_uid: f3frfi72

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been a pandemic threat worldwide and causes severe health and economic burdens. Contaminated environments, such as personal items and room surfaces, are considered to have virus transmission potential. Ultraviolet C (UVC) light has demonstrated germicidal ability and removes environmental contamination. UVC has inactivated SARS-CoV-2; however, the underlying mechanisms are not clear. It was confirmed here that UVC 253.7 nm, with a dose of 500 μW/cm(2), completely inactivated SARS-CoV-2 in a time-dependent manner and reduced virus infectivity by 10(–4.9)-fold within 30 s. Immunoblotting analysis for viral spike and nucleocapsid proteins showed that UVC treatment did not damage viral proteins. The viral particle morphology remained intact even when the virus completely lost infectivity after UVC irradiation, as observed by transmission electronic microscopy. In contrast, UVC irradiation-induced genome damage was identified using the newly developed long reverse-transcription quantitative-polymerase chain reaction (RT-qPCR) assay, but not conventional RT-qPCR. The six developed long RT-PCR assays that covered the full-length viral genome clearly indicated a negative correlation between virus infectivity and UVC irradiation-induced genome damage (R(2) ranging from 0.75 to 0.96). Altogether, these results provide evidence that UVC inactivates SARS-CoV-2 through the induction of viral genome damage.

www.nature.com/scientificreports/ surfaces, and toilets. Furthermore, infectious virus is detected from hallway air samples and windowsills, suggesting the risk of virus transmission from a contaminated environment 12, 13 . The half-life of SARS-CoV-2 on different materials has been reported; in aerosol, it is approximately 1.1 h, for stainless steel, it is 5.6 h, and for plastic, it may be as long as 6.8 h 14 . These results strongly emphasize the importance of surface and environmental disinfection to reduce the risk of SARS-CoV-2 transmission. Ultraviolet (UV) light is a potent disinfectant; based on wavelength, UV is classified as UVA (320-400 nm), UVB (280-320 nm), and UVC (200-280 nm) 15 . UV wavelength is negatively related to anti-microbial ability; therefore, UVC is the most powerful UV light among the three that has been used in clinical disinfection with efficient disinfection ability 16 . Several mechanisms of virus inactivation by UVC have been reported. For example, UVC causes viral protein oxidation, which is linked to the reduction of virus infectivity in feline calicivirus and bacterial phage MS2 [17] [18] [19] . Second, UVC irradiation destroys murine norovirus 1 (MNV-1) viral capsid protein 20 . Third, UVC-induced virus protein-genome crosslinking is observed in poliovirus 21 . Fourth, UVC irradiation damages the genome of influenza virus 22 . However, UVC-induced damage varies in different virus types, as UVC damages the viral genome, but not viral proteins in adenovirus 23 . Consequently, the disinfection mechanism of UVC in different viruses requires testing.

Several findings [12] [13] [14] highlight the importance of environmental contamination (air, liquid, and solid surfaces) and dissemination of SARS-CoV-2. UVC, which is the most powerful UV light, may be the most useful method to rapidly reduce SARS-CoV-2 viability in the environment. In fact, UVC has inactivated SARS-CoV-2 in different surfaces materials [24] [25] [26] . However, the mechanism of how UVC disinfects SARS-CoV-2 is unclear. Here, UVC mechanisms of SARS-CoV-2 inactivation were investigated by viral morphology analysis using transmission electronic microscopy (TEM), protein damage testing using immunoblotting, and viral genome integrity inspection using reverse-transcription quantitative-polymerase chain reaction (RT-qPCR) and long-RT PCR.

Schematic of the UVC exposure system to inactivate SARS-CoV-2. Among various UVC light sources, a low pressure mercury lamp was used for inactivation of SAES-CoV-2, because it is more practical that has high average power with low cost. It generates the UV light at 253.7 nm. In previous works of UVC inactivation of corona viruses, dose of light were typically 2 mW/cm 224,27 . Therefore, we start the intensity of light and exposure time as 500 μW/cm 2 and 5 s. For UVC irradiation, a UVC light tube was set at a 30 cm height inside a safety cabinet. The virus was placed in a 10 cm 2 dish beneath the UVC light tube (Fig. 1 ).

To measure the SARS-CoV-2 inactivation efficiency of UVC, virus-containing medium was exposed to UVC for increasing periods of time from 5 to 30 s (Fig. 1) . Virus titers after UVC irradiation were then quantified using a TCID 50 assay with VeroE6/ TMPRSS2 cells. As shown in Fig. 2A , UVC irradiation for 5, 15 and 30 s significantly (p < 0.05 and p < 0.01) decreases virus infectivity by a reduction of 1.0, 2.8, and 4.9 log10, respectively, and replication of SARS-CoV-2 completely ceases after 30 s. In addition, linear regression analysis indicated that UVC inactivated SARS-CoV-2 in a time-dependent manner and it was estimated that 29 s of UVC irradiation fully inhibited SARS-CoV-2 infectivity (R 2 = 0.98) (Fig. 2B) .

UVC exposure had no effect on SARS-CoV-2 virion morphology. As UVC had potential to induce viral protein damage, whether UVC destroyed virion structure was tested using TEM analysis (Fig. 3A) . The SARS-CoV-2 particle is a round shape, approximately 100 nm in diameter and stalked with the spike protein Figure 1 . The ultraviolet C (UVC) light irradiation system. A UVC wavelength of 253.7 nm, 500 μW/cm 2 is used. The length and diameter of the light tube are 295 ± 3 mm and 15.5 ± 0.5 mm, respectively. SARS-CoV-2 (5 mL) with a titer of 5 × 10 4 50% tissue culture infective dose (TCID 50 /mL) or (1 mL) with a titer of 1.78 × 10 6 TCID 50 /mL are placed in a 10 cm 2 dish, 30 cm below the UVC light tube, and are continuously and individually irradiated using a UVC lamp for 0, 5, 15 or 30 s. www.nature.com/scientificreports/ on the surface. After 1 min of UVC irradiation, the UVC-treated virus particle also showed a similar structure, while the virus totally lost infectivity. These results suggested that UVC inactivated virus infectivity, but had no apparent effect on viral particle morphology.

UVC did not degrade SARS-CoV-2 spike (S) and nucleocapsid (N) proteins. To further investigate the effect of UVC on viral proteins, immunoblotting was performed to analyze the integrity of S and N proteins after UVC irradiation (Fig. 3B ). The 180 kDa and 55 kDa bands were identified as S and N proteins, respectively ( Fig. 3B upper panel) . The blot intensities of the control and UVC-treated group showed no significant differences for both proteins (Fig. 3B lower panel) . These results suggested that protein degradation might not be the major reason for UVC-induced virus inactivation. Note that the measurement was based on two monoclonal antibodies, whether there were protein damages that occurred outside the epitope regions need further investigation.

UVC damaged the SARS-CoV-2 genome. To clarify the mechanism of SARS-CoV-2 inactivation by UVC, RT-qPCR was performed to detect the damage of the viral genome. First, conventional RT-qPCR was performed, which detected genome damage of 128 bp within the N gene (Fig. 4A ). After UVC irradiation, amounts of viral RNA showed no difference compared to the control group (Fig. 4B ). These results are inconsistent with previous reports 28 . However, this observation might be due to the detection limitation of conventional RT-qPCR, which only detects a small region of the viral genome. Therefore, next, viral genome damage was tested using a long RT-qPCR that covered 1095 bp of the N gene region (Fig. 4C ). Amounts of viral RNA decreased with UVC irradiation in a time-dependent manner, and 30 s UVC irradiation significantly decreased SARS-CoV-2 RNA levels to 56.6% (Fig. 4D ). Linear regression analysis (Fig. 4E ) of viral infectivity (derived from Fig. 2A) www.nature.com/scientificreports/ Next, to further confirm that UVC caused SARS-CoV-2 RNA damage, four primer sets that covered the fulllength viral genome were used for long RT-PCR analysis (target size for region 1: 8005 bp, region 2: 8221 bp, region 3: 7951 bp, and region 4: 6957 bp), together with the S gene (target size was 3747 bp) and the N gene (target size was 1465 bp) ( Fig. 5A ). As shown in Fig. 5B , all four regions and the S gene showed RNA damage after UVC irradiation in a time-dependent manner: Band signals in agarose gels were barely detectable after 30 s of UVC irradiation, suggesting that almost the entire virus genome contained RNA damage. Note that for the N gene region, signals were detectable after 30 s of UVC irradiation, which totally inactivated virus infectivity (Fig. 5B ). This might be because the detection range of the N gene was relatively short and not all the UVC-irradiated virus contained genome damage within this region. In the quantitative analysis, band intensities of the control and UVC-treated group after 30 s of UVC irradiation consistently showed significant differences for all six regions; however, there was no significant difference in the N gene band intensity after 15 s of UVC irradiation (Fig. 5C) . Moreover, by linear regression analysis (Fig. 5D ), the RNA damage caused by UVC irradiation was strongly correlated with virus infectivity (derived from Fig. 2A ) in all regions tested: region 1 (R 2 = 0.76), region 2 (R 2 = 0.94), region 3 (R 2 = 0.89), region 4 (R 2 = 0.75), S gene (R 2 = 0.96) and the N gene (R 2 = 0.88). Taken together, these results indicated that genome damage was the main mechanism of UVC-induced SARS-CoV-2 inactivation.

Implementation of environmental cleaning and disinfection by irradiation with UVC adequately removes microbial contamination from the environment. Indeed, UVC has recently inactivated SARS-CoV-2 and therefore may be applied in healthcare facilities for environmental disinfection 29 . However, the mechanism of action of how UVC inactivates SARS-CoV-2 is unclear. In this study, UVC efficiently disinfected SARS-CoV-2, mainly through viral genome damage. By transmission electronic microscopy observation and immunoblotting analysis with two monoclonal antibodies, no apparent effects on viral morphology and viral proteins were found. However, by the limitation of our experiment, we could not conclude that UVC does not damage proteins of SARS-CoV-2. In Supplementary Fig. S1 . The intensity of both proteins is analyzed using CS Analyzer 4 software and quantitative results are shown in the bar diagram (lower panel). Data in the plot represent the mean ± standard deviation (SD) of three replicates. Significance has been determined using one-way analysis of variance followed by Dunnett's multiple comparisons test. www.nature.com/scientificreports/ Quantitative results of long RT-qPCR. SARS-CoV-2 (5 mL) with a titer of 5 × 10 4 TCID 50 /mL was irradiated with a UVC light tube for increasing periods of time from 0 to 30 s. The relative RNA fold change compared to 0 s irradiation is calculated. Data in the plot represent the mean ± standard deviation (SD) of three replicates. Significance has been determined using one-way analysis of variance followed by Dunnett's multiple comparisons test. The asterisk indicates a statistical difference (*p < 0.05). (E) Linear regression analysis between relative viral genome damage and virus infectivity (derived from Fig. 2A ) based on the long-RT-qPCR results.

Relative genome damage is calculated as follows: (1-relative RNA fold change compared to control) × 100%. The data points that outside the axis limits are not shown in the graph. www.nature.com/scientificreports/ conclusion, our results support the idea that UVC is an effective countermeasure for SARS-CoV-2 disinfection in high-risk places, such as hospitals and airports. There are two possible hypotheses regarding the mechanism of virus disinfection by UVC, either viral genome or viral protein damage. For damage to the viral genome, the UVC wavelength ranges from 200 to 280 nm, which is close to the absorption wavelength of nucleic acids, and thus may induce damage to the viral genome 30 . Our results demonstrated that genome damage was the main mechanism of UVC-induced SARS-CoV-2 inactivation. At the protein level, UVC treatment causes photo-damage to proteins through disulfide photolysis and oxygen radical oxidation 31 . Additionally, a report shows that UVC irradiation decreases MNV-1 capsid protein amounts, as measured by Coomassie staining 20 . However, by testing the effect of UVC on viral morphology and levels of SARS-CoV-2 viral spike/nucleocapsid proteins, no obvious protein damage was observed in this study. Indeed, UV-inactivated SARS-CoV vaccine has been shown the ability eliciting systemic humoral immunity against viral spike and nucleocapsid proteins in mice 32 , supporting the possibility that SARS-CoV-2 viral morphology and proteins are not under severe damage after UV treatment. One possible reason to explain the discrepancy is that viral proteins between different viruses might have different UVC susceptibilities, as adenoviral proteins have different susceptibilities to UVC 33 . In fact, UVC treatment of Tulane virus damages the viral capsid binding protein, whereas protein damage is not observed in porcine rotavirus under the same experimental condition 34 , supporting the idea that UVC inactivation mechanisms may vary across different viruses. A second reason is that the UVC wavelength used in each study might be different and therefore lead to inconsistent results of viral protein damage. Compared to UVC 254 nm, which is used in this research, UVC 220 nm more efficiently affects viral protein integrity in adenovirus 33 . A third possible reason might due to differences in the UVC fluency used in each publication. For example, MNV-1 protein is destroyed by UVC after 10 min of 8 W/cm 2 irradiation, which is much higher than the current study (30 s of 500 μW/ cm 2 ) 20 . A fourth reason may be oxidation of viral proteins during irradiation with UV 254 nm. For example, several viruses, including MS2, astrovirus, and norovirus are inactivated via oxidative damage of viral proteins 18, 19 . Finally, in our experimental setting, we applied two monoclonal antibodies for testing protein damage; however, we could not rule out the possibility of existence of potential protein damage that occurred outside the antibodies recognition regions. Additional experiments, for example, detecting protein damage with polyclonal antibodies, mass spectrometry or NMR may provide substantial results for confirmation. In addition, whether UVC caused SARS-CoV-2 protein oxidation leading to a reduction in infectivity requires further investigation.

PCR-based methods e.g., qPCR is widely used for virus detection and infectivity measurements 35, 36 . However, we and others have noted that UVC-induced viral genome damage is not detectable using conventional RT-qPCR, which is used in the clinic, even when the virus completely loses infectivity 28 . This inconsistency might lead to misinterpretation of environmental virus infectivity measurements after UVC disinfection. The reason for the detection failure of viral genome damage by conventional qPCR is due to its short range (< 200 bp); the damage is not detectable if it does not occur within this region. Therefore, analysis of longer regions of virus genome may more accurately inspect genome integrity. A similar phenomenon has been reported in the detection of UVC-induced damage in porcine parvovirus that tested viral genome damage using RT-PCR; the data shows that targeting a genome size of 2000 bp compared to 300 bp more accurately reflects virus infectivity 37 . In the current study, one long RT-qPCR (1095 bp) and six long RT-PCR assays (targeting regions ranging from 1465 ~ 8221 bp) were designed and applied to inspect viral genome damage that potentially includes strand break and pyrimidine dimer formation. Consistently, in the six long RT-PCR assays, regions 1 ~ 4, which target approximately 8000 bp, with 565-684 potential thymidine dimer sites, accurately reflected virus infectivity, as the PCR signal was not detectable in the group with 30 s UVC irradiation, where the virus was completely inactivated. In contrast, slight bands were observed in the S gene amplification products (3747 bp, with 332 potential thymidine dimer sites) and a clear band was observed in the N gene (1465 bp, with 70 potential thymidine dimer sites) amplification products after 30 s irradiation, though the virus had totally lost infectivity. These results emphasize the importance of the PCR targeting length for genome damage analysis, even though the long RT-qPCR and six long RT-PCR assays correctly reflected UVC-induced genome damage with virus infectivity (R 2 ranging from 0.75 to 0.96). Therefore, the long RT-qPCR and six long RT-PCR assays that were developed might contribute to rapid and accurate infectivity inspection of post UVC-irradiated environments.

There are various types of light-based technology for virus inactivation. Among all three types of UV, UVC 253.7 nm has the strongest antimicrobial activity 38 . However, care should be taken during application, as exposure to these lamps is associated with health risks involving damage to the eyes and skin 39 . UVC (222 nm) has recently shown potential for SARS-CoV-2 disinfection 27,28 . Interestingly, UVC 222 did not harm skin when used on a Supplementary Fig. S2 . SARS-CoV-2 (5 mL) with a titer of 5 × 10 4 50% tissue culture infective dose (TCID 50 / mL) was irradiated with a UVC light tube for increasing periods of time from 0 to 30 s. Viral RNA was reverse transcribed with the reverse primer for each region and then amplified with the corresponding primer sets. The amplified PCR products were used for 0.8% agarose gel electrophoresis and detected by ethidium bromide staining. (C) Band intensity is analyzed using CS Analyzer 4 software and quantitative results are shown in the bar diagram. Data in the plot represent the mean ± standard deviation (SD) of three replicates. Significance has been determined using one-way analysis of variance followed by Dunnett's multiple comparisons test. The asterisk indicates a statistical difference (*p < 0.05; **p < 0.01; ***p < 0.001). (D) Linear regression analysis between relative viral genome damage and virus infectivity (derived from Fig. 2A) . Relative genome damage is calculated as follows: (1-relative PCR fold change compared to control) × 100%. www.nature.com/scientificreports/ mouse model, and therefore, has the capacity to be applied on external areas 40 . However, the safety determination of UVC 222 on humans requires further investigation. UVA, and UVB, which are present in natural sunlight with a lower risk to the human body, also inactivate SARS-CoV-2, although they have relatively low efficiency compared to UVC 24, 41 . These results provide an alternative for UV-based disinfection, as UVC application should be avoided in live animals due to safety concerns. Blue light (380-500 nm) is less harmful to the human body compared to UV and exhibits germicidal activities, especially within the wavelength 400-500 nm 42 . LED blue light (413 nm) irradiation inactivating SARS-CoV-2 is documented 43 . The potential antiviral mechanism is via the generation of reactive oxygen species and thus, induces damage to proteins, lipids, and nucleic acids in the presence of photosensitizers 44 . Red light (600-700 nm) has lower risk for humans, but shows disinfection ability for Middle East Respiratory Syndrome-CoV and Ebola virus when combined with the use of methylene blue, which is widely used in plasma transfusions for pathogen reduction 45, 46 . However, overall, red light-based inactivation is less efficient compared to UVC and non-enveloped viruses are less sensitive than enveloped viruses 45, 47 .

Taken together, all of the light-based technologies, with the different characteristics mentioned above, could be applied to virus inactivation. Based on the application purpose, the advantages and drawbacks of these tools should be evaluated. Thus, light-based technologies are a powerful and chemical-free agent that broadly disinfect various types of viruses. Therefore, these tools could potentially save people from the risk of infectious diseases. Furthermore, these technologies are also ideal for drug-resistant viruses, emerging viruses, such as Ebola virus, SARS-CoV, or other new infectious diseases in the future. 

A UVC light tube with a wavelength of 253.7 λ, 500 μW/cm 2 (Bactericidal lamp GL16KSH; SANKYO DENKI Co., Ltd., Kanagawa, Japan), was set at a 30 cm height above the virus for the inactivation experiments (Fig. 1) . The environmental temperature was controlled at 24 °C with 55% humidity. SARS-CoV-2 (5 mL) with a titer of 5 × 10 4 TCID 50 /mL was placed in 10 cm dishes for UVC irradiation for 5, 15, or 30 s. The post-UVC irradiated virus was then titrated using the TCID 50 assay.

Virus morphology observation by TEM. SARS-CoV-2 (1 mL) with a titer of 1.78 × 10 6 TCID 50 /mL was irradiated with a UVC light tube for 60 s. The post-irradiated virus (100 μL) was mixed with 2.5% glutaraldehyde (1 mL) for TEM negative staining. For TEM sample preparation, a droplet of the virus mixture was placed on a carbon-film grid for 10 s. After the grid was partially dried, a droplet of staining solution, 2% uranyl acetate, was added for a 10 s incubation. The excess liquid was wiped off with filter paper, and the grid was dried at room temperature before imagining using a HITACHI H-7600 electron microscope (Hitachi Global Life Solutions, Inc. Tokyo, Japan) at 100 kV. www.nature.com/scientificreports/ ACC CGC AAT C), 800 nM reverse primer (GAG GAA CGA GAA GAG GCT TG), 200 nM Taqman probe (FAM-ACT TCC TCA AGG AAC AAC ATT GCC A-QSY), and an Applied Biosystems 7500 Fast Real-Time PCR system (Thermo Fisher Scientific), as reported previously 50 . For long RT-qPCR, a 5 µL volume of RNA was first used for reverse transcription with SARS-CoV-2 4R primer (CTC TTC CAT ATA GGC AGC TCT) using the SuperScript™ III First-Strand Synthesis System (Invitrogen, Foster, CA, USA), following the manual instructions. A total of 1.25 µL cDNA was used for the qPCR analysis, which was identical to the conventional RT-qPCR procedure above. Samples were evaluated in triplicate and data analysis was performed using the comparative CT method (∆∆CT).

Long RT-PCR. SARS-CoV-2 (5 mL) with a titer of 5 × 10 4 TCID 50 /mL was irradiated using UVC for 5, 15 or 30 s. Viral RNA was then extracted using a QIAamp Viral RNA Mini Kit (Qiagen), following the manual instructions. Reverse transcription was performed using the SuperScript™ III First-Strand Synthesis System (Invitrogen) and was followed by PCR amplification using PrimeSTAR GXL with a gene-specific primer. For region 1, RT was conducted using the SARS-CoV-2 reverse primer 1R2 (GAA TCA ACA AAC CCT TGC CGA). The generated cDNA was then amplified with the SARS-CoV-2 primers 1F2 (GCT TAC GGT TTC GTC CGT GT) and 1R2 using the following thermal cycling program: 98 °C for 1 min, followed by 30 cycles of 98 °C for 10 s, 57 °C for 15 s and 68 °C for 8 min. For region 2, RT was conducted using the SARS-CoV-2 reverse primer 2R (GAC ATC AGC ATA CTC CTG ATTA). The generated cDNA was then amplified with the SARS-CoV-2 primers 2F (GAC AAC CTG AGA GCT AAT AACAC) and 2R using the following thermal cycling program: 98 °C for 1 min, followed by 30 cycles of 98 °C for 10 s, 55 °C for 15 s and 68 °C for 8 min. For region 3, RT was conducted using the SARS-CoV-2 reverse primer 3R (TGC TGC ATT CAG TTG AAT CAC). The generated cDNA was then amplified with the SARS-CoV-2 primers 3F (GGA CCT CAT GAA TTT TGC TCT) and 3R using the following thermal cycling program: 98 °C for 1 min, followed by 30 cycles of 98 °C for 10 s, 55 °C for 15 s and 68 °C for 8 min. For region 4, RT was conducted using the SARS-CoV-2 reverse primer 4R3 (GCC TCG GTG AAA ATG TGG TG). The generated cDNA was then amplified with the SARS-CoV-2 primers 4F5 (TCA GAC AAA TCG CTC CAG GG) and 4R3 using the following thermal cycling program: 98 °C for 1 min, followed by 30 cycles of 98 °C for 10 s, 57 °C for 15 s and 68 °C for 7 min. For the S gene region, RT was conducted using the S gene reverse primer R2 (GAC TCC TTT GAG CAC TGG CT). The generated cDNA was then amplified with the S gene primers F2 (ACC AGA ACT CAA TTA CCC CCTG) and R2 using the following thermal cycling program: 98 °C for 1 min, followed by 30 cycles of 98 °C for 10 s, 57 °C for 15 s and 68 °C for 4 min. For the N gene region, RT was conducted using the SARS-CoV-2 reverse primer 4R3. The generated cDNA was then amplified with the N gene primers F (ATG TCT GAT AAT GGA CCC CA) and R (TTA GGC CTG AGT TGA GTC AG) using the following thermal cycling program: 98 °C for 1 min, followed by 30 cycles of 98 °C for 10 s, 57 °C for 15 s and 68 °C for 1.5 min. A volume of 5 μL of the amplified PCR products was then used for 0.8% agarose gel electrophoresis and bands were detected by ethidium bromide staining. The band intensities were quantitated using a WSE-6100 LuminoGraph I (Atto Corporation) and were analyzed using CS Analyzer ver.4 (Atto Corporation).

All data are expressed as the mean ± standard deviation based on at least three independent experiments. Data were analyzed using analysis of variance with Dunnett's multiple comparison test in Prism (GraphPad, San Diego, CA, USA). p values smaller than 0.05 were considered significant. Linear regression analysis of virus infectivity with UVC irradiation time, and virus infectivity with virus genome damage were analyzed using Prism. Virus genome damage was calculated as follows: (1-relative PCR fold change compared to control) × 100%.

The datasets that support the finding of this study are available from the corresponding author upon reasonable request. www.nature.com/scientificreports/

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We thank National Institute of Infectious Diseases of Japan for kindly providing of SARS-CoV-2 (SARS-CoV-2/ JPN/TY/WK-521 strain). We also thank all members of Division of Hematology and Rheumatology, Department of Medicine, Nihon University School of Medicine, for their technical assistance, help, and suggestions. We would like to thank Editage (www. edita ge. com) for English language editing.

Conceived and designed the experiments: Y.A. Conducted and performed the experiments: C.L., R.M., K.I. and Y.A. Analyzed the data: C.L., R.M. and Y.A. Supervised this experiment: Y.A., S.W., A.S., Y.B., M.N., M.T.: Contributed reagents/materials/analysis tools: Y.A. and KI. Wrote the paper: C.L. and Y.A. All authors reviewed the manuscript.

The authors declare no competing interests.

Supplementary Information The online version contains supplementary material available at https:// doi. org/ 10. 1038/ s41598-021-93231-7.Correspondence and requests for materials should be addressed to Y.A.Reprints and permissions information is available at www.nature.com/reprints.Publisher's note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http:// creat iveco mmons. org/ licen ses/ by/4. 0/.