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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2025.1637848</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Antiviral efficacy of silicon nitride against SARS-CoV-2 and MERS-CoV: implications for PPE innovation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Heath</surname><given-names>Brittany N.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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</contrib>
<contrib contrib-type="author">
<name><surname>Woodson</surname><given-names>Caitlin M.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author">
<name><surname>McMinn</surname><given-names>Chelsey</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
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<contrib contrib-type="author">
<name><surname>Bock</surname><given-names>Ryan M.</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
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<contrib contrib-type="author" corresp="yes">
<name><surname>Kehn-Hall</surname><given-names>Kylene</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
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<aff id="aff1"><sup>1</sup><institution>Department of Biomedical Sciences and Pathobiology, Virginia-Maryland College of Veterinary Medicine, Virginia Polytechnic Institute and State University</institution>, <addr-line>Blacksburg, VA</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>Center for Emerging, Zoonotic, and Arthropod-borne Pathogens, Virginia Polytechnic Institute and State University</institution>, <addr-line>Blacksburg, VA</addr-line>, <country>United States</country></aff>
<aff id="aff3"><sup>3</sup><institution>SINTX Technologies, Inc.</institution>, <addr-line>Salt Lake City, UT</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/701586/overview">Kazuya Shirato</ext-link>, Japan Institute for Health Security, Japan</p></fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/498390/overview">Muhammad Suleman</ext-link>, University of Veterinary and Animal Sciences, Pakistan</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1384101/overview">Giuseppe Brunetti</ext-link>, Politecnico di Bari, Italy</p></fn>
<corresp id="c001">&#x002A;Correspondence: Kylene Kehn-Hall, <email>kkehnhall@vt.edu</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1637848</elocation-id>
<history>
<date date-type="received">
<day>29</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>01</day>
<month>08</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Heath, Woodson, McMinn, Bock and Kehn-Hall.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Heath, Woodson, McMinn, Bock and Kehn-Hall</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Medical interventions, such as masks, were a cornerstone in mitigating the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Since 2019, the scientific community has increasingly focused on exploring avenues for pandemic prevention and preparedness to enhance responses to future viral outbreaks. One such area of interest explores the use of additives, such as silicon nitride (Si&#x2083;N&#x2084;), in masks to enhance the antiviral properties of personal protective equipment. Si&#x2083;N&#x2084; powder has been shown to inactivate SARS-CoV-2 under aqueous conditions, with a similar yet modest reduction in virus when embedded into non-woven fabric. This study aimed to optimize the use of Si&#x2083;N&#x2084; as an antiviral agent. We addressed this knowledge gap by comparing the viral inactivation potential of &#x03B2;-Si&#x2083;N&#x2084; and &#x03B1;-Si&#x2083;N&#x2084; powders against multiple SARS-CoV-2 lineages and Middle Eastern respiratory syndrome coronavirus (MERS-CoV). Additionally, we tested a refined non-woven fabric embedded with &#x03B1;-Si&#x2083;N&#x2084; against SARS-CoV-2 (Lineage A). The results presented here suggest that &#x03B1;-Si&#x2083;N&#x2084; was the most effective in reducing the infectious virus through viral RNA degradation, as determined by plaque assay and RT-qPCR. The most promising finding was the significant reduction of SARS-CoV-2 after only 10&#x202F;min of exposure to refined &#x03B1;-Si&#x2083;N&#x2084;-embedded fabric. Thus, silicon nitride could be an invaluable inorganic additive in personal protective equipment during future viral epidemics and pandemics.</p>
</abstract>
<kwd-group>
<kwd>SARS-CoV-2</kwd>
<kwd>MERS-CoV</kwd>
<kwd>silicon nitride</kwd>
<kwd>Si3N4</kwd>
<kwd>antiviral</kwd>
</kwd-group>
<contract-sponsor id="cn1">SINTX Technologies Corporation</contract-sponsor>
<counts>
<fig-count count="7"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="31"/>
<page-count count="11"/>
<word-count count="7199"/>
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<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Virology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1</label>
<title>Introduction</title>
<p>Pandemic preparedness has become a central focus in response to the coronavirus disease of 2019 (COVID-19) pandemic and the rising trend in zoonotic RNA viral outbreaks (<xref ref-type="bibr" rid="ref17">Meadows et al., 2023</xref>; <xref ref-type="bibr" rid="ref30">Williams et al., 2023</xref>; <xref ref-type="bibr" rid="ref11">He et al., 2023</xref>). Transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been challenging to mitigate due to the virus&#x2019;s particulate size and the ease with which it aerosolizes, allowing aerosols to remain airborne for several hours (<xref ref-type="bibr" rid="ref28">Van Doremalen et al., 2020</xref>). Additionally, there were increased COVID-19 hospital-acquired infections prior to the strict implementation of non-pharmaceutical interventions, such as spatial separation of three to six feet between individuals, increased frequency of surface sanitization, and adequate ventilation (<xref ref-type="bibr" rid="ref3">Bahl et al., 2022</xref>; <xref ref-type="bibr" rid="ref18">Ngandu et al., 2022</xref>). Non-pharmaceutical product development is an area of research and development (R&#x0026;D) that requires improvement, with a specific need for additional broad-spectrum virucidal interventions that can be implemented before future viral outbreaks (<xref ref-type="bibr" rid="ref14">Keusch et al., 2022</xref>).</p>
<p>One potential avenue for virucidal intervention is the use of silicon nitride (Si<sub>3</sub>N<sub>4</sub>). Si<sub>3</sub>N<sub>4</sub> is a non-oxide ceramic that is used in Food and Drug Administration (FDA)-cleared implantable spinal fusion devices, with clinical data showing excellent long-term outcomes in both lumbar and cervical fusion with Si<sub>3</sub>N<sub>4</sub> compared to other spine biomaterials (<xref ref-type="bibr" rid="ref26">Smith et al., 2018</xref>; <xref ref-type="bibr" rid="ref4">Ball et al., 2017</xref>; <xref ref-type="bibr" rid="ref1">Arts et al., 2017</xref>; <xref ref-type="bibr" rid="ref6">Calvert et al., 2019</xref>; <xref ref-type="bibr" rid="ref7">Calvert et al., 2020</xref>; <xref ref-type="bibr" rid="ref16">McEntire et al., 2020</xref>). In aqueous environments, Si<sub>3</sub>N<sub>4</sub> implants undergo surface hydrolysis, resulting in microscopic elution of ammonium, which is converted into ammonia, nitric oxide, and other reactive nitrogen species that inhibit bacterial growth and proliferation (<xref ref-type="bibr" rid="ref20">Pezzotti, 2019</xref>). Silicon nitride exists in two main crystal configurations: &#x03B1;-Si<sub>3</sub>N<sub>4</sub> and &#x03B2;-Si<sub>3</sub>N<sub>4</sub>, which adopt trigonal and hexagonal structures, respectively. Both structures belong to the hexagonal crystal family and consist of differently arranged layers of corner-sharing SiN<sub>4</sub> tetrahedra (<xref ref-type="bibr" rid="ref29">Wang et al., 1996</xref>; <xref ref-type="bibr" rid="ref10">Hardie and Jack, 1957</xref>). The manufacturing process of Si<sub>3</sub>N<sub>4</sub> can change the phase of silicon nitride from &#x03B1; phase to &#x03B2; phase (<xref ref-type="bibr" rid="ref12">Heimann, 2023</xref>). The &#x03B2;-Si<sub>3</sub>N<sub>4</sub> phase is often used for load-bearing ceramics due to its increased stability and toughness (<xref ref-type="bibr" rid="ref31">Zhu and Sakka, 2008</xref>).</p>
<p>Silicon nitride has also been shown to exhibit antiviral activity against multiple pathogens, in which an aqueous solution of Si<sub>3</sub>N<sub>4</sub> particles inactivated influenza A virus H1N1 (Influenza A/Puerto Rico/8/1934), enterovirus (EV-A71), and feline calicivirus (<xref ref-type="bibr" rid="ref22">Pezzotti et al., 2021</xref>). Further studies revealed that aqueous suspension of Si<sub>3</sub>N<sub>4</sub> inactivated SARS-CoV-2 Delta (Lineage B.1.617.2) and Kappa (Lineage B.1.617.1) variants, and embedment of &#x03B2;-Si<sub>3</sub>N<sub>4</sub> and &#x03B1;-Si<sub>3</sub>N<sub>4</sub> in non-woven fabric led to the reduction of SARS-CoV-2 Alpha (Lineage A) (<xref ref-type="bibr" rid="ref23">Pezzotti et al., 2022</xref>; <xref ref-type="bibr" rid="ref25">Simpson et al., 2023</xref>). Therefore, the virucidal activity of silicon nitride should be further explored as a potential early medical intervention in preparation for future epidemics and pandemics.</p>
<p>This research study builds upon existing studies comparing the viral inactivation capabilities of &#x03B2;-Si<sub>3</sub>N<sub>4</sub> and &#x03B1;-Si<sub>3</sub>N<sub>4</sub> in aqueous suspension against several SARS-CoV-2 lineages and the Middle Eastern respiratory syndrome coronavirus (MERS-CoV). In addition to expanding the testing of powders for MERS-CoV, we refined the non-woven fabric embedded with &#x03B1;-Si<sub>3</sub>N<sub>4</sub> and tested the improved fabrics against SARS-CoV-2 (Lineage A).</p>
</sec>
<sec sec-type="results" id="sec2">
<label>2</label>
<title>Results</title>
<sec id="sec3">
<label>2.1</label>
<title>Characterization of &#x03B1;-Si<sub>3</sub>N<sub>4</sub> (AP<sup>4</sup>) and &#x03B2;-Si<sub>3</sub>N<sub>4</sub> (AP<sup>2</sup>) powders</title>
<p>Two forms of Si<sub>3</sub>N<sub>4</sub> powders were used in this study: alpha silicon nitride (&#x03B1;-Si<sub>3</sub>N<sub>4</sub>) and sintered beta silicon nitride (&#x03B2;-Si<sub>3</sub>N<sub>4</sub>) prepared as previously described (<xref ref-type="bibr" rid="ref25">Simpson et al., 2023</xref>). &#x03B1;-Si<sub>3</sub>N<sub>4</sub> that possessed a median particle size of 0.6843&#x202F;&#x03BC;m and a specific surface area of 9.5091 +/&#x2212; 0.0732&#x202F;m<sup>2</sup>/g was characterized via scanning electron microscopy (SEM) (<xref ref-type="fig" rid="fig1">Figure 1</xref>). The SEM analysis reveals a variety of &#x03B1;-Si3N<sub>4</sub> particle morphologies. The &#x03B2;-Si<sub>3</sub>N<sub>4</sub> had a median particle size of 0.8904&#x202F;&#x03BC;m and a specific surface area of 9.1800 +/&#x2212; 0.0963&#x202F;m<sup>2</sup>/g. It was also characterized via SEM (<xref ref-type="fig" rid="fig2">Figure 2</xref>). The SEM analysis demonstrated the morphology of sintered Si<sub>3</sub>N<sub>4</sub> particles, equiaxed grains for &#x03B1;-Si<sub>3</sub>N<sub>4,</sub> and the telltale elongated, hexagonal cross-section grains for &#x03B2;-Si<sub>3</sub>N<sub>4</sub>.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Characterization of &#x03B1;-Si<sub>3</sub>N<sub>4</sub> (AP<sup>4</sup>) powder. SEM micrograph of AP<sup>4</sup> at 25,000x and particle size distribution.</p>
</caption>
<graphic xlink:href="fmicb-16-1637848-g001.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">A microscopic image shows clustered particles with a scale of four micrometers. Accompanying the image is a graph displaying particle size distribution. The x-axis represents diameter in micrometers, ranging from 0.01 to 100. The y-axis on the left indicates frequency percentage (q) and on the right, cumulative undersize percentage. The graph features a black curve for frequency and a yellow curve for cumulative undersize, peaking around one micrometer.</alt-text>
</graphic>
</fig>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Characterization of &#x03B2;-Si<sub>3</sub>N<sub>4</sub> (AP<sup>2</sup>) powder. SEM micrograph of AP<sup>2</sup> at 25,000x and particle size distribution.</p>
</caption>
<graphic xlink:href="fmicb-16-1637848-g002.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">A grayscale electron microscope image shows clustered particles with a scale of four micrometers at the bottom. To the right is a graph with a black line illustrating frequency percentage and a yellow line showing cumulative undersize percentage versus particle diameter in micrometers. The graph shows an increasing trend in cumulative percentage as particle diameter increases, while the frequency peaks and then declines.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec4">
<label>2.2</label>
<title>Silicon nitride reduces SARS-CoV-2 infectious viral titers in a time-dependent manner</title>
<p>Due to the release of reactive nitrogen species when Si<sub>3</sub>N<sub>4</sub> is exposed to an aqueous environment, we first tested the impact of Si<sub>3</sub>N<sub>4</sub> on cell viability (<xref ref-type="bibr" rid="ref19">Pezzotti, 2018</xref>). Vero cells were exposed to clarified supernatants (<xref ref-type="fig" rid="fig3">Figure 3A</xref>) from increasing concentrations of &#x03B1;-Si<sub>3</sub>N<sub>4</sub> (AP<sup>4</sup>) and &#x03B2;-Si<sub>3</sub>N<sub>4</sub> (AP<sup>2</sup>) for 48&#x202F;h. Cell viability decreased at the highest powder concentration (15% (w/v)) for AP<sup>4</sup> and AP<sup>2</sup> to approximately 80 and 60%, respectively (<xref ref-type="fig" rid="fig3">Figure 3C</xref>). Then, the powders were tested at 15% (w/v) for virucidal activity by incubating AP<sup>2</sup> or AP<sup>4</sup> with SARS-CoV-2 for 30&#x202F;min. After incubation, the powders were pelleted by centrifugation, and the infectious virus in the supernatant was assessed via plaque assay (<xref ref-type="fig" rid="fig3">Figure 3B</xref>). Both phases of Si<sub>3</sub>N<sub>4</sub> reduced SARS-CoV-2 (Lineage A) viral titers, as determined via plaque assay in a time-dependent manner (<xref ref-type="fig" rid="fig3">Figure 3D</xref>). Exposure of SARS-CoV-2 to AP<sup>2</sup> resulted in a 0.65&#x2013;1.23 log<sub>10</sub> fold change (77.7 to 94.15% inhibition) in viral titers. AP<sup>4</sup> had a greater impact on viral titer reduction with a 2.7, 3.4, and 3.5 log<sub>10</sub> fold change (99.8, 99.96, and 99.97% inhibition) at 1, 5, and 10&#x202F;min, respectively. The greatest decrease in infectious virus occurred when SARS-CoV-2 was exposed to AP<sup>4</sup> for 30&#x202F;min, resulting in viral titers falling below detectable limits. Collectively, these results demonstrate that AP<sup>4</sup> has less cytotoxicity and increased virucidal activity against SARS-CoV-2 (Lineage A) compared to AP<sup>2</sup>.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>AP<sup>2</sup> and AP<sup>4</sup> Si<sub>3</sub>N<sub>4</sub> powders reduce SARS-CoV-2 in a time-dependent manner. <bold>(A)</bold> Schematic depicting workflow for Si<sub>3</sub>N<sub>4</sub> powder cell viability. <bold>(B)</bold> Schematic depicting workflow for Si<sub>3</sub>N<sub>4</sub> powder antiviral testing. <bold>(C)</bold> Clarified supernatants from AP<sup>2</sup> and AP<sup>4</sup> at increasing concentrations were incubated with Vero cells for 48&#x202F;h and assessed for cell viability using CellTiter Glo (<italic>n</italic>&#x202F;=&#x202F;3). <bold>(D)</bold> Viral titers were measured after incubation of SARS-CoV-2 Lineage A with 15% (w/v) AP<sup>2</sup> or AP<sup>4</sup> at increasing exposure time. Control samples are a virus without Si<sub>3</sub>N<sub>4</sub>. Data are mean + SD (<italic>n</italic>&#x202F;=&#x202F;3, except <italic>n</italic>&#x202F;=&#x202F;2 for AP<sup>2</sup> at 1&#x202F;min and AP<sup>4</sup> at 5&#x202F;min). Statistical significance was determined using two-way ANOVA with Dunnett&#x2019;s multiple comparison test; &#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, &#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001, and &#x002A;&#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001. ND, not detectable. Panel <bold>(A,B)</bold> were created in BioRender. Kehn-hall (2025) <ext-link xlink:href="https://BioRender.com/c7xzmsl" ext-link-type="uri">https://BioRender.com/c7xzmsl</ext-link>.</p>
</caption>
<graphic xlink:href="fmicb-16-1637848-g003.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Diagram illustrating experimental procedures and results. Panel A shows treatment of media with Si&#x2083;N&#x2084;, followed by incubation, centrifugation, addition to cells, and then CellTtier-Glo assay. Panel B displays virus treated similarly, followed by a plaque assay. Panel C is a bar graph of cell viability at various Si&#x2083;N&#x2084; concentrations for AP&#x00B2; and AP&#x2074;. Panel D is a bar graph of plaque-forming units per milliliter over time, comparing control, AP&#x00B2;, and AP&#x2074;, with statistical significance marked by asterisks.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec5">
<label>2.3</label>
<title>Reduction in infectious virus is due to silicon nitride activity</title>
<p>To further explore the cause for the reduction in viral titers, we sought to test whether the decrease in virus was attributed to the virucidal activity of the Si<sub>3</sub>N<sub>4</sub> powders or if it was a result of protocol design, where the virus might become bound to the pellets and therefore not being detected in the sample supernatants during plaque assays. SARS-CoV-2 was exposed to Si<sub>3</sub>N<sub>4</sub> (AP<sup>4</sup> and AP<sup>2</sup>) at 15% (w/v) for 30&#x202F;min, with the virus only processed in parallel to serve as a control (<xref ref-type="fig" rid="fig4">Figure 4A</xref>). Viral RNA was quantified from clarified supernatants and resuspended Si<sub>3</sub>N<sub>4</sub> pellets by RT-qPCR. The supernatants were simultaneously used to quantify infectious virus as determined by plaque assay. AP<sup>2</sup> exposure reduced viral titers by approximately 1.1 log<sub>10</sub> fold change (92.1% inhibition), consistent with our previous finding, and AP<sup>4</sup> exposure resulted in zero detectable plaques (<xref ref-type="fig" rid="fig4">Figure 4B</xref>). The same pattern of reduction was observed for viral RNA detected in the supernatant by RT-qPCR, with virus exposed to AP<sup>4</sup> having the largest decrease (99.9% inhibition) in genomic copies per reaction (<xref ref-type="fig" rid="fig4">Figure 4C</xref>). Little to no viral RNA (&#x003C;1 genomic copy for N gene) was detected in the pellets. These findings suggest that the decrease in the infectious virus is due to the antiviral properties of Si<sub>3</sub>N<sub>4</sub> rather than SARS-CoV-2 being bound to the pellets.</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>AP<sup>2</sup> and AP<sup>4</sup> Si<sub>3</sub>N<sub>4</sub> powders degrade SARS-CoV-2 viral RNA. <bold>(A)</bold> Workflow of SARS-CoV-2 Lineage A exposed to Si<sub>3</sub>N<sub>4</sub> powders for concurrent measurement of changes in viral titers and viral RNA. <bold>(B)</bold> SARS-CoV-2 was incubated with powders 15% (w/v) for 30&#x202F;min to confirm antiviral activity by viral titer reduction. <bold>(C)</bold> Viral RNA levels as determined by RT-qPCR targeting the N gene for SARS-CoV-2 in the clarified supernatant and any residual virus bound to the pellets. Control samples are virus without Si<sub>3</sub>N<sub>4</sub>. Data are mean + SD (<italic>n</italic>&#x202F;=&#x202F;3). Statistical significance was determined using one-way ANOVA with Dunnett&#x2019;s multiple comparison test; &#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05. ND, not detectable. Panel <bold>(A)</bold> was created in BioRender. Kehn-hall (2025) <ext-link xlink:href="https://BioRender.com/uw1dvcc" ext-link-type="uri">https://BioRender.com/uw1dvcc</ext-link>.</p>
</caption>
<graphic xlink:href="fmicb-16-1637848-g004.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Diagram illustrating a virus and silicon nitride (Si&#x2083;N&#x2084;) combined with centrifugation to separate supernatant and pellet for analysis. The supernatant is tested via plaque assay, while the pellet undergoes RT-qPCR. Bar graphs show reduced PFU/mL in AP&#x00B2; and AP&#x2074; samples compared to control, and decreased genomic copies in AP&#x2074; for both supernatant and pellet.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec6">
<label>2.4</label>
<title>Silicon nitride is a pan-coronavirus virucidal</title>
<p>We expanded antiviral testing to include additional SARS-CoV-2 lineages and MERS-CoV to evaluate the pan-coronavirus efficacy of Si<sub>3</sub>N<sub>4</sub>. A reduction in infectious virus was observed across the four SARS-CoV-2 lineages exposed to both AP<sup>2</sup> and AP<sup>4</sup>. Again, AP<sup>2</sup> was less effective at reducing viral titers than AP<sup>4</sup> but had the greatest impact on SARS-CoV-2 B.1.617.1 with a 2.22 log<sub>10</sub> fold change (99.4% inhibition) (<xref ref-type="fig" rid="fig5">Figure 5A</xref>). All viral titers for SARS-CoV-2 lineages fell below detectable limits when exposed to AP<sup>4</sup> for 30&#x202F;min. The same trend in viral reduction was observed for MERS-CoV when incubated with Si<sub>3</sub>N<sub>4</sub>, with a 2.04 log<sub>10</sub> fold change (99.1% inhibition) by AP<sup>2</sup> and plaques below detectable limits by AP<sup>4</sup> as compared to the control (<xref ref-type="fig" rid="fig5">Figure 5B</xref>). AP<sup>4</sup> had the greatest pan-coronavirus virucidal activity, outperforming AP<sup>2</sup>.</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Silicon nitride is a pan-coronavirus virucidal. AP<sup>2</sup> and AP<sup>4</sup> 15% (w/v) were incubated for 30&#x202F;min with <bold>(A)</bold> multiple SARS-CoV-2 lineages and <bold>(B)</bold> MERS-CoV to determine reduction in viral titers. Control samples are a virus without Si<sub>3</sub>N<sub>4</sub>. Data are mean + SD (<italic>n</italic>&#x202F;=&#x202F;3). Statistical significance was determined using one-way ANOVA with Dunnett&#x2019;s multiple comparison test; &#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01. ND, not detectable.</p>
</caption>
<graphic xlink:href="fmicb-16-1637848-g005.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Bar charts comparing PFU per milliliter for SARS-CoV-2 lineages (Lineage A, B.1.617.1, B.1.1.7, B.1.351) and MERS-CoV. Each lineage shows three treatments: Control, AP&#x00B2;, AP&#x2074;. Significant reductions in virus levels with AP&#x00B2;, with some marked not detected for AP&#x2074;. Percentage reductions labeled for AP&#x00B2;. Statistical significance is indicated with asterisks.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec7">
<label>2.5</label>
<title>Fabric infiltrated with Si<sub>3</sub>N<sub>4</sub> reduces SARS-CoV-2</title>
<p>Our overall scientific objective is to implement Si<sub>3</sub>N<sub>4</sub>-treated personal protective equipment (PPE) as a viral intervention in areas with high-exposure risk (e.g., hospitals). To that end, two types of <italic>&#x03B1;</italic>-Si<sub>3</sub>N<sub>4</sub>-infiltrated fabric were produced and studied. One fabric was infiltrated with AP<sup>4</sup> (&#x03B1;-Si<sub>3</sub>N<sub>4</sub>) at a heavy load via an aqueous slurry as previously described (<xref ref-type="bibr" rid="ref25">Simpson et al., 2023</xref>). The second fabric was infiltrated with AP<sup>4</sup> (&#x03B1;-Si<sub>3</sub>N<sub>4</sub>) using a dry, alternating electric current method as described in the Methods section. SEM analysis of the dry-infiltrated spunbond polypropylene (SBPP) infiltrated with &#x03B1;-Si<sub>3</sub>N<sub>4</sub>-showed fine Si<sub>3</sub>N<sub>4</sub> particles evenly distributed onto individual polypropylene fibers (<xref ref-type="fig" rid="fig6">Figure 6</xref>). Both slurry-infiltrated heavy Si<sub>3</sub>N<sub>4</sub>-loaded fabric and dry-infiltrated fabric were tested for antiviral activity against SARS-CoV-2 (Lineage A) at 10- and 30&#x202F;min exposure, with testing done in accordance to ISO 18184 test method (<xref ref-type="fig" rid="fig7">Figure 7A</xref>). Slurry-infiltrated heavy Si<sub>3</sub>N<sub>4</sub>-loaded fabric was compared to untreated fabric (<xref ref-type="fig" rid="fig7">Figure 7B</xref>). To establish a proof of concept for our fabric testing, a virus only control (VOC) (virus in media) was included to determine if equivalent viral titers from the untreated fabric could be obtained. Slurry-infiltrated heavy Si<sub>3</sub>N<sub>4</sub>-load fabric exhibited a 1.28 log<sub>10</sub> fold change (94.1% inhibition) at 10&#x202F;min, and a 1.45 log<sub>10</sub> fold change (96.1% inhibition) at 30&#x202F;min compared to the untreated fabric. Additionally, no statistically significant differences were observed in viral titers for the untreated fabric and VOC, validating the controls within our experimental design.</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>Characterization of fabric infiltrated with Si<sub>3</sub>N<sub>4</sub>. SEM micrograph of dry-infiltrated spunbond polypropylene with &#x03B1;-Si<sub>3</sub>N<sub>4</sub> at 1,000x.</p>
</caption>
<graphic xlink:href="fmicb-16-1637848-g006.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Electron micrograph close-up of microfibers viewed at high magnification, showing intertwined cylindrical strands with surfaces roughened by powder coating. A scale marker indicates a length of 100 micrometers.</alt-text>
</graphic>
</fig>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption>
<p>Fabric infiltrated with &#x03B1;-Si<sub>3</sub>N<sub>4</sub> reduces infectious virus within 10&#x202F;min of exposure. <bold>(A)</bold> Schematic for testing antiviral activity of &#x03B1;-Si<sub>3</sub>N<sub>4</sub> embedded fabric against SARS-CoV-2 Lineage A. <bold>(B)</bold> SARS-CoV-2 diluted in media to 2&#x202F;&#x00D7;&#x202F;10<sup>7</sup> PFU/mL was added to untreated control fabric and &#x03B1;-Si<sub>3</sub>N<sub>4</sub> embedded fabric (heavy load) for 10 (<italic>n</italic>&#x202F;=&#x202F;3) or 30&#x202F;min (<italic>n</italic>&#x202F;=&#x202F;4) and assessed for viral titer reduction. Virus only control (VOC) samples contain only virus and media. <bold>(C)</bold> Redesigned fabric (dry-infiltrated) was compared to heavy load and untreated fabric for viral titers reduction (<italic>n</italic>&#x202F;=&#x202F;3). Data are mean + SD. Statistical significance was determined using one-way ANOVA with Tukey&#x2019;s multiple comparison test; ns&#x202F;=&#x202F;not significant, &#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001, and &#x002A;&#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001. Panel <bold>(A)</bold> was created in BioRender. Kehn-hall (2025) <ext-link xlink:href="https://BioRender.com/cwbqc9a" ext-link-type="uri">https://BioRender.com/cwbqc9a</ext-link>.</p>
</caption>
<graphic xlink:href="fmicb-16-1637848-g007.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">"Diagram A illustrates a process for testing the ability of fabric infiltrated with alpha-Si3N4 to inactivate SARS-CoV-2", starting with application of the virus to the fabric, starting with a sample application, incubation up to 30 minutes, and centrifugation, followed by filtration and plaque analysis. Bar graphs B and C display plaque-forming units (PFU/mL, log scale) for different treatments and time intervals (10 and 30 minutes). In B, virus only control and untreated samples show higher PFU than heavy load samples, with significance marked for 30 minutes. In C, untreated samples show higher PFU than heavy load and dry-infiltrated samples, with major significance at 30 minutes. Statistical significance is represented by asterisks.</alt-text>
</graphic>
</fig>
<p>We next compared the antiviral activity between the slurry-infiltrated heavy Si<sub>3</sub>N<sub>4</sub>-loaded fabric and the dry-infiltrated fabric. The dry-infiltrated fabric exhibited a 1.48&#x2013;1.52 log<sub>10</sub> fold change (96.7&#x2013;97% inhibition) in viral titers (PFU/mL) when incubated with SARS-CoV-2 for 30&#x202F;min and 10&#x202F;min (<xref ref-type="fig" rid="fig7">Figure 7C</xref>). The reduction in virus observed for dry-infiltrated fabric was comparable to the positive control, slurry-infiltrated heavy Si<sub>3</sub>N<sub>4</sub>-loaded fabric.</p>
</sec>
</sec>
<sec sec-type="discussion" id="sec8">
<label>3</label>
<title>Discussion</title>
<p>Our studies investigated the antiviral properties of &#x03B2;-Si&#x2083;N&#x2084; and &#x03B1;-Si&#x2083;N&#x2084; in aqueous suspension against multiple SARS-CoV-2 lineages and MERS-CoV, and a refined version of &#x03B1;-Si&#x2083;N&#x2084; embedded in non-woven fabric against SARS-CoV-2 (Lineage A). It has been previously shown that &#x03B2;-Si&#x2083;N&#x2084; (AP<sup>2</sup>) can inactivate SARS-CoV-2 and human coronavirus OC43 (HCoV-OC43) (<xref ref-type="bibr" rid="ref25">Simpson et al., 2023</xref>). Here, we confirmed these data to show AP<sup>2</sup> can inactivate multiple strains of SARS-CoV-2 and present new findings on its ability to inactivate MERS-CoV. We further expanded testing of Si<sub>3</sub>N<sub>4</sub> to show that &#x03B1;-Si&#x2083;N&#x2084; (AP<sup>4</sup>) powder can inactivate SARS-CoV-2 and MERS-CoV to greater levels than &#x03B2;-Si&#x2083;N&#x2084; (AP<sup>2</sup>).</p>
<p>It is hypothesized that the production method for &#x03B2;-Si<sub>3</sub>N<sub>4</sub> powder is responsible for the observed difference in antiviral activity compared to &#x03B1;-Si&#x2083;N&#x2084;. The processing of &#x03B2;-Si&#x2083;N&#x2084; is believed to accelerate the hydrolysis reaction of the amine functional groups (Si<sub>2</sub>-NH or Si-NH<sub>2</sub>) on the Si<sub>3</sub>N<sub>4</sub> surface, with the release of NH<sub>3</sub>/NH<sub>4</sub><sup>+</sup>, contributing to the antiviral mechanism (<xref ref-type="bibr" rid="ref20">Pezzotti, 2019</xref>; <xref ref-type="bibr" rid="ref22">Pezzotti et al., 2021</xref>; <xref ref-type="bibr" rid="ref24">Pezzotti et al., 2020</xref>; <xref ref-type="bibr" rid="ref5">Bock et al., 2015</xref>). Alternatively, &#x03B1;-Si<sub>3</sub>N<sub>4</sub> was only subjected to a few moderate cleaning steps to ensure adventitious carbon and other impurities introduced by handling were removed prior to analysis. It is hypothesized that the minimal processing of &#x03B1;-Si<sub>3</sub>N<sub>4</sub> powder did not impact the surface hydrolysis reaction that drives antiviral activity. Additionally, &#x03B2;-Si&#x2083;N&#x2084; is made with sintering aids, i.e., Al<sub>2</sub>O<sub>3</sub> and Y<sub>2</sub>O<sub>3</sub>, at a concentration of about 10% by mass to facilitate the &#x03B1;-to &#x03B2;-phase transformation during powder sintering (<xref ref-type="bibr" rid="ref15">Lange, 2006</xref>). The inclusion of these oxides moderately dilutes the concentration of amine functional groups at the surface, thus decreasing the release of NH<sub>3</sub>/NH<sub>4</sub><sup>+</sup>. The final process step for &#x03B2;-Si<sub>3</sub>N<sub>4</sub> may also contribute to the diminished antiviral activity compared to &#x03B1;-Si&#x2083;N&#x2084;. Furthermore, &#x03B2;-Si<sub>3</sub>N<sub>4</sub> underwent an aggressive aqueous milling cycle at the end of its production process. It is presumed that the powder surfaces were partially hydrolyzed during this milling cycle, further reducing the concentration of available amine sites relative to those available on the high-purity &#x03B1;-Si<sub>3</sub>N<sub>4</sub>. Future studies will include a detailed powder surface characterization to assess these hypothesized differences.</p>
<p>&#x03B1;-Si&#x2083;N&#x2084; (AP<sup>4</sup>) powder also demonstrated significant virucidal activity against SARS-CoV-2 when embedded into non-woven fabric, a type of fabric used to make PPE, such as masks. While previous studies have shown the effectiveness of Si<sub>3</sub>N<sub>4</sub> embedded in non-woven fabric against SARS-CoV-2, issues related to wettability due to uneven distribution of Si<sub>3</sub>N<sub>4</sub> rendered the fabric in need of further modification (<xref ref-type="bibr" rid="ref25">Simpson et al., 2023</xref>). Here, we have partially addressed this by designing our experiments using a &#x201C;sandwich&#x201D; method in which we stacked four pieces of fabric to meet the ISO 18184 testing fabric weight requirements and increased surface area contact. The refined fabric and optimized study design resulted in greater reduction of SARS-CoV-2 within 10&#x202F;min of contact with heavy load and dry-infiltrated fabric, resulting in 94.1 and 97% inhibition (<xref ref-type="fig" rid="fig7">Figure 7</xref>), compared to 65.8% inhibition at 10&#x202F;min observed by <xref ref-type="bibr" rid="ref25">Simpson et al. (2023)</xref>. The primary challenge in limiting the spread of SARS-CoV-2 was due to the aerosols generated by infected individuals. Therefore, a limitation of this study is that testing viral droplets while utilizing a &#x201C;sandwich&#x201D; method to increase surface area contact may not accurately reflect viral inactivation in these settings. We hypothesized that an enhanced reduction in virus would still occur using our refined Si<sub>3</sub>N<sub>4</sub> fabric, but future studies are required to determine the time-to-inactivation and percent inhibition of viral titers.</p>
<p>Positive initial antiviral results prompted the assessment of the scalability of both the aqueous slurry process and the dry, alternating electric current method to embed Si<sub>3</sub>N<sub>4</sub> into fabrics. The aqueous slurry method is scalable and is based on modified conventional continuous fabric processing techniques; however, it would require further development to become suitable for commercial production. The equipment used in the dry, electric current method works effectively with Si<sub>3</sub>N<sub>4</sub> powder, and only moderate changes would be necessary for larger-scale implementation. The discussion of scalability raises questions about wash resistance and durability, which will be addressed in future studies.</p>
<p>Overall, our results revealed that &#x03B1;-Si<sub>3</sub>N<sub>4</sub> has a significant impact on pan-coronavirus in multiple media forms (powders and fabric) and are in agreement with previous studies exhibiting the degradation of viral RNA by AP<sup>2</sup> against multiple SARS-CoV-2 variants (<xref ref-type="bibr" rid="ref23">Pezzotti et al., 2022</xref>; <xref ref-type="bibr" rid="ref24">Pezzotti et al., 2020</xref>; <xref ref-type="bibr" rid="ref21">Pezzotti et al., 2021</xref>). Exposure of viruses to Si<sub>3</sub>N<sub>4</sub> can damage viral RNA. Specifically, ammonia (NH<sub>3</sub>) and nitric oxide (NO) cause uracil/guanine ring disruption and hydrolysis of RNA phosphodiester bonds (<xref ref-type="bibr" rid="ref22">Pezzotti et al., 2021</xref>; <xref ref-type="bibr" rid="ref21">Pezzotti et al., 2021</xref>). RT-qPCR analysis of SARS-CoV-2 revealed that Si<sub>3</sub>N<sub>4</sub>-induced reduction in viral RNA mirrored the decrease in viral titers for AP<sup>2</sup> (<xref ref-type="fig" rid="fig4">Figure 4</xref>). However, AP<sup>4</sup> had a much more pronounced impact on infectious virus as compared to the reduction of viral RNA, suggesting that mechanisms beyond viral RNA degradation could be impacting infectious virus production upon exposure to AP<sup>4</sup>. Supporting this, Si<sub>3</sub>N<sub>4</sub> has been shown to induce oxidation of methionine and tyrosine nitration, which can alter protein secondary structure and ultimately affect viral infectivity (<xref ref-type="bibr" rid="ref21">Pezzotti et al., 2021</xref>).</p>
<p>Viral viability on surfaces relies on evaporation kinetics and surface area, in which mask usage is highly effective in mitigating viral transmission. However, efficacy is dependent on proper fit and mask material (<xref ref-type="bibr" rid="ref9">Chatterjee et al., 2021</xref>; <xref ref-type="bibr" rid="ref27">Ueki et al., 2020</xref>). Careful consideration must be taken when choosing mask and fabric type, with respirators and surgical masks most effective at dampening spread, but cloth material leaves the user and bystanders at greater risk of infection (<xref ref-type="bibr" rid="ref2">Asadi et al., 2020</xref>). Masks can be augmented to have enhanced antiviral properties through the addition of inorganic materials such as zinc, silver, and gold; some of which induce the release of reactive oxygen and nitrogen species from nanoparticles, making these attractive options to incorporate into PPE (<xref ref-type="bibr" rid="ref13">Karmacharya et al., 2021</xref>; <xref ref-type="bibr" rid="ref8">Carvalho and Conte-Junior, 2021</xref>). Previous research showed &#x03B2;-Si<sub>3</sub>N<sub>4</sub> particles in aqueous suspensions inactivate SARS-CoV-2, with antiviral activity similar to copper (Cu), a known virucidal material, and aluminum nitride (AlN), which is hypothesized to also exhibit virucidal properties due to a similar surface hydrolysis-NH<sub>3</sub>/NH<sub>4</sub><sup>+</sup> release mechanism as occurs with Si<sub>3</sub>N<sub>4</sub> (<xref ref-type="bibr" rid="ref21">Pezzotti et al., 2021</xref>). This study used a similar assay in which supernatants of a 15% by mass dispersion of each material produced a 100% reduction in live virus relative to the control at exposure times of 1 and 15&#x202F;min. Further, VeroE6 cells exposed to the &#x03B2;-Si<sub>3</sub>N<sub>4</sub> supernatant did not exhibit a significant toxic response, while limited toxicity was observed following AlN supernatant exposure, and severe toxicity was observed following Cu supernatant exposure. These results suggest a potential for comparable virucidal action without associated toxic effects when &#x03B2;-Si<sub>3</sub>N<sub>4</sub> is employed instead of AlN or Cu. This finding agrees with the literature that suggests Si<sub>3</sub>N<sub>4</sub>, unlike Cu and AlN, does not exhibit toxicity to mammalian cells (<xref ref-type="bibr" rid="ref24">Pezzotti et al., 2020</xref>). Potential toxicity of the Si<sub>3</sub>N<sub>4</sub> powder to humans upon prolonged use has been preliminarily assessed using eukaryotic cell surrogates (such as in this study) and conventional chemical extraction methods. The substrate fabrics used have been through extensive toxicity testing and are currently used in many FDA-approved PPE devices. In-depth toxicity testing on a finished device is planned as part of the next phase of commercialization, but the nontoxic nature of Si<sub>3</sub>N<sub>4</sub> and its release of reactive nitrogen species make it a promising component to incorporate into non-woven fabrics for PPE.</p>
<p>Although we have shown nontoxic &#x03B1;-Si<sub>3</sub>N<sub>4</sub> to be advantageous over similar biomaterials in the proposed incorporation into PPE, further research is necessary to determine Si<sub>3</sub>N<sub>4</sub>&#x2019;s time-to-inhibit upon aerosol exposure, as our study tested SARS-CoV-2 droplets on Si<sub>3</sub>N<sub>4</sub> embedded fabric. Additionally, other applications for inorganic additives for viral inhibition could be explored, such as incorporating &#x03B1;-Si&#x2083;N&#x2084; into HEPA filtration devices. In conclusion, the findings presented here demonstrate the potential of Si&#x2083;N&#x2084; as an effective material for broad-spectrum pan-coronavirus inactivation, with promising applications in both suspension and fabric-based solutions for enhancing public health protections.</p>
</sec>
<sec sec-type="materials|methods" id="sec9">
<label>4</label>
<title>Materials and methods</title>
<sec id="sec10">
<label>4.1</label>
<title>Cell culture</title>
<p>African green monkey kidney epithelial (Vero) cells (ATCC, CCL-81) were maintained in Dulbecco&#x2019;s Modified Eagle Medium (DMEM) (VWR, 10128-208) supplemented with 10% fetal bovine serum (FBS) (VWR, 97068-085), 1% L-glutamine (VWR, 45000-676), and 1% penicillin/streptomycin (VWR, 45000-652). Vero E6 cells (ATCC, CRL-1586) were maintained in Eagle&#x2019;s Minimum Essential Medium with L-glutamine (EMEM) (VWR, 10128-608) supplemented with 10% FBS and 1% penicillin/streptomycin. Vero E6-TMPRSS2-T2A-ACE2 (TMPRSS2) cells (BEI Resources, NR-54970) were maintained in DMEM supplemented with 10% FBS, 2% L-glutamine, and 10&#x202F;&#x03BC;g per mL puromycin (Gibco, A1113803). All cells were maintained at 37 &#x00B0;C in a 5% CO<sub>2</sub> environment.</p>
</sec>
<sec id="sec11">
<label>4.2</label>
<title>Viruses</title>
<p>SARS-CoV-2 isolates hCoV-19/USA-WA1/2020 (Lineage A) (NR-52281), hCoV-19/USA/CA-Stanford-15_S02/2021 (Lineage B.1.617.1; Kappa Variant) (NR-55486), hCoV-19/England/204820464/2020 (Lineage B.1.1.7; Alpha Variant) (NR-54000), hCoV-19/South Africa/KRISP-EC-K005321/2020 (Lineage B.1.351; Beta Variant) (NR-54008), and MERS-CoV (NR-44260) were obtained from BEI Resources. SARS-CoV-2 and MERS-CoV were propagated in Vero E6 cells. SARS-CoV-2 Lineage A was additionally propagated in TMPRSS2 cells when used for fabric antiviral testing as described below. Viral propagation was carried out in the respective media for each cell type with low FBS (2%) and harvested based on the presence of cytopathic effect (CPE) (20&#x2013;72 hpi). Supernatants were centrifuged (at 21,801 x g for 10&#x202F;min) to pellet cellular debris and filtered via a 0.2&#x202F;&#x03BC;m filter (VWR, Cat. #28144-050). The stock virus was titrated according to the plaque assay described below.</p>
</sec>
<sec id="sec12">
<label>4.3</label>
<title>Preparation of Si<sub>3</sub>N<sub>4</sub> powder</title>
<p>AP<sup>4</sup> and AP<sup>2</sup> powders were prepared as described previously (<xref ref-type="bibr" rid="ref25">Simpson et al., 2023</xref>).</p>
</sec>
<sec id="sec13">
<label>4.4</label>
<title>Characterization of Si<sub>3</sub>N<sub>4</sub> powder</title>
<sec id="sec14">
<label>4.4.1</label>
<title>Scanning electron microscopy</title>
<p>Samples were imaged using a field emission gun scanning electron microscope (FEG-SEM, Quanta, FEI, Hillsboro, OR, United States). All samples were sputter-coated (108auto, Cressington, Watford, United Kingdom) with a thin (~5 to 30&#x202F;&#x00C5;) layer of gold palladium before imaging. Imaging conditions included an accelerating voltage of 10&#x202F;kV at working distances of 7 to 10&#x202F;mm and spot sizes of 4 to 4.5&#x202F;mm.</p>
</sec>
<sec id="sec15">
<label>4.4.2</label>
<title>Particle size analysis</title>
<p>The particle size distribution was measured using a laser scattering particle size analyzer (LA-960A, HORIBA, Kyoto, Japan). The powder sample was dispersed into the measurement medium through a wet flow cell capable of measuring particle size distributions from 10&#x202F;nm to 5,000&#x202F;&#x03BC;m using a laser diode light source wavelength of 650&#x202F;nm for particles with diameters above 500&#x202F;nm (LED light source wavelength of 405&#x202F;nm for particles with diameters less than 500&#x202F;nm).</p>
</sec>
<sec id="sec16">
<label>4.4.3</label>
<title>Specific surface area analysis</title>
<p>The specific surface area was measured using a physisorption analyzer (Gemini V 2365, Micromeritics, Norcross, GA, United States) and calculated in accordance with a multipoint Brunauer&#x2013;Emmett&#x2013;Teller (BET) method using dedicated software. The analyzer is capable of measuring specific surface areas &#x2265; 0.01&#x202F;m<sup>2</sup> for a given sample (for a total surface area of &#x2265; 0.1&#x202F;m<sup>2</sup>). The samples were prepared by heating (10 &#x00B0;C above ambient to 400 &#x00B0;C) under flowing nitrogen using a degas system (FlowPrep 060 LB, Micromeritics, Norcross, GA, United States). The prepared samples were then analyzed by measuring the volume of gas adsorbed at specific pressures.</p>
</sec>
</sec>
<sec id="sec17">
<label>4.5</label>
<title>Cytotoxicity testing</title>
<p>Vero cells were plated at 2&#x202F;&#x00D7;&#x202F;10<sup>4</sup> cells/well in a 96-well plate (Corning, 3,903). Silicon nitride powder at 5, 10, and 15% (w/v) was added to one mL of complete DMEM supplemented with 10% FBS, 1% L-glutamine, and 1% penicillin/streptomycin. Samples were briefly vortexed prior to 30&#x202F;min incubation at room temperature with rotation. Samples were then centrifuged at 554 x g at room temperature for 2&#x202F;min, and the supernatants clarified through filtration with a 0.2&#x202F;&#x03BC;m filter (VWR, Cat. #28144-050). The clarified supernatants (200&#x202F;&#x03BC;L/well) were added to Vero cells (2&#x202F;&#x00D7;&#x202F;10<sup>4</sup> cells/well, 96-well plate) (Corning, 3,903) and incubated for 48&#x202F;h at 37 &#x00B0;C, 5% CO<sub>2</sub>. Untreated cells (complete DMEM) served as the 100% viability control. CellTiter Glo (Promega, Cat #G7570) was used to measure ATP production as a determinant of cell viability.</p>
</sec>
<sec id="sec18">
<label>4.6</label>
<title>Powder antiviral testing</title>
<p>SARS-CoV-2 isolates or MERS-CoV were diluted in complete DMEM supplemented with 10% FBS, 1% L-glutamine, and 1% penicillin/streptomycin to a concentration of 2&#x00D7;10<sup>5</sup> PFU/mL. One mL of virus was added to tubes containing Si<sub>3</sub>N<sub>4</sub> at 15% (w/v) or without Si<sub>3</sub>N<sub>4</sub> (virus only) to serve as the control. Samples were briefly vortexed and then incubated at room temperature for up to 30&#x202F;min with rotation. Samples were then centrifuged at 554 x g at room temperature for 2&#x202F;min and supernatants clarified through filtration with a 0.2&#x202F;&#x03BC;m filter (VWR, Cat. #28144-050). Infectious virus was quantified by plaque assay.</p>
</sec>
<sec id="sec19">
<label>4.7</label>
<title>Plaque assay</title>
<p>Supernatants for powder antiviral testing were quantified via plaque assay using Vero cells for SARS-CoV-2 isolates (1.5 &#x00D7; 10<sup>5</sup> cells/well, 12-well plate) and Vero E6 cells for MERS-CoV (2&#x00D7;10<sup>5</sup> cells/well, 12-well plate). Samples from fabric antiviral testing were quantified using TMPRSS2 cells (2 &#x00D7; 10<sup>5</sup> cells/well, 12-well plate). Clarified supernatants were serially diluted (1:10), and 200&#x202F;&#x03BC;L per dilution was added to each well in the 12-well plate. Plates were incubated at 37 &#x00B0;C, 5% CO<sub>2</sub> for 1&#x202F;h, rocking every 15&#x202F;min to ensure adequate coverage of the cells. A 1:1 overlay of 1% agarose (Invitrogen, 16500-500) and 2x EMEM (VWR, Cat # 10128-758) supplemented with 5% FBS, 1% L-glutamine, 2% penicillin/streptomycin, 1% non-essential amino acids (VWR, Cat # 45000-700), and 1% sodium pyruvate (VWR, Cat # 45000-710) were added to the cells (1&#x202F;mL/well). Plates were incubated at 37 &#x00B0;C, 5% CO<sub>2</sub> for 48&#x202F;h or 72&#x202F;h, for SARS-CoV-2 isolates and MERS-CoV, respectively. After incubation, cells were fixed with 10% formaldehyde and stained with 2% crystal violet in 20% ethanol for counting.</p>
</sec>
<sec id="sec20">
<label>4.8</label>
<title>RNA extraction and RT-qPCR</title>
<p>SARS-CoV-2 isolates hCoV-19/USA-WA1/2020 (Lineage A) were exposed to Si<sub>3</sub>N<sub>4</sub> for 30&#x202F;min, as written in the powder antiviral testing section. The clarified supernatants were divided for plaque assay, and 250&#x202F;&#x03BC;L was then transferred to clean microcentrifuge tubes for RNA extraction. Residual media from the Si<sub>3</sub>N<sub>4</sub> pellets were removed and discarded. Pellets were resuspended in 250&#x202F;&#x03BC;L complete DMEM.</p>
<p>The pellets and clarified supernatants were then extracted for RNA, in which 750&#x202F;&#x03BC;L TRIzol LS (Thermo Fisher Scientific, Cat. #10-296-028) was added and the samples vortexed and incubated at room temperature for 5&#x202F;min. Chloroform (200&#x202F;&#x03BC;L) (MP Biomedicals, Cat #194002) was added to the samples, vortexed, and incubated at room temperature for 5&#x202F;min. Samples were briefly vortexed post-incubation and centrifuged at 13,845 x g at room temperature for 10&#x202F;min. The upper aqueous phase was transferred to a fresh microcentrifuge tube and processed for RNA with the RNeasy Mini Kit (Qiagen, Cat. #74106) using an adapted protocol. RLT buffer (600&#x202F;&#x03BC;L) was added to the samples and mixed, followed by the addition of absolute ethanol (700&#x202F;&#x03BC;L), and the samples were mixed. Further sample processing was done in accordance with manufacture&#x2019;s guidelines (Quick-Start Protocol RNeasy Mini Kit, Part 1). Samples were eluted in 35&#x202F;&#x03BC;L molecular grade water (VWR, Cat. #95000-094).</p>
<p>Viral RNA was quantified via RT-qPCR using 5&#x202F;&#x03BC;L of purified RNA with the RNA UltraSense One-Step RT-PCR System (Thermo Fisher Scientific, Cat. #11732927) and a primer-probe set for 2019-nCoV-N1 (IDT, Cat. #10006770), targeting the nucleocapsid (N) gene, on a QuantStudio 3 Real-Time PCR System (Applied Biosystems, Cat. #A28567). Thermal cycling conditions were adapted from the RNA UltraSense One-Step RT-PCR System as follows: 50 &#x00B0;C for 15&#x202F;min, 95 &#x00B0;C for 2&#x202F;min, and 40&#x202F;cycles of 95 &#x00B0;C for 15&#x202F;s and 55 &#x00B0;C for 30&#x202F;s. Absolute quantification was determined based on standard curves generated from serial dilutions (1:10) of quantitative synthetic SARS-CoV-2 RNA (BEI, NR-52358) containing fragments from the ORF 1ab, Envelope (E), and Nucleocapsid (N) regions.</p>
</sec>
<sec id="sec21">
<label>4.9</label>
<title>Treated textile preparation</title>
<p>Spunbond polypropylene (SBPP) was pre-cleaned and pre-treated as previously described (<xref ref-type="bibr" rid="ref25">Simpson et al., 2023</xref>). SBPP was infiltrated with &#x03B1;-Si<sub>3</sub>N<sub>4</sub> and polybutylene succinate (PBS) using a commercial alternating electric current technology (D-Preg, Fibroline, Lyon, France). The &#x03B1;-Si<sub>3</sub>N<sub>4</sub>-PBS powder blend (50&#x202F;wt.% &#x03B1;-Si<sub>3</sub>N<sub>4</sub>/50&#x202F;wt.% PBS) was scattered on the SBPP surface, and an alternative electric field was applied to charge the powder, break up the powder agglomerates, and impregnate the non-woven textile. The &#x03B1;-Si<sub>3</sub>N<sub>4</sub>-impregnated SBPP was thermally treated with a heat press at 130 &#x00B0;C at 1&#x202F;bar for 30&#x202F;s to melt the PBS binder and allow the &#x03B1;-Si<sub>3</sub>N<sub>4</sub> particles to adhere or embed into the substrate. SEM characterization was performed on the final treated fabric (<xref ref-type="fig" rid="fig6">Figure 6</xref>). Antiviral test swatches of &#x03B1;-Si<sub>3</sub>N<sub>4</sub>-impregnated SBPP were prepared by cutting 25&#x202F;mm squares and ultrasonically welding three squares together. Four three-layer squares weighing approximately 0.40&#x202F;&#x00B1;&#x202F;0.01&#x202F;g each were used as one sample for antiviral testing in accordance with the standard ISO 18184 test method.</p>
</sec>
<sec id="sec22">
<label>4.10</label>
<title>Textile antiviral testing</title>
<p>SARS-CoV-2 isolate hCoV-19/USA-WA1/2020 (Lineage A) was diluted in complete DMEM to a concentration of 1&#x00D7;10<sup>7</sup> PFU/mL. Four squares of fabric constituted one sample. Virus was spotted five times onto each fabric square in 10&#x202F;&#x03BC;L spots, totaling 200&#x202F;&#x03BC;L of virus per sample. The four pieces of fabric were sandwiched together and placed in 50&#x202F;mL conical tubes. Virus only (200&#x202F;&#x03BC;L) control was added to an empty 50&#x202F;mL conical tube for processing in parallel. Tubes were incubated at room temperature for 30&#x202F;min. After incubation, 20&#x202F;mL complete DMEM was added to the fabric. Samples were kept on ice the entire time after the addition of media. Tubes were vortexed 5 times (5&#x202F;s per time). Ten mL of homogenate was transferred to a 15&#x202F;mL conical tube. Tubes were centrifuged at 1,256 x g at 4 &#x00B0;C for 2&#x202F;min and supernatants clarified through filtration with a 0.2&#x202F;&#x03BC;m filter. Infectious virus was quantified by plaque assay.</p>
</sec>
<sec id="sec23">
<label>4.11</label>
<title>Statistical analysis</title>
<p>Samples consisted of three biological replicates unless specified otherwise. Statistical analyzes were performed using GraphPad Prism Software Version 10.4.1. Tests used to determine statistical significance are described within the figure legends. &#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, &#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001, and &#x002A;&#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.0001.</p>
</sec>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec24">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec sec-type="author-contributions" id="sec25">
<title>Author contributions</title>
<p>BH: Writing &#x2013; original draft, Investigation, Writing &#x2013; review &#x0026; editing, Methodology, Formal analysis. CW: Investigation, Writing &#x2013; review &#x0026; editing, Methodology. CM: Formal analysis, Writing &#x2013; original draft, Methodology, Investigation, Writing &#x2013; review &#x0026; editing. RB: Project administration, Writing &#x2013; review &#x0026; editing, Supervision, Investigation. KK-H: Writing &#x2013; review &#x0026; editing, Project administration, Funding acquisition, Supervision, Conceptualization.</p>
</sec>
<sec sec-type="funding-information" id="sec26">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This work was supported by a grant from SINTX Technologies Corporation.</p>
</sec>
<ack>
<p>The following reagents were obtained through BEI Resources, NIAID, NIH: <italic>Cercopithecus aethiops</italic> Kidney Epithelial Cells Expressing Transmembrane Protease, Serine 2 and Human Angiotensin-Converting Enzyme 2 (Vero E6-TMPRSS2-T2A-ACE2), NR-54970, SARS-Related Coronavirus 2, Isolate hCoV-19/USA/CA-Stanford-15_S02/2021 (Lineage B.1.617.1; Kappa Variant), NR-55486, contributed by Dr. Mehul Suthar and Dr. Benjamin Pinsky, SARS-Related Coronavirus 2, Isolate hCoV-19/England/204820464/2020, NR-54000, contributed by Bassam Hallis, SARS-Related Coronavirus 2, Isolate hCoV-19/South Africa/KRISP-EC-K005321/2020, NR-54008, contributed by Alex Sigal and Tulio de Oliveira, and Middle East Respiratory Syndrome Coronavirus (MERS-Covi), EMC/2012, NR-44260. The following reagent was deposited by the Centers for Disease Control and Prevention and obtained through BEI Resources, NIAID, NIH: SARS-Related Coronavirus 2, Isolate hCoV-19/USA-WA1/2020, NR-52281.</p>
</ack>
<sec sec-type="COI-statement" id="sec27">
<title>Conflict of interest</title>
<p>CM and RB were employed by SINTX Technologies, Inc. RB is also an officer of SINTX and a holder of SINTX stock.</p>
<p>The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec28">
<title>Generative AI statement</title>
<p>The authors declare that no Gen AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="sec29">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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