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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Sustain. Food Syst.</journal-id>
<journal-title>Frontiers in Sustainable Food Systems</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Sustain. Food Syst.</abbrev-journal-title>
<issn pub-type="epub">2571-581X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fsufs.2023.1216273</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Sustainable Food Systems</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Evaluation of a novel chlorine dioxide-based packaging technology to reduce human enteric virus contamination on refrigerated tomatoes and blueberries</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes"><name><surname>Goulter</surname> <given-names>Rebecca M.</given-names></name><xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1150450/overview"/>
</contrib>
<contrib contrib-type="author"><name><surname>Frye</surname> <given-names>Jason W.</given-names></name><xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kerr</surname> <given-names>William L.</given-names></name><xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Richard</surname> <given-names>Angela</given-names></name><xref rid="aff3" ref-type="aff"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Johnston</surname> <given-names>Michael</given-names></name><xref rid="aff3" ref-type="aff"><sup>3</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2346312/overview"/>
</contrib>
<contrib contrib-type="author"><name><surname>Jaykus</surname> <given-names>Lee-Ann</given-names></name><xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/383523/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Food, Bioprocessing and Nutrition Sciences, NC State University</institution>, <addr-line>Raleigh, NC</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Food Science and Technology, University of Georgia</institution>, <addr-line>Athens, GA</addr-line>, <country>United States</country></aff>
<aff id="aff3"><sup>3</sup><institution>Aptar CSP Technologies</institution>, <addr-line>Atlanta, GA</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Mar&#x00ED;a Bel&#x00E9;n Pisano, Universidad Nacional de C&#x00F3;rdoba, Argentina</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Trevor Phister, PepsiCo, United Kingdom; Viviana Mbayed, University of Buenos Aires, Argentina</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Rebecca M. Goulter, <email>rebecca_goulter@ncsu.edu</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>23</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>7</volume>
<elocation-id>1216273</elocation-id>
<history>
<date date-type="received">
<day>03</day>
<month>05</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>08</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Goulter, Frye, Kerr, Richard, Johnston and Jaykus.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Goulter, Frye, Kerr, Richard, Johnston and Jaykus</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>
<sec>
<title>Introduction</title>
<p>Chlorine dioxide (ClO<sub>2</sub>) is a promising antimicrobial with various food applications, one of those being inclusion in packaging. The purpose of this study was to evaluate a novel ClO<sub>2</sub>-based antimicrobial packaging system (InvisiShield<sup>&#x2122;</sup>) for its efficacy against human norovirus (hNoV) and hepatitis A virus (HAV) in refrigerated fresh produce.</p>
</sec>
<sec>
<title>Methods</title>
<p>Grape tomatoes or blueberries were placed in polypropylene trays and selectively inoculated with 6.0 log<sub>10</sub> hNoV Genome Equivalent Copies (GEC; 20% stool suspension) or 6.2 log<sub>10</sub> HAV GEC (cell culture lysate). Trays were heat sealed with a three-phase polymer film consisting of a base, channeling agent, and the ClO<sub>2</sub> active (treatment); or control (no active) film and stored at 7&#x00B0;C for 24, 48&#x2009;h, and 7&#x2009;days. At each timepoint, the product was collected and processed for virus concentration using the sequential steps of elution and polyethylene glycol precipitation. Viruses in extracts were quantified using RNase-RT-qPCR.</p>
</sec>
<sec>
<title>Results and discussion</title>
<p>Log<sub>10</sub> reductions (LR) in hNoV GEC for tomatoes were 2.2&#x2009;&#x00B1;&#x2009;1.3, 2.9&#x2009;&#x00B1;&#x2009;0.7, and 3.6&#x2009;&#x00B1;&#x2009;0.3, after 24, 48&#x2009;h and 7&#x2009;days, respectively. For blueberries, hNoV LR were 1.4&#x2009;&#x00B1;&#x2009;0.7, 1.7&#x2009;&#x00B1;&#x2009;0.5, and 2.7&#x2009;&#x00B1;&#x2009;0.2 GEC, respectively. Hepatitis A virus GEC LR were 0.4&#x2009;&#x00B1;&#x2009;0.2, 1.0&#x2009;&#x00B1;&#x2009;0.1, and 2.1&#x2009;&#x00B1;&#x2009;0.7 for tomatoes, and 0.1&#x2009;&#x00B1;&#x2009;0.2, 1.2&#x2009;&#x00B1;&#x2009;0.4, and 3.2&#x2009;&#x00B1;&#x2009;0.2 for blueberries, after 24, 48&#x2009;h and 7&#x2009;days, respectively. Position of the fruit in the tray did not affect inactivation (<italic>p</italic>&#x2009;&#x003E;&#x2009;0.05). Sensory analysis on the treated tomato products revealed no statistically significant difference in appearance, flavor and texture attributes compared to the control. This novel ClO<sub>2</sub>-based antimicrobial packaging system effectively reduced concentrations of hNoV and HAV, as evaluated using reduction in GEC as proxy for infectivity, on grape tomatoes and blueberries after one day, with efficacy improving over 7&#x2009;days of refrigerated storage. This technology shows promise as an antiviral treatment as applied to refrigerated fresh produce items.</p>
</sec>
</abstract>
<kwd-group>
<kwd>human norovirus</kwd>
<kwd>hepatitis a virus</kwd>
<kwd>food safety</kwd>
<kwd>packaging</kwd>
<kwd>active packaging</kwd>
<kwd>fresh produce</kwd>
</kwd-group>
<counts>
<fig-count count="3"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="47"/>
<page-count count="7"/>
<word-count count="6610"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Agro-Food Safety</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<title>Introduction</title>
<p>Foodborne illness is a major cause of illness worldwide. In the United States alone, there are an estimated 9.4 million cases occurring every year (<xref ref-type="bibr" rid="ref40">Scallan et al., 2011</xref>). A considerable number of these are attributed to outbreaks involving contaminated fresh produce (<xref ref-type="bibr" rid="ref31">Lynch et al., 2008</xref>; <xref ref-type="bibr" rid="ref1">Bennett et al., 2018</xref>; <xref ref-type="bibr" rid="ref7">Chatziprodromidou et al., 2018</xref>; <xref ref-type="bibr" rid="ref6">Carstens et al., 2019</xref>). From 1998 to 2013, a total of 972 outbreaks involving fresh produce were reported through U.S. Centers for Disease Control and Prevention&#x2019;s Foodborne Disease Outbreak Surveillance System, resulting in a total of 34,674 illnesses, 2,315 hospitalizations, and 72 deaths (<xref ref-type="bibr" rid="ref1">Bennett et al., 2018</xref>).</p>
<p>Pathogens commonly associated with fresh produce outbreaks include bacteria such as <italic>Listeria monocytogenes</italic>, <italic>Escherichia coli</italic> and <italic>Salmonella enterica</italic> (<xref ref-type="bibr" rid="ref6">Carstens et al., 2019</xref>), as well as viral pathogens such as human norovirus (hNoV) and hepatitis A virus (HAV) (<xref ref-type="bibr" rid="ref7">Chatziprodromidou et al., 2018</xref>). Human noroviruses are the leading cause of foodborne disease outbreaks, with over 5 million food-associated cases estimated per year (<xref ref-type="bibr" rid="ref40">Scallan et al., 2011</xref>). Leafy vegetables, fruits and nuts are the general categories of produce items associated with hNoV outbreaks (<xref ref-type="bibr" rid="ref20">Hall et al., 2012</xref>). Although often the source of contamination in hNoV-produce outbreaks is not definitively established, infected food handlers at the preparation phase are a commonly implicated route (<xref ref-type="bibr" rid="ref20">Hall et al., 2012</xref>). Hepatitis A virus, while a less common cause of produce-associated outbreaks, causes a more severe disease and has been associated with fresh produce including, green onions (<xref ref-type="bibr" rid="ref36">Centers for Disease Control and Prevention, 2003</xref>) and lettuce (<xref ref-type="bibr" rid="ref39">Rosenblum et al., 2011</xref>). As described for hNoV, the most common source of contamination is the hands of infected food handlers who have not practiced adequate personal hygiene.</p>
<p>Of the produce items most often implicated in virus outbreaks, berries stand out. In fact, virus-contaminated raspberries, strawberries, and blueberries have been the cause of notable hNoV and HAV outbreaks, some very large and high profile (<xref ref-type="bibr" rid="ref4">Bozkurt et al., 2021</xref>). For instance, the largest recorded foodborne outbreak in German history, with nearly 11,000 cases, was caused by hNoV contamination of frozen strawberries (<xref ref-type="bibr" rid="ref2">Bernard et al., 2014</xref>). Similarly, a large and prolonged foodborne outbreak in Italy was caused by HAV contamination of frozen berries, resulting in greater than 1,800 cases spanning over 12&#x2009;months (<xref ref-type="bibr" rid="ref41">Scavia et al., 2017</xref>). Virus outbreaks associated with tomatoes, while occurring less frequently, have also been reported (<xref ref-type="bibr" rid="ref13">Donnan et al., 2012</xref>; <xref ref-type="bibr" rid="ref43">Shieh et al., 2014</xref>), including a multistate Australian HAV outbreak associated with semi-dried tomatoes and resulting in over 500 cases (<xref ref-type="bibr" rid="ref13">Donnan et al., 2012</xref>).</p>
<p>Human norovirus and HAV are environmentally stable and are quite recalcitrant to many processes and sanitizers/disinfectants used routinely in food processing and preservation, including pH and water activity manipulation, high pressure, alcohols and quaternary ammonium compounds (<xref ref-type="bibr" rid="ref27">Li et al., 2012</xref>; <xref ref-type="bibr" rid="ref3">Bosch et al., 2018</xref>). Chlorine and chlorine dioxide (ClO<sub>2</sub>) have shown relatively broad efficacy against various microorganisms (<xref ref-type="bibr" rid="ref34">Park et al., 2018</xref>), including hNoV and HAV (and their surrogates) (<xref ref-type="bibr" rid="ref28">Li et al., 2004</xref>; <xref ref-type="bibr" rid="ref29">Lim et al., 2010</xref>; <xref ref-type="bibr" rid="ref24">Kingsley et al., 2014</xref>; <xref ref-type="bibr" rid="ref45">Song et al., 2022</xref>). In fact, CDC recommends high concentrations of hypochlorite (1,000-5,000&#x2009;ppm) when cleaning surfaces suspected of being contaminated with hNoV. Chlorine dioxide gas has demonstrated efficacy for decontamination and preservation of candidate food products such as fruits, vegetables and raw meats (<xref ref-type="bibr" rid="ref19">G&#x00F3;mez-L&#x00F3;pez et al., 2009</xref>; <xref ref-type="bibr" rid="ref44">Singh et al., 2021</xref>). Unfortunately, ClO<sub>2</sub> gas presents unique challenges including difficulty of use in the supply chain, elevated cost, and effects on food product quality, all of which can limit its current commercial use (<xref ref-type="bibr" rid="ref38">Ridenour and Ingols, 1947</xref>; <xref ref-type="bibr" rid="ref44">Singh et al., 2021</xref>). Organoleptic issues can include the potential to promote product bleaching and/or browning (<xref ref-type="bibr" rid="ref5">Bunzel and Ralph, 2006</xref>; <xref ref-type="bibr" rid="ref18">Gom&#x00E9;z-Lopez et al., 2008</xref>). Nonetheless, ClO<sub>2</sub> has its advantages, including its rapid dissipation and reduced corrosivity when compared with other forms of chlorine (<xref ref-type="bibr" rid="ref44">Singh et al., 2021</xref>).</p>
<p>InvisiShield<sup>&#x2122;</sup> technology (hereby referred to as &#x201C;the product&#x201D;) is a novel ClO<sub>2</sub> gas delivery system for active antimicrobial packaging. The product material contains a base polymer, a channeling agent, and the active ingredient, ClO<sub>2.</sub> The release of the ClO<sub>2</sub> gas is triggered by the relative humidity in the package, which then causes the ClO<sub>2</sub> to migrate through the channeling agent into the package in a controlled manner. InvisiShield<sup>&#x2122;</sup> is Generally Recognized as Safe (GRAS) by an expert panel and has regulatory allowance on all fresh fruits and vegetables in the U.S. and Canada. For the EU, data on the technology has been submitted to the European Food Safety Authority&#x2019;s Active and Intelligence body for review. However, the efficacy of this product against microbial pathogens on foods is yet to be reported in the literature. The purpose of this study was to evaluate this novel ClO<sub>2</sub>-based antimicrobial packaging system for its efficacy against hNoV and HAV in refrigerated fresh produce.</p>
</sec>
<sec sec-type="methods" id="sec2">
<title>Methods</title>
<sec id="sec3">
<title>Viruses</title>
<p>Human norovirus GII.4 Sydney, obtained as a deidentified human stool specimen from an outbreak (courtesy of Dr. Shermalyn Greene, North Carolina State Laboratory of Public Health, Raleigh, NC), was suspended 20% in phosphate buffered saline (PBS) with clarification by centrifugation (3,100&#x2009;&#x00D7; <italic>g</italic> for 5&#x2009;min at 4&#x00B0;C; Eppendorf 5810R, Eppendorf, Hamburg, Germany). The initial titer of the prepared stock suspension was 6.0 log<sub>10</sub> genome equivalent copies (GEC) per ml.</p>
<p>Hepatitis A virus, cultivable strain HM-175, which is routinely used in our lab, was propagated on the rhesus monkey kidney cell line FRhK-4 (CRL-1688, American Type Culture Collection, Manassas, VA) as previously described (<xref ref-type="bibr" rid="ref37">Provost and Hilleman, 1979</xref>). Infected cells showing CPE were subjected to multiple freeze&#x2013;thaw cycles and further clarified by centrifugation at 2,800&#x2009;&#x00D7;&#x2009;<italic>g</italic> for 20&#x2009;min (<xref ref-type="bibr" rid="ref33">Papafragkou et al., 2008</xref>). The initial titer of the HAV cell culture lysate, which was used as inoculum, was 6.2 log<sub>10</sub> GEC per ml.</p>
</sec>
<sec id="sec4">
<title>Inoculation, packaging and storage of samples</title>
<p>Blueberries and unsliced grape tomatoes were purchased from a local grocery store no more than 3&#x2009;h prior to inoculation. They were washed in a 200&#x2009;ppm household bleach solution (diluted in sterile distilled water) for 2&#x2009;min, rinsed twice with sterile deionized water, and allowed to dry. Twelve tomatoes or twelve blueberries were placed in FreshWell<sup>&#x2122;</sup> food packaging trays (Mid-America Packaging &#x0026; Distribution, St Louis, MO) and two tomatoes or two blueberries per tray were spot inoculated by adding a 10&#x2009;&#x03BC;L volume of the challenge viral suspension per fruit item. One of the inoculated samples was placed in the middle of the tray, and the second at the outer edge of the tray. A total of two trays of samples was prepared for each replicate (total of 3&#x2013;4 experimental replicates) for each sampling time point, and uninoculated controls as well as no treatment controls were included for each replicate/time point. Produce was packaged per manufacturer&#x2019;s instructions using InvisiShield<sup>&#x2122;</sup> lidding film (the product) or negative control lidding film (<xref rid="fig1" ref-type="fig">Figure 1</xref>). Packages were held at 7&#x00B0;C for 0, 24 and 48&#x2009;h, and 7&#x2009;days. Treatment and control trays were stored in separate locations to prevent confounding by potential ClO<sub>2</sub> outgassing.</p>
<fig position="float" id="fig1"><label>Figure 1</label>
<caption>
<p>Diagram of InvisiShield<sup>&#x2122;</sup> technology, a novel ClO<sub>2</sub> gas delivery system, for modified atmosphere packaging.</p>
</caption>
<graphic xlink:href="fsufs-07-1216273-g001.tif"/>
</fig>
</sec>
<sec id="sec5">
<title>Concentration and detection/enumeration of viruses</title>
<p>Treatment trays, and associated controls, were removed from refrigerated storage at the designated timepoints and processed for recovery and enumeration of residual virus. The two inoculated tomatoes or blueberries per package were processed separately. To each fruit was added 0.1&#x2009;M Tris-base glycine (Fisher Scientific, Waltham, MA) beef extract (Acumedia, Lansing, MI; 3% in sterile distilled water, pH 9.5), which served as eluant and neutralizer, equal to three times the weight of the sample. The viruses were eluted by shaking (SHLD0415DG Orbital Shaker, OHAUS, Parsippany, NJ) at 400&#x2009;rpm for 20&#x2009;min at room temperature in filter stomacher bags (Whirl-Pak, Nasco, Atlanta, GA). Eluate solutions were recovered and centrifuged (Eppendorf 5810R) at 10,000 &#x00D7; <italic>g</italic> for 30&#x2009;min at 4&#x00B0;C to sediment debris, followed by polyethylene glycol precipitation (12% PEG; Fisher Scientific) overnight at 4&#x00B0;C. Virus-laden precipitates were collected by centrifugation at 10,000 &#x00D7; <italic>g</italic> for 30&#x2009;min at 4&#x00B0;C and resuspended in 1&#x2009;mL of PBS. Sample concentrates were pretreated with RNase (RNase One, Promega, Madison, WI) prior to RNA extraction using the automated EasyMag system (bioMerieux, Durham, NC) as per manufacturer instructions and previously described (<xref ref-type="bibr" rid="ref15">Escudero-Abarca et al., 2022</xref>). RNA was amplified by RT-qPCR (CFX96, BioRad, Hercules, CA) targeting the conserved ORF1-ORF2 junction of hNoV (<xref ref-type="bibr" rid="ref22">Jothikumar et al., 2005</xref>) and the highly conserved 5&#x2032; noncoding region of HAV (<xref ref-type="bibr" rid="ref10">Costafreda et al., 2006</xref>). For quantification, the resulting cycle threshold (C<sub>T</sub>) values were compared to a standard curve produced by serial dilutions of viral RNA obtained from the inoculum. Reduction in GEC as a function of treatment was calculated by subtracting the remaining virus log<sub>10</sub> GEC for each treatment from that obtained for the no treatment control.</p>
</sec>
<sec id="sec6">
<title>Sensory analysis of sliced tomatoes</title>
<p>Tomatoes were purchased commercially from a local wholesaler and used within 3&#x2009;h of purchase. The tomatoes were washed in a 200&#x2009;ppm commercial bleach solution for two min and were then rinsed with tap water before slicing. Slicing was done using a Tomato Sabor<sup>&#x00AE;</sup> 943-D slicer (Prince Castle Carol Stream, IL) that was pre-sterilized with 200&#x2009;ppm bleach and rinsed with tap water. Tomatoes were sliced with the calyx facing down.</p>
<p>After slicing, the blossom and calyx ends of the tomatoes were discarded, and 42 slices were packed into each tray, some of which contained the antimicrobial, and some of which served as control trays that lacked the antimicrobial. Trays were stored at 4&#x00B0;C for 3&#x2009;days, based on the assumption that this would be the earliest possible point along the supply chain at which the product would be opened and consumed. Single slices from the control or treatment trays were equilibrated to room temperature and used for the sensory analysis.</p>
<p>The sensory evaluation was conducted using a triangle test to determine if a detectable difference existed between the samples stored for 3&#x2009;days at 4&#x00B0;C. Panelists were asked to sign consent forms and excluded if they had food allergies or other issues. In addition, panelists were given an orientation to familiarize them with the particulars of the test procedures and characteristics of the product. Panelists were presented three samples in which two were the same and one different, and asked to indicate which sample was different from the other two. They were also instructed to &#x2018;guess&#x2019; if they felt there was no difference. The samples were presented in 8-oz plastic cups, with each being labelled with a random 3-digit number. In addition, every combination and order were prepared and counterbalanced across the evaluators- that is ABB, BBA, AAB, BAB, ABA and BAA, where A are samples stored without the antimicrobial and B those stored with the antimicrobial. A total of 42 untrained panelists were recruited from staff, students and faculty at the University of Georgia, Department of Food Science &#x0026; Technology. Each panelist selected differences based on appearance, flavor and/or texture.</p>
</sec>
<sec id="sec7">
<title>Statistical analysis</title>
<p>For the triplicate virological tests, results were expressed as mean&#x2009;&#x00B1;&#x2009;standard deviation of log<sub>10</sub> GEC reduction for each produce product at each exposure time. This was used as a proxy to measure degree of virus inactivation. Data were compared statistically using ANOVA and the Tukey&#x2013;Kramer test (Minitab Statistical Software, State College, PA). Statistical significance was established at a level of <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05. For analysis of sensory data, a Triangle Test of Difference was performed (<xref ref-type="bibr" rid="ref35">Poste et al., 1991</xref>) to determine if detectable differences existed between treated/control samples for appearance, flavor and texture. Statistical analysis was conducted using tables assuming a binomial distribution. This test is a one-tailed test with the null hypothesis that the probability of making a correct selection by chance alone is one in three. The data were analyzed by tabulating the number of &#x201C;correct&#x201D; responses and compared to values in tables for the minimum number of correct responses needed to conclude that a perceptible difference existed at <italic>&#x03B1;</italic>&#x2009;=&#x2009;0.001, 0.01, 0.05 or 0.1%.</p>
</sec>
</sec>
<sec sec-type="results" id="sec8">
<title>Results</title>
<sec id="sec9">
<title>Evidence of inactivation of HAV on fruits by InvisiShield<sup>&#x2122;</sup> technology</title>
<p>Position of the fruit in the tray did not affect virus inactivation, as evaluated using reduction of GEC as a proxy for infectivity (<italic>p</italic>&#x2009;&#x003E;&#x2009;0.05), so results for each piece of fruit were combined for each experimental replicate. Log<sub>10</sub> reductions (LR) in HAV GEC for tomatoes were 0.4&#x2009;&#x00B1;&#x2009;0.2, 1.0&#x2009;&#x00B1;&#x2009;0.1, and 2.1&#x2009;&#x00B1;&#x2009;0.7 after 24, 48&#x2009;h and 7&#x2009;days, respectively (<xref rid="fig2" ref-type="fig">Figure 2A</xref>). Efficacy continued to improve at each timepoint but never reached the assay limit of detection (LOD, 3.8 log<sub>10</sub> GEC reduction). There was significantly greater reduction in log<sub>10</sub> HAV GEC after 7&#x2009;days compared to 24 and 48&#x2009;h (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05). Hepatitis A virus GEC LR for blueberries was 0.1&#x2009;&#x00B1;&#x2009;0.2, 1.2&#x2009;&#x00B1;&#x2009;0.4, and 3.2&#x2009;&#x00B1;&#x2009;0.2 after 24, 48&#x2009;h and 7&#x2009;days, respectively and efficacy reached the LOD (3.1 log<sub>10</sub> GEC reduction) at 7&#x2009;days (<xref rid="fig2" ref-type="fig">Figure 2B</xref>). For blueberries, there was significantly greater reduction in log<sub>10</sub> HAV GEC after 7&#x2009;days compared to 48&#x2009;h (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05), and at 48&#x2009;h compared to 24&#x2009;h (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05).</p>
<fig position="float" id="fig2"><label>Figure 2</label>
<caption>
<p>Inactivation of hepatitis A virus (HAV) on grape tomatoes <bold>(A)</bold> (<italic>n</italic>&#x2009;=&#x2009;4) and blueberries <bold>(B)</bold> (<italic>n</italic>&#x2009;=&#x2009;3) by InvisiShield Technology<sup>&#x2122;</sup>, expressed as reduction in log<sub>10</sub> HAV genome equivalent copy (GEC). Different letters indicate statistically significant differences in log<sub>10</sub> virus GEC reduction on fruits when comparing exposure times (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05).</p>
</caption>
<graphic xlink:href="fsufs-07-1216273-g002.tif"/>
</fig>
</sec>
<sec id="sec10">
<title>Evidence of inactivation of hNoV on fruits by InvisiShield<sup>&#x2122;</sup> technology</title>
<p>Similar to the HAV results, position of the fruit in the tray did not affect virus inactivation, based on GEC reduction (<italic>p</italic>&#x2009;&#x003E;&#x2009;0.05), so results for each piece of fruit were combined for each experimental replicate. Log<sub>10</sub> reductions (LR) in hNoV GEC for tomatoes were 2.2&#x2009;&#x00B1;&#x2009;1.3, 2.9&#x2009;&#x00B1;&#x2009;0.7, and 3.6&#x2009;&#x00B1;&#x2009;0.3 after 24, 48&#x2009;h and 7&#x2009;days, respectively (<xref rid="fig3" ref-type="fig">Figure 3A</xref>). For blueberries, LR in hNoV GEC were 1.4&#x2009;&#x00B1;&#x2009;0.7, 1.7&#x2009;&#x00B1;&#x2009;0.5, and 2.7&#x2009;&#x00B1;&#x2009;0.2 after 24, 48&#x2009;h and 7&#x2009;days, respectively (<xref rid="fig3" ref-type="fig">Figure 3B</xref>). For both produce types, efficacy against hNoV continued to improve at each time point and reached the LOD at 7&#x2009;days (3.7 log<sub>10</sub> and 2.7 log<sub>10</sub> hNoV GEC reduction for tomatoes and blueberries, respectively). However, there were no statistically significant differences in log<sub>10</sub> hNoV GEC reduction on tomatoes when comparing exposure times (<italic>p</italic>&#x2009;&#x003E;&#x2009;0.05). For blueberries, there was significantly greater reduction in log<sub>10</sub> hNoV GEC reduction after 7&#x2009;days compared to 24 and 48&#x2009;h (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05).</p>
<fig position="float" id="fig3"><label>Figure 3</label>
<caption>
<p>Inactivation of human norovirus (hNoV) on grape tomatoes <bold>(A)</bold> (<italic>n</italic>&#x2009;=&#x2009;3) and blueberries <bold>(B)</bold> (<italic>n</italic>&#x2009;=&#x2009;3) by InvisiShield Technology<sup>&#x2122;</sup>, expressed as reduction in log<sub>10</sub> hNoV genome equivalent copy (GEC). Different letters indicate statistically significant differences in log<sub>10</sub> virus GEC reduction on fruits when comparing exposure times (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05).</p>
</caption>
<graphic xlink:href="fsufs-07-1216273-g003.tif"/>
</fig>
</sec>
<sec id="sec11">
<title>Sensory analysis</title>
<p>As noted above, the sensory data were analyzed by tabulating the number of correct responses needed to conclude that a perceptible difference existed. For <italic>n</italic>&#x2009;=&#x2009;42 panelists, the minimum number needed to conclude a perceptible difference was 22 (<italic>&#x03B1;</italic>&#x2009;=&#x2009;0.01) (<xref ref-type="bibr" rid="ref32">Meilgaard et al., 2014</xref>). Based on this approach, treated tomatoes were rated as not significantly different in appearance, flavor or texture attributes compared to control samples.</p>
</sec>
</sec>
<sec sec-type="discussions" id="sec12">
<title>Discussion</title>
<p>Chlorine dioxide gas, when delivered using InvisiShield<sup>&#x2122;</sup> Technology (the product), showed efficacy against both hNoV and HAV on the fresh produce items included in this study (grape tomatoes and blueberries) when stored under refrigeration conditions (7&#x00B0;C). Using log<sub>10</sub> GEC reduction as proxy for infectivity, hNoV was inactivated such that reduction approached or reached the limit of detection (LOD; 2.7-3.7 log<sub>10</sub> hNoV GEC reduction) on both produce items after 7&#x2009;days of refrigerated storage. Hepatitis A virus was more difficult to inactivate, but a 2.1 log<sub>10</sub> GEC reduction was reached on tomatoes and a 3.1 log<sub>10</sub> HAV GEC reduction was observed for blueberries within 7&#x2009;days. Only the latter was reflective of the assay LOD.</p>
<p>While antimicrobial active packaging is not a new concept, advancements in nanotechnology and developments in packaging technologies has allowed for growth in this field. The most common gaseous compounds used in antimicrobial active packaging include ethanol, carbon dioxide and ClO<sub>2</sub> (<xref ref-type="bibr" rid="ref8">Chen et al., 2019</xref>; <xref ref-type="bibr" rid="ref17">Firouz et al., 2021</xref>). As reviewed by <xref ref-type="bibr" rid="ref17">Firouz et al. (2021)</xref>, the release of ethanol into a package headspace has been shown to inhibit the growth of yeasts, bacteria and molds on mango, sliced bread and bayberry. Active packaging containing carbon dioxide gas has also been shown to extend the shelf-life of many food products, including meat, fish and fruits (<xref ref-type="bibr" rid="ref17">Firouz et al., 2021</xref>). The release of ClO<sub>2</sub> from a modified film was also been shown to reduce counts of <italic>Salmonella</italic> spp. and <italic>E.coli</italic> O157:H7 on tomatoes (<xref ref-type="bibr" rid="ref8">Chen et al., 2019</xref>). While the efficacy of ClO<sub>2</sub> and ClO<sub>2</sub> gas against viruses has been described, as detailed below, to our knowledge, this is the first study to evaluate its efficacy against viral pathogens under active packaging conditions.</p>
<p>In general, chlorine and ClO<sub>2</sub> gas have been shown to be efficacious against viral pathogens such as HAV and hNoV on fresh produce (<xref ref-type="bibr" rid="ref28">Li et al., 2004</xref>; <xref ref-type="bibr" rid="ref29">Lim et al., 2010</xref>; <xref ref-type="bibr" rid="ref24">Kingsley et al., 2014</xref>; <xref ref-type="bibr" rid="ref45">Song et al., 2022</xref>), but oftentimes at the sacrifice of organoleptic properties. The novel ClO<sub>2</sub> delivery system utilized by the product evaluated in this study produced no significant differences in appearance, flavor or texture attributes of sliced tomatoes as compared to an untreated control sample after a 3-day refrigerated hold time. This demonstrates the potential for this technology as an effective antiviral treatment for refrigerated tomatoes, while maintaining product sensory qualities. Due to funding restrictions, the organoleptic properties of blueberries following treatment were not evaluated in this study, and it is unknown if these results can be extrapolated to this commodity. Treatments with ClO<sub>2</sub> gas have been reported to have differing effects on a variety of fruit and vegetables, and these have primarily been related to appearance. One such defect has been the development of browning. This is likely related to oxidation of mono- and di-phenols into quinones that condense to form brown polymeric pigments (<xref ref-type="bibr" rid="ref19">G&#x00F3;mez-L&#x00F3;pez et al., 2009</xref>). Typically, this is mediated by the presence of oxygen and the enzyme polyphenol oxidase (PPO) and is most prevalent when fruit or vegetables have been sliced or ground. However, some evidence suggests that ClO<sub>2</sub> can directly oxidize these compounds and cause browning even without PPO.</p>
<p>Browning has been observed in some commodities treated with ClO<sub>2</sub> gas, but not others. For instance, shredded lettuce exposed to ClO<sub>2</sub> showed evidence of browning whereas shredded cabbage and carrots did not (<xref ref-type="bibr" rid="ref18">G&#x00F3;mez-L&#x00F3;pez et al., 2008</xref>). Apples and peaches also showed signs of browning when treated with ClO<sub>2</sub> gas (<xref ref-type="bibr" rid="ref1003">Sy et al., 2005</xref>). Whether or not a food item would brown depends on the type of commodity, levels of PPO enzymes, whether the product has been cut (thus releasing enzymes), and the level and total treatment time with ClO<sub>2</sub> gas. As observed in this study, the absence of organoleptic changes to treated tomatoes, even when cut, may be suggestive that tomatoes are less susceptible to enzymatic browning, at least as compared to commodities such as apples or lettuce. In addition, it may be that the controlled-release of ClO<sub>2</sub> gas by the InvisiShield<sup>&#x2122;</sup> system better protects the fruit.</p>
<p>Gaseous chlorine dioxide treatment has also been known to cause bleaching. In fact, it is used in the treatment of paper pulp for just that purpose. One theory is that it causes oxidation of oligosaccharides such as cellulose or hemicellulose, but it is unclear how this promotes lightening or translucency (<xref ref-type="bibr" rid="ref18">G&#x00F3;mez-L&#x00F3;pez et al., 2008</xref>). In addition, for leafy plants the oxidation of chlorophyll can cause the loss of green color. Thus, bleaching has been seen in iceberg lettuce (<xref ref-type="bibr" rid="ref1002">Mahmoud and Linton, 2008</xref>) as well as julienne carrots and strawberries (<xref ref-type="bibr" rid="ref1003">Sy et al., 2005</xref>). However, blueberries and raspberries were not affected by ClO<sub>2</sub> treatment nor were tomato and onions (<xref ref-type="bibr" rid="ref1003">Sy et al., 2005</xref>). In contrast, strawberries did not undergo color change when treated with 5&#x2009;mg/L ClO<sub>2</sub> for 10&#x2009;min (<xref ref-type="bibr" rid="ref1002">Mahmoud and Linton, 2008</xref>). Again, this highlights the importance of optimizing concentration and length of treatment time. Future studies should include evaluation of bleaching as a potential sensory detriment occurring as a consequence of ClO<sub>2</sub> treatment, especially since this phenomenon is likely to be product-specific. Collectively, further studies investigating the effects of gaseous ClO<sub>2</sub> on organoleptic properties of other fruits and vegetables are warranted.</p>
<p>This work is particularly significant given that enteric viruses are recalcitrant to most non-thermal food technology control measures when applied under conditions allowable by law (<xref ref-type="bibr" rid="ref42">Seymour and Appleton, 2001</xref>), with the added benefit of maintaining product organoleptic properties. Chlorine solutions are one of the more commonly used antimicrobial agents in food processing, however these solutions pose issues for equipment, as they are highly corrosive to stainless-steel surfaces and can cause nose, throat, and eye irritation (<xref ref-type="bibr" rid="ref44">Singh et al., 2021</xref>). In addition, when chlorine dioxide reacts with dissolved organic compounds in water, it forms disinfection by-products, such as chlorite and chlorate ions. Chlorine dioxide therefore breaks down into chlorate, chlorite, and ultimately chloride. This reaction is rapid and results in the development of chloride salts, very similar to table salt (<xref ref-type="bibr" rid="ref19">G&#x00F3;mez-L&#x00F3;pez et al., 2009</xref>). InvisiShield<sup>&#x2122;</sup> has been evaluated by third parties using an IC column to ensure the intermediate products, chlorate, and chlorite, are at safe levels for all humans, including children. These studies showed no detectable chlorate ions were present at an LOD of 0.799&#x2009;mg/kg (data not shown). Further evaluation of the technology using methods such as LC&#x2013;MS/MS which have lower limits of detection are ongoing in order to ensure the chlorates and perchlorate levels are lower than 0.05&#x2009;mg/kg as permitted by the <xref ref-type="bibr" rid="ref9">European Commission (2020)</xref>.</p>
<p>Other chemical treatments, such as organic acid washes, have also been utilized in the processing of fruits and vegetables grown organically (<xref ref-type="bibr" rid="ref42">Seymour and Appleton, 2001</xref>). However, the ability of viruses that initiate infection through the gastrointestinal tract, including hNoV and HAV, to withstand conditions of extreme pH is well documented and such washes are unlikely to have significant effect on these viruses (<xref ref-type="bibr" rid="ref11">Cromeans et al., 2014</xref>). Ozone inactivation of enteric viruses on produce has also been studied, with results showing food-matrix associated variability. Specifically, <xref ref-type="bibr" rid="ref21">Hieisen et al. (2016)</xref> demonstrated that ozone treatment of 6.25&#x2009;ppm for 10&#x2009;min resulted in a 3 log<sub>10</sub> reduction in feline calicivirus (FCV) and murine norovirus (MNV), two cultivable hNoV surrogates, on lettuce, and close to 4 log<sub>10</sub> reduction of MNV on green onions. However, only an approximate 2 log<sub>10</sub> reduction of FCV was observed in green onions. In short, the efficacy of chemical treatments to inactivate viruses on foods appears to be quite variable between viruses and also between different food matrices.</p>
<p>Non-chemical approaches to controlling pathogens on fresh produce include ionizing radiation, pulsed light, and high-pressure processing (HPP). <xref ref-type="bibr" rid="ref12">DiCaprio et al. (2016)</xref> reported that application of ionizing radiation at a dose greater than the FDA regulated limit, to fresh strawberries inoculated with hNoV and its cultivable surrogate, Tulane virus, did not effectively inactivate the viruses, resulting in less than one log<sub>10</sub> reduction. Similarly, in part due to varying surface characteristics for berries, pulsed light was found to not be an effective means by which to reduce the concentrations of HAV and MNV on blackberries, strawberries and raspberries, with only 1&#x2013;2 log<sub>10</sub> reductions (<xref ref-type="bibr" rid="ref23">Jubinville et al., 2022</xref>). Pulsed light also caused a reduction in surface luminosity (browning) for certain produce items, including blueberries and lettuce (<xref ref-type="bibr" rid="ref23">Jubinville et al., 2022</xref>). High pressure processing has been shown to effectively inactivate the MNV cultivable surrogate, up to 5 log<sub>10</sub> on lettuce berries and in fruit purees, however the impact on product quality was variable, leading to the opinion that HPP may be better suited for products such as purees and sauces (<xref ref-type="bibr" rid="ref30">Lou et al., 2011</xref>). As with chemical treatments, the performance of non-chemical approaches to the control of viruses in foods is quite variable.</p>
<p>A major barrier in studying the efficacy of antimicrobials against human enteric viruses is the absence of methods by which wild-type strains can be cultivated in the laboratory. While a cell culture-adapted strain of HAV is commercially available, its growth is slow and its cultivation expensive. As a proof-of-concept study, sufficient funds were not available to commit to the use of HAV infectivity assays in our study. Recent hNoV cultivation methods have met with some success (<xref ref-type="bibr" rid="ref16">Ettayebi et al., 2016</xref>; <xref ref-type="bibr" rid="ref14">Dycke et al., 2019</xref>) but they are in the early phases of adoption, and importantly, cannot provide quantitative data on log<sub>10</sub> inactivation. As described in many of the studies cited above, cultivable surrogates such as MNV, FCV and Tulane virus are often used as proxies, however they have been shown to respond differently, usually being more sensitive to inactivation strategies than are hNoVs (<xref ref-type="bibr" rid="ref11">Cromeans et al., 2014</xref>). For these reasons, we chose to evaluate the efficacy of the product against both HAV and hNoV using the RNase-RT-qPCR method. While technically not an infectivity assay, this approach remains widely used and its efficacy in direct comparison to hNoV surrogates has been demonstrated in several studies (<xref ref-type="bibr" rid="ref26">Knight et al., 2012</xref>). In a companion piece, <xref ref-type="bibr" rid="ref25">Knight et al. (2016)</xref> concluded that the persistence of RT-qPCR signals for hNoV strains exposed to sodium hypochlorite was equal to or greater than that which was observed for the cultivable surrogates. This was the case regardless of inclusion of an RNase pre-treatment and may suggest that using RT-qPCR to evaluate chemical treatments such as ClO<sub>2</sub> may actually produce data that underestimates, rather than overestimates, the efficacy of the technology. Clearly, there is precedence in using RNase-RT-qPCR in enteric virus inactivation studies, and the data produced may be conservative.</p>
<p>Further study of InvisiShield<sup>&#x2122;</sup> Technology is warranted. Future research could focus on investigating this technology relative to inactivation of other foodborne pathogens, particularly those that are non-cultivable; exploring the efficacy of the product against viral pathogens via infectivity assay or on other produce items; alternative storage conditions (such as frozen or room temperature environments); and the sensory analysis of other commodities following treatment with InvisiShield<sup>&#x2122;</sup>. Nonetheless, this study is a good first step toward proof-of-concept that active ClO<sub>2</sub>-based packaging has antiviral efficacy against hNoV and HAV on blueberries and tomatoes, while showing little effect on sensory characteristics of tomatoes. This makes the technology a good candidate for future study.</p>
</sec>
<sec sec-type="data-availability" id="sec13">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="sec14">
<title>Author contributions</title>
<p>RG, JF, WK, AR, MJ, and L-AJ contributed to the experimental design. JF performed the microbial bench top work. RG and L-AJ performed data analysis for microbial work. WK performed the sensory analysis experiments, data analysis, and wrote sections of the manuscript related to sensory work. RG drafted the first full version of the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec sec-type="funding-information" id="sec15">
<title>Funding</title>
<p>This work was made possible by funding from Aptar CSP Technologies.</p>
</sec>
<sec sec-type="COI-statement" id="sec16">
<title>Conflict of interest</title>
<p>AR and MJ are employees of Aptar CSP Technologies, who produce the product tested in this study.</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 id="sec100" sec-type="disclaimer">
<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>
</body>
<back>
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