Key role of singlet oxygen and peroxynitrite in viral RNA damage during virucidal effect of plasma torch on feline calicivirus

A dielectric barrier discharge (DBD) plasma torch has been used to evaluate the mechanism underlying inactivation of feline calicivirus (FCV) by plasma treatment. Plasma treatment of cell lysate infected with FCV F9 strain reduced the viral titer of the median tissue culture infectious dose (TCID50). The D value (treatment time required to lower the viral titer to 1/10) was 0.450 min, while the viral titer dropped below the detection limit within 2 min. FCV was not significantly inactivated by heat or UV applied at levels corresponding to those generated from the DBD plasma torch after 2 min (38.4 °C and 46.79 mJ/cm2 UV, respectively). However, TCID50 was reduced by 2.47 log after exposure to 4.62 mM ONOO−, corresponding to the concentration generated after 2 min of plasma treatment. Radical scavengers, including superoxide dismutase, dimethyl sulfoxide, and catalase, did not significantly affect viral titers; however, sodium azide, uric acid, and ascorbic acid, which are scavengers of 1O2 radicals, ONOO−, and peroxynitrous acid (ONOOH; produced from ONOO− under acidic conditions), respectively, significantly increased TCID50 and intact viral RNA. These findings suggest that ONOO− and 1O2 play an important role in FCV inactivation by attacking viral RNA during DBD plasma torch treatment.

magnetic field 21 and ultrasonic processing 22 . However, these methods are hindered by both their excessive set-up costs and the need for trained personnel. In summary, there are no methods for the effective non-thermal inactivation of foodborne pathogens, especially human norovirus, that have completely satisfied all criteria, such as being non-toxic, non-irritant and economically viable.
We have recently studied plasma technology as an innovative disinfection methodology 12 . Plasma is commonly referred to as the fourth state of matter after solid, liquid and gas. Plasma has been shown to be effective for the inactivation of bacteria, such as Salmonella, and various viruses, such as influenza virus as well as adenovirus, under non-thermal conditions [23][24][25][26] . Plasma produces ultraviolet (UV) radiation, an electric field and various reactive oxygen species (ROS) and reactive nitrogen species (RNS), which are thought to mainly contribute to the mechanisms of inactivation. However, whether ROS and RNS are essential for the virucidal effect of plasma remains unclear.
Here, we examined plasma-induced inactivation of feline calicivirus (FCV) as a surrogate system for human norovirus, because an in vitro proliferation method for this virus has not been established 27,28 . Recently, in vitro models for FCV proliferation using B cells 29 and enteroids 30,31 have been reported, which both require sophisticated techniques. Furthermore, the US-EPA 32 and other studies 33,34 have previously used FCV as a surrogate of human norovirus. FCV belongs to the same family of Caliciviridae as human norovirus and shows similar characteristics 35 . In addition, FCV has the most accumulated data among surrogate viruses. Moreover, FCV displays greater resistance to various chemical and physical treatments than murine norovirus, a similar surrogate of human norovirus [36][37][38] , suggesting that FCV is an appropriate surrogate of norovirus for inactivation studies.
Recently, we have developed a dielectric barrier discharge (DBD) gas plasma torch composed of a ceramic tube, stainless steel mesh, and copper plate that delivers a high-voltage and high frequency pulse to air using a power supply to generate gas plasma 39 . The DBD plasma torch was tested to establish whether it could be used to disinfect a suspension of FCV. Furthermore, to clarify the disinfection mechanism of FCV by the DBD plasma torch, potential changes to genomic RNA after DBD plasma treatment were investigated. In addition, disinfection factors that may be responsible for the observed virucidal activity of the DBD plasma torch were analysed including the generation of heat, long-wave ultraviolet radiation (UV-A), hydrogen peroxide (H 2 O 2 ), and peroxynitrite (ONOO − ) as well as other ROS and RNS. In order to establish which of these factors is/are particularly important for disinfection of FCV, we subjected the FCV to each of the disinfection factors independently to determine the relative contribution of each factor in turn. We also analyzed the action of the DBD plasma in combination with radical scavengers. Finally, the virucidal action of the plasma treatment is discussed.

Results
Firstly, the change of FCV infectivity after treatment with the DBD plasma torch was investigated. A 20 μL aliquot of virus-infected cell lysate was dropped onto a cover glass and then exposed to the DBD plasma torch for 0, 0.5, 1 or 2 min (Fig. 1). After plasma treatment the suspension was recovered with 200 μL of PBS and the TCID 50 determined (Fig. 2). The initial viral titer of FCV (0 min) was 3.81 × 10 4 ± 1.58 × 10 3 TCID 50 /ml. Plasma treatment , containing stainless-steel mesh, covered with copper tape. The copper tape and stainless-steel mesh were connected to a power supply (10 kV, 10 kHz). The air flow rate was maintained at 3.5 L/min using an air pump during gas plasma generation. The distance from the tip of the plasma torch to the liquid surface on the cover glass was 20 mm. caused a significant decrease in viral titer: 7.15 × 10 2 ± 1.56 × 10 2 TCID 50 /ml at 0.5 min; 2.11 × 10 2 ± 6.25 × 10 1 TCID 50 /ml at 1 min; below the detection limit at 2 min. From the data, we calculated the D value, which is the time required to achieve 90% reduction of viral titer. The D value calculated from the slope within 1-min of DBD plasma treatment was 0.450 min. Next, an immunofluorescent assay using anti-FCV antibody against FCV capsid protein was performed after incubation of CRFK cells with the plasma-treated FCV (Fig. 3). A proliferation of FCV in CRFK cells was observed after incubation with untreated cell lysate (0 min) for 1 day. However, reduced FCV proliferation was seen in CRFK cells after incubation with cell lysate exposed to plasma in a treatment time-dependent manner. These findings suggested that the DBD plasma torch treatment decreased infectivity of FCV.
To further investigate the effect of DBD plasma-treatment on FCV, biochemical changes to the viral RNA were analyzed. Real-time PCR was carried out by using sequence-specific primer sets for FCV including FCV-F1 and FCV-R1 (Fig. 4). The results confirmed the detection of intact FCV RNA by PCR amplification in the untreated FCV sample (0 min). The specificity of the real-time PCR was confirmed by dissociation curve analysis of the reaction products. Significantly reduced levels of intact FCV RNA were found in DBD plasma torch treated FCV for 0.5, 1, and 2 min by comparison with the untreated FCV (0 min).
Next, we investigated inactivating factors generated from the DBD plasma treatment. Firstly, UV produced during operation of the plasma torch was analysed using UV label-S for UV (Table 1). The energy of the UV was estimated from the change in colour of the corresponding test strip, which was scanned and compared with a calibration curve of reference standards. The amount of UV radiation to which the samples were exposed increased in a time-dependent manner. The energy values were estimated as follows: 4.59 ± 0.58 mJ/cm 2 at 0 min; 15.14 ± 0.51 mJ/cm 2 at 0.5 min, 25.69 ± 0.52 mJ/cm 2 at 1 min; 46.79 ± 0.76 mJ/cm 2 at 2 min. Analysis of the emission spectrum The FCVinfected cell lysate was exposed to the DBD plasma torch for the indicated time (min). Viral titer of FCV [TCID 50 (50% tissue culture infective dose)/ml] was calculated after DBD plasma treatment as described in Materials and Methods. Zero in virus titer means below the detectable limit. Differences where **p < 0.01 versus control (0 min) were considered significant. (300-1100 nm) of the DBD torch indicated that UV-A (320 to 400 nm) is generated during plasma production (Fig. 5). Further analysis of these spectra showed strong peaks around 300-500 nm, possibly due to N 2 emission of the second positive system (C 3 Πu -B 3 Πg), and very weak peaks around 650-900 nm, possibly due to the N 2 first positive system (B 3 Πg -A 3 Σu + ) 40 . These results are consistent with our previous findings at 200-800 nm using another spectrophotometer (S-241, Soma Optics Ltd., Tokyo, Japan) 39 . Next, the temperature on the surface of the sample liquid was measured using infrared thermography FLiR i5 (FLIR Systems) ( Table 1). The surface temperature of the FCV-infected cell lysate was 26.67 ± 0.17 °C at 0 min, 34.13 ± 0.12 °C at 0.5 min, 36.30 ± 0.20 °C at 1 min, and 38.40 ± 0.12 °C at 2 min.   Next, the production of ONOO − during the operation of DBD plasma torch was measured using the Griess method. The concentration of ONOO − was 0.18 ± 0.00 mM at 0 min, 1.69 ± 0.00 mM at 0.5 min, 2.33 ± 0.00 mM at 1 min, and 4.62 ± 0.00 mM at 2 min. Semi-quantitative measurement of H 2 O 2 was performed using a chemical indicator kit (Quantofix peroxide 100 test strip). Plasma torch treatment of PBS of the chemical indicator strip was performed at a distance of 20 mm from the torch tip to the indicator for 0, 0.5, 1, 2, and 5 min. The concentration of H 2 O 2 detected by the strip was 11.69 ± 0.31 mg/L at 0 min, 67.56 ± 3.67 mg/L at 0.5 min, 79.32 ± 3.19 mg/L at 1 min, and 87.10 ± 3.29 mg/L at 2 min.
Next, we aimed to analyze which of these virucidal factors was primarily responsible for the observed inactivation of FCV. This was achieved by separately exposing FCV to heat, UV-A, ONOO − or H 2 O 2 . FCV cell lysate treated with heat showed no significant changes in viral titer (TCID 50 /m) after treatment at 40-50 °C for 2 min compared to control (35 °C), whereas a significant reduction of viral titer was observed after treatment at 55-70 °C for 2 min (Fig. 6A). Treatment at 66 °C for 2 min reduced the viral titer to below the detectable limit. The results suggested that FCV is inactivated after heating above 55 °C.
Spectral analysis of emitted radiation during operation of the DBD plasma torch showed it to be mainly UV-A. Thus, FCV cell lysates were treated with UV-A and then subjected to viral titration (Fig. 6B). The energy of UV-A emitted by the plasma torch was estimated using UV label-S. The results showed no significant reduction in viral titer after UV-A exposure of up to 123 mJ/cm 2 .
In total, calculation of contribution ratio of the plasma component factors showed 0% heat, UV-A 0%, ONOO − 18.44%, and H 2 O 2 0%. This analysis implies that other inactivating factors need to be considered. One possibility is the generation of free radicals during operation of the DBD plasma torch.
Next, the influence of radical scavengers specific for ·OH, ·O 2 − , H 2 O 2 , 1 O 2 , ONOO − , and ONOOH were investigated (Fig. 7) because these radicals are potentially generated during operation of the DBD plasma torch. Because ROS and RNS both have a very short lifetime, plasma treatment was carried out for 2 min under conditions where each radical scavenger was added to FCV-infected cell lysate. The infectivities were then compared in the presence and absence of radical scavengers (Fig. 8). In the presence of radical scavengers for ·OH (DMSO), H 2 O 2 (Catalase), ·O 2 − (SOD) as well as inactivated SOD and catalase, the infectivity after plasma treatment did not increase. However, in the presence of a radical scavenger for 1 O 2 (NaN 3 ), the viral titer of the 2 min-plasma treated cell lysate significantly increased as compared with the Control (absence of radical scavenger). Furthermore, the combination of two (Supplemental Fig. 1) or three radical scavengers (Supplemental Fig. 2) also revealed that the presence of radical scavengers for 1 O 2 (NaN 3 ) significantly increased viral titer. By contrast, however, other radical scavengers did not affect viral titers, suggesting that 1 O 2 is the main inactivating factor in addition to ONOO − . Furthermore, when the starting viral titer of TCID 50 /ml was 3.58 × 10 4 ± 1.06 × 10 4 , the addition of sufficient NaN 3 (10 mM) for complete inhibition of 1 O 2 during 1 min of plasma treatment increased the viral titer to 1.05 × 10 3 ± 2.28 × 10 2 as compared with 2.65 × 10 2 ± 1.32 × 10 2 after 1 min of plasma treatment in the absence of NaN 3 (data not shown). From these data, the estimated contribution of 1 O 2 to FCV inactivation was 2.93%, supporting the idea that 1 O 2 is a minor inactivating factor during operation of the DBD plasma torch.
To further confirm the importance of ONOO − , increasing concentrations of radical scavengers for ONOO − (uric acid) and ONOOH (ascorbic acid) were added during 2 min of plasma treatment (Fig. 9). Notably, viral titers were significantly higher in the 2-min plasma-treated cell lysates containing radical scavengers than in the control cell lysate exposed to plasma treatment alone.
Next, to investigate whether 1 O 2 and ONOO − are involved in the damage of viral RNA, real-time PCR for FCV viral RNA using primer sets including FCV-F1 and FCV-R1 or FCV-F2 and FCV-R2 was performed after plasma torch treatment in the presence of increasing concentrations of radical scavengers for 1 O 2 (NaN 3 ), ONOO − (uric acid), and ONOOH (ascorbic acid) (Fig. 10). In this case, the levels of intact viral RNA increased significantly as the concentration of the radical scavengers increased. The amplified DNA was subcloned into T-vector pMD20 and verified by sequencing to correspond to the nonstructural protein of FCV (96-98% identical to Genbank accession number M86379) in the case of primer sets FCV-F1 and FCV-R1 (N = 4) or to the VP1 of FCV (95% identical to Genbank accession number AB643784) in the case of primer sets FCV-F2 and FCV-R2 (N = 6).  In addition, we performed experiments using rotavirus, which is a non-enveloped RNA virus similar to FCV. Real-time PCR for viral RNA of rotavirus using primer sets for rotavirus VP7 showed a decrease of intact viral RNA after treatment with the DBD plasma torch, suggesting that the DBD plasma torch (Supplemental Fig. 3) also damages the viral RNA of rotavirus. Furthermore, 1 O 2 , ONOO − , and ONOOH are also important for viral RNA damage of rotavirus. Real-time PCR using the above VP7 primer sets showed that intact RNA of rotavirus significantly increased upon addition of radical scavengers, such as NaN 3 , uric acid and ascorbic acid, to the cell lysate of rotavirus-infected cells during operation of the DBD plasma torch (Supplemental Fig. 4).

Discussion
Recently, there has been significant interest in inactivating human norovirus using non-thermal technologies 6 . Given the practical difficulties of working with human norovirus, many researchers have chosen to use murine norovirus as a surrogate 41,42 . However, recent studies suggest that FCV is more resistant to heat and disinfectant than murine norovirus [36][37][38] . In addition, FCV has long been used as a surrogate for human norovirus in the (SOD), as well as inactivated SOD and catalase, were added to the FCV-infected cell lysate. Samples were then exposed to the DBD plasma torch for 2 min, and the viral titer of FCV (TCID 50 ) was determined. Zero viral titer means below the detection limit. Differences with **p < 0.01 versus the control were considered significant. , and ONOOH (ascorbic acid) (c) were added to FCV-infected cell lysate. Samples were then exposed to the DBD plasma torch for 2 min, and the viral titer of FCV (TCID 50 ) was determined. Zero viral titer means below the detection limit. Differences with **p < 0.01 versus the control (0 mM for NaN 3 and ascorbic acid; 0 µM for uric acid) were considered significant. Our results suggest that treatment with a DBD plasma torch is an effective means of inactivating FCV. Furthermore, plasma treatment was found to damage the viral RNA of FCV. The FCV infectious titer after plasma treatment for 2 min decreased by at least 99.99%, satisfying the criteria listed for an EPA virucidal agent (at least log 10 reduction of FCV viral titer) 32 . Therefore, the DBD plasma torch treatment is considered to be an effective virucidal method. In addition, the D value of plasma treatment (0.450 min) is markedly shorter than the D value for heat treatment of FCV at 56 °C (6.7 min) 36 . This observation further confirms that plasma treatment is an efficient method of inactivation. Indeed, a similar efficient D value was previously observed against FCV using a DBD plasma torch employing Ar + 1% O 2 (0.38 min) 34 .
Previous studies have shown that the major inactivation factors of plasma are UV radiation, H 2 O 2 , and heat, depending on the process gas used 23,25,39,40,[44][45][46][47] . Aboubakr et al. reported that both 1 O 2 and ONOOH (peroxynitrous acid) were essential in the inactivation of FCV using a DBD Ar + O 2 based plasma torch 48 . Moreover, the primary factor in inactivation of herpes simplex virus 1 during exposure to a DBD air-based plasma torch was found to be a reactive chemical species 49 , while those of FCV were ozone (O 3 ) and RNS 50 . Taken together, these findings suggest that reactive species, including ROS and RNS, are important in virus inactivation by a plasma torch, and these factors are independent of the source gas.
With these background studies in mind, we chose to examine the treatment of FCV with a DBD air-based plasma torch. Because our plasma torch system utilizes air, it is cost-effective compared to plasma torch methods that use other gases such as He, Ar, N 2 or O 2 . We investigated the effect of individual plasma constituents on FCV as potential inactivating factors in combination with radical scavengers. Our results suggested that heat, UV-A, ·OH, ·O 2 − , H 2 O 2 were not the main inactivating factors, while ONOO − and 1 O 2 significantly contributed to FCV inactivation (Fig. 11). Because ONOO − forms ONOOH under acidic conditions, ONOOH may also contribute to FCV inactivation. This idea is supported by our results using ascorbic acid as a radical scavenger for ONOOH. The inactivation contribution ratio of ONOO − was estimated to be 18.44%, indicating that ONOO − had an inactivating effect on FCV during treatment with the DBD plasma torch. In this experiment, we could not directly calculate the contribution ratio of 1 O 2 in the plasma because we were unable to measure the concentration of 1 O 2 . However, our study using radical scavengers indicated that the relative contribution of 1 O 2 to FCV inactivation during operation of the DBD plasma torch was 2.93%.
In addition to 1 O 2 and ONOO − , other free radicals may be generated that contribute to viral inactivation because the sum of the contribution of 1 O 2 (2.93%) and ONOO − (18.44%) was only 21.37%. This observation implies the presence of other potential inactivation factors. The possibility of other inactivation factors is consistent with the results of a previous report 48 , which highlighted the essential role of ONOOH in addition to 1 O 2 for the inactivation of FCV using a DBD Ar + O 2 based plasma torch. The same study also showed that 1 O 2 reacts with histidine residues in the FCV capsid protein to oxidize them 48 , suggesting a possible mechanism by which 1 O 2 contributes to FCV inactivation. The authors proposed that oxidization of tryptophan and methionine residues in the viral proteins may also be involved in the virucidal activity. However, the effect of DBD plasma on FCV genomic RNA was not examined. The present study has confirmed that plasma treatment causes damage to FCV genomic RNA. Moreover, these findings infer that damage to the viral genome is involved in the reduction of infectivity. Indeed, our findings are consistent both with the observation that the DBD plasma torch destroys the genomic DNA of Helicobacter pylori 39 , and with previous studies showing that a nitrogen plasma destroys the genomic RNA of influenza virus 25 and genomic DNA of adenovirus 26 . Furthermore, other plasma sources have been reported to damage the DNA of bacteriophage 51 and adenovirus 52 . However, as FCV did not show any reduction in viral titer after UV-A exposure at the levels of UV-A generated from DBD plasma torch within 2 min, FCV may be relatively resistant to UV-A compared to other viruses such as influenza virus 44 . The present study suggests that viral RNA damage caused by 1 O 2 and ONOO − , as well as ONOOH, are the predominant mechanisms by which FCV is inactivated following treatment with the DBD plasma torch of FCV-infected cell lysate (Fig. 11) as well as rotavirus-infected cell lysate ( Supplemental Figs 3 and 4). In Fig. 9, a significant increase of viral titer of FCV was observed in the presence of 10 mM ascorbic acid compared to the absence of radical scavenger (Control). However, no significant difference was observed in intact viral RNA of FCV compared to the control under the same conditions. Therefore, there is a discrepancy between virus titer and intact viral RNA of FCV in the presence of 10 mM ascorbic acid. This discrepancy may suggest the presence of other inactivating processes besides RNA damage of FCV. One possibility is viral protein damage such as oxidation. Thus, the precise damage to the viral RNAs and proteins of FCV induced by plasma torch treatment remains unclear. Further studies are required to understand the mechanism of FCV inactivation resulting from DBD plasma torch treatment.
Finally, it should be noted that although FCV is the representative surrogate of human norovirus and well-known to be resistant to disinfecting agents, the results cannot be extrapolated to human norovirus without verification. Thus, future studies on plasma inactivation using human norovirus are required. In addition, further optimization and scale-up of the plasma instrument may be necessary for the practical use of this technology.  DBD plasma torch. A torch used for plasma generation was previously fabricated using a ceramic tube (Al 2 O 3 ) with a length of 100 mm and an inner and outer diameter of 4 mm and 6 mm, respectively 39 . Copper tape (0.08 mm thickness and 60 mm length) was wound around the tube as an earth electrode (Fig. 1). Stainless steel mesh (SUS304) was placed inside the tube to act as a high voltage electrode. The two electrodes were connected to a high-voltage power supply unit with low frequency (10 kV peak-to-peak, 10 kHz). The flow rate of air was maintained at 3.5 L/min using an air pump (Suishin SSPP-2S, Suisaku Co., Tokyo, Japan). Aliquots (20 μl) of cell lysate on a cover glass (Matsunami Glass Ind., Ltd., Osaka, Japan) were subjected to DBD plasma treatment. In all cases, the distance from the torch tip to the liquid surface on the cover glass was 20 mm.

Virus and cells. FCV
Viral titration assay. Samples were 10-fold-diluted with PBS and added to CRFK cells (7.5 × 10 3 cells/well) seeded on a 96-well microtiter plate. Cells were then cultivated at 37 °C under 5% CO 2 conditions for 3 days. A cytopathic effect (CPE) was observed and TCID 50 (median tissue culture infectious dose) was calculated from the CPE based on the Behrens-Kärber method 53 .
Heat treatment of FCV. Aliquots (20 μL) of FCV-infected cell lysate were placed onto a cover glass and incubated at various temperatures (35-70 °C) for 2 min using a heat block BI-516S (Astec Co., Ltd., Fukuoka, Japan). The treated and untreated samples were then analyzed using the viral titration assay as described above.  Real-time PCR was performed using a Thermal Cycler Dice Real Time System (Takara Bio Inc.). The cycling program included initial denaturation at 95 °C for 30 sec followed by 40 cycles of 95 °C for 30 sec and 60 °C for 30 sec. Each reaction was carried out in quadruplicate and the results were analyzed using Thermal Cycler Dice Realtime System Single software (Takara Bio Inc.). The relative DNA levels of each sample were compared with serially diluted viral cDNA and estimated using the standard curve of diluted viral cDNA versus value of Ct (threshold cycle). PCR specificity was verified by dissociation curve analysis of the amplified DNA fragments of step 1 (95 °C/15 sec), step 2 (60 °C/30 sec), and step 3 (95 °C/15 sec). The amplified products were subjected to DNA sequencing after subcloning into Takara T-Vector pMD20 (Takara Bio Inc.), with an ABI373OXL Genetic Analyzer (Applied Biosystems, Foster City, CA, USA) in order to verify the amplified products.

Indirect immunofluorescence Assay. Detection of FCV in FCV-infected CRFK cells was performed by
indirect immunofluorescence assays. After incubation with samples for 1 day, cells were fixed with 4% paraformaldehyde for 20 min and cold methanol for 10 min. Cells were blocked with 3% bovine serum albumin (BSA) for

Measurement of optical emission spectra. A multichannel spectrophotometer (MCPD-7000; Otsuka
Electronics Co. Ltd. Osaka, Japan) attached to a fiber probe was used for measuring the emission of 300-1100 nm during DBD plasma torch operation. Spectra were collected for 400 msec with 20 times integration time.

Irradiation of FCV with UV-A.
Aliquots (20 μL) of FCV-infected cell lysate were dropped onto a cover glass (Matsunami Glass Ind., Ltd.) and then subjected to UV-A irradiation as follows. The spots were irradiated with UV-A using a UV transilluminator UVGL-58 (UVP; Upland, CA, USA) for 0-30 min. The distance between the drops and UV transilluminator was maintained at 20 mm. The energy (mJ/cm 2 ) of UV-A was estimated on the basis of color changes to UV indicators (UV label-S) (NiGK Corporation, Tokyo, Japan). The treated FCV-infected cell lysate samples were used for viral titration assays as described above. with an equal volume of various concentrations (0-3%) of H 2 O 2 at room temperature for 2 min. The resultant samples were then subjected to the viral titration assay as described above.
Measurement of UV using a UV chemical indicator. UV energy generated during exposure to the plasma torch was determined using a test strip (UV label-S; NiGK Corporation). The change in colour of the UV label-S test strip was measured after scanning to generate an image, which was converted to an RGB (Red, Green, and Blue) code. The precise value was calculated on the basis of a standard curve developed from the RGB code of a reference. Thermography. The temperature of a spot of cell lysate on a cover glass during plasma treatment was determined using infrared thermography (FLIR i5; FLIR systems, Wilsonville, OR, USA) as described previously 24 .

Measurement
ONOO − measurements. NO  Calculation of D value (Decimal reduction time). The treatment time (D value) to lower the virus infectivity value to 1/10 was obtained using the following formula, which is modified from a previous report 12 . Determining the contribution ratio of individual disinfecting factors generated during operation of the plasma torch. Contribution ratio was defined as the proportion of decreased viral titer induced by an individual disinfecting factor to the overall decreased viral titer induced by treatment with the plasma torch. The contribution ratio was calculated using the following equation: where r represents the logarithm of the reduced viral titer of FCV treated with an individual disinfecting factor (e.g. UV-A, ONOO − , and H 2 O 2 ) generated during operation of the plasma torch, while R represents the logarithm of the reduced viral titer of FCV-treated with the plasma torch.
These terms are defined as follows: = − = − r R log E /E log P /P