Abstract
The increasing need for effective antiviral strategies has led to the development of innovative surface coatings to combat the transmission of viruses via fomites. The aim of this review is to critically assess the efficacy of antiviral coatings in mitigating virus transmission, particularly those activated by visible light. The alarm created by the COVID-19 pandemic, including the initial uncertainty about the mechanisms of its spread, attracted attention to fomites as a possible source of virus transmission. However, later research has shown that surface-dependent infection mechanisms need to be carefully evaluated experimentally. By briefly analyzing virus–surface interactions and their implications, this review highlights the importance of shifting to innovative solutions. In particular, visible-light-activated antiviral coatings that use reactive oxygen species such as singlet oxygen to disrupt viral components have emerged as promising options. These coatings can allow for obtaining safe, continuous, and long-term active biocidal surfaces suitable for various applications, including healthcare environments and public spaces. This review indicates that while the significance of fomite transmission is context-dependent, advances in material science provide actionable pathways for designing multifunctional, visible-light-activated antiviral coatings. These innovations align with the lessons learned from the COVID-19 pandemic and pave the way for sustainable, broad-spectrum antiviral solutions capable of addressing future public health challenges.
1. Introduction
Common objects with which we frequently come into contact during our daily lives can turn into fomites and become the hosts of infectious agents, such as bacteria, viruses, or fungi, potentially facilitating their transmission from one individual to another [1]. Fomites are defined as objects in the environment on which infectious agents can survive, becoming a potential vector for person-to-person transmission. These materials’ surfaces are not inherently infectious, and they become fomites only when contaminated with pathogens. Fomites serve as indirect vehicles for infections, enabling the spread of diseases when individuals touch contaminated objects and then their own mucous membranes, e.g., eyes, nose, mouth, etc. [2]. Common examples of fomites include the surfaces of door handles, mobile phones, toys, utensils, bed linen, and medical equipment such as stethoscopes and thermometers. Because in our daily lives, we continuously touch surfaces, much care should be taken in the choice of materials in critical environments for health, such as schools, long-term care facilities, surgery and emergency rooms, and hospitals in general. Such surfaces are defined as “high-touch surfaces”, i.e., those surfaces that are frequently “touched” by the hands and represent “the surfaces” most frequently contaminated by microorganisms [3,4].
The survival of viruses and bacteria on fomites depends on many factors, some external, such as temperature and humidity, and others inherently dependent on the type of material and the surface properties, such as porosity and wettability. For fomite transmission to occur, the virus must be transferred from the surface to the mucous membranes (eyes, nose, or mouth) in a sufficient dose to establish infection [5]. Evidence suggests that this route is less efficient compared to respiratory droplet or aerosol transmission [6].
The types of diseases and infections that can potentially be transmitted through fomites include several common respiratory and enteric illnesses. The common viral infectious diseases that can potentially spread via fomites include the following: adenoviruses, a group of viruses that are the sources of infections in the upper respiratory tract and the eyes [7]; coronaviruses, such as SARS and MERS, which cause upper respiratory infections in both animals and humans [8,9,10,11]; hand foot and mouth disease, which is an infection that gives rise to fever and blisters on the hands, feet, and inside the mouth [12]; norovirus, responsible for gastroenteritis diseases [13,14,15,16]; rhinovirus, the most common viral infectious agents in humans [17,18]; and rotavirus, which is the leading cause of diarrhea in infants and young children [19].
Compared with previous reviews, this article incorporates some insights and lessons learned from the COVID-19 pandemic. It critically evaluates the actual significance of fomite transmission during the pandemic and its implications for future surface designs. Regarding antiviral surface technologies, particular attention is dedicated to the unique potential of visible-light-activated coatings. These coatings offer long-term disinfection via safe, ambient light, contrasting with traditional UV or chemical-based methods. This review includes comparative tables summarizing the strengths, challenges, and applications of various antiviral coating technologies, such as porphyrin-based, carbon-based, and nanoparticle-enhanced systems. These practical insights provide a first general understanding of the challenges still posed in understanding and controlling viral infections from fomites.
2. Viral Infection from Fomites, Narrative or a Scientific Case?
The outbreak of COVID-19 from SARS-CoV-2 has drawn attention to fomites as a possible means of spreading the infection. The COVID-19 pandemic has promoted, for the first time, a series of systematic studies on the effects of fomites in the diffusion of viral infections [20,21]. In the early phase of the pandemic, the alarm created by the possibility of infection through surfaces led to the indiscriminate use of disinfectant agents that later proved unnecessary in retrospect.
Early studies on COVID-19 infection showed that the virus in the laboratory can survive on different types of surfaces, such as plastic, stainless steel, and cardboard, for periods ranging from 4 to 72 h [22,23,24]. However, later research has provided a more nuanced understanding, and it has been demonstrated that the transmission of infection through fomites is a very rare, if not impossible, event [25,26,27,28,29].
Interpretation of these results is also not easy due to a lack of protocols, making comparative evaluation of these studies unfeasible [30,31]. Unlike droplet or airborne transmission, proving fomite transmission involves tracing a direct link between a contaminated surface and infection, which is complex and often indirect. On the other hand, laboratory conditions do not replicate real-world environments, where desiccation, UV exposure, and cleaning practices reduce the virus’ viability. Therefore, the assessment of infection should be performed with care, even if environmental sampling in healthcare settings and public spaces identifies SARS-CoV-2 RNA on frequently touched surfaces [32]. The detection of RNA or even viable viruses on surfaces suggests that contaminated fomites may harbor viral material; however, this detection does not confirm that the virus remains infectious in real-world conditions. Furthermore, it should be taken into account that environmental factors like temperature, humidity, and UV light degrade viral particles over time [33,34]. Contact tracing and epidemiological studies [35] have found that most COVID-19 transmission events are associated with close person-to-person contact or shared airspace, rather than surface contact [36].
One interesting example is cash, which at the beginning of the COVID-19 pandemic was considered a possible medium acting as a fomite for spreading the infection [37]. However, a risk assessment evaluation demonstrated that the risk of contracting COVID-19 via person-to-person cash transactions is lower than once per 39,000 days, or 107 years, for a single person [38].
Current understanding places fomite transmission as a secondary route, with respiratory transmission being dominant, and epidemiological evidence suggests that respiratory droplets and aerosols are the primary modes by which SARS-CoV-2 has spread [39]. COVID-19 infects people when an infected person exhales droplets containing the virus. Other individuals can breathe in these droplets or have them land on their eyes, nose, or mouth [40]. Additionally, these droplets may contaminate surfaces where they fall. Vaccination, handwashing, social distancing, and wearing masks help reduce the risk of infection [34,41,42].
The contribution of fomites is considered relatively minor. However, some context-specific risks must be considered, and high-contact, shared surfaces in healthcare settings or public spaces may still pose a greater risk, particularly when combined with poor hand hygiene practices [43,44]. For this reason, innovations such as light-activated coatings and metal-based antiviral surfaces (e.g., copper and silver nanoparticles) [45] that can provide passive protection by reducing surface contamination are still a hot research topic.
This brief review is devoted to a general analysis of some aspects related to implementing antiviral coatings. The experience accumulated during the COVID-19 pandemic showed that a critical approach is needed in evaluating the spread of infections from surfaces. The advances in research on this topic have allowed for a more realistic view of the effect of fomites while at the same time opening new perspectives in understanding the interaction of viruses and bacteria with surfaces. The creation of surfaces with effective antiviral properties and the field of application of such surfaces, in light of the COVID-19 experience, will have to be reduced to particular cases and specific types of viruses that can lead to infection via fomites. For this reason, this review focuses on a concise comparative analysis of some critical parameters for antiviral surface design, e.g., the different responses between enveloped and non-enveloped viruses and surface properties. The second part of this article describes a particular case that is a harbinger of important expectations, namely that of antiviral surfaces that are photoactivated by visible light. In this case, their activity is carried out through the emission of reactive oxygen species, particularly singlet oxygen, capable of destroying or interfering with virus replication.
3. The Virus Matter—The Difference Between Enveloped and Non-Enveloped Viruses
A key consideration in designing an antiviral surface is that it should act as a biocide with broad-spectrum activity against viruses and bacteria. However, environmental resistance varies significantly between enveloped and non-enveloped viruses due to differences in their structural composition (Table 1) [46]. These differences influence their survival on surfaces, resistance to disinfectants, and vulnerability to environmental factors like temperature [47], humidity, and UV light [33].
Table 1.
The effect of external factors for enveloped and non-enveloped viruses.
Enveloped viruses, such as coronaviruses, possess a protective lipid bilayer envelope surrounding the protein capsid and nucleic acid. The lipid envelope contains glycoproteins essential for cell entry, but it is sensitive to environmental conditions and easy to disrupt. Most of the epidemics and pandemics observed in recent years, such as SARS-CoV-2, Zika, and MERS, as well as the influenza virus and herpes simplex virus, are due to enveloped viruses.
Non-enveloped viruses lack a lipid envelope and are composed of a protein capsid that encases the nucleic acid. The protein capsid is more stable and resistant to environmental stressors. Some examples include the norovirus, poliovirus, and rhinovirus.
Enveloped and non-enveloped viruses also have different responses to disinfectants [48]. In enveloped viruses, the lipid envelope makes them vulnerable to detergents, alcohols, and lipid-disrupting agents. In the absence of a lipid envelope, non-enveloped viruses are more resistant to lipid-dissolving agents. More aggressive treatments, such as bleach (sodium hypochlorite) or oxidizing agents, are necessary. For instance, norovirus resists alcohol-based sanitizers but is inactivated by chlorine-based disinfectants.
In comparison, enveloped viruses survive for shorter durations on surfaces due to their sensitivity to desiccation and environmental factors [46]. SARS-CoV-2 survives for up to 72 h on plastic, but much less on porous materials like paper [47]. Non-enveloped viruses can survive for weeks to months on surfaces, particularly in dry, low-humidity environments. Norovirus can persist on surfaces for up to two weeks.
For these reasons, particular attention should be given to antiviral surfaces against non-enveloped viruses. These are a source of greater concern in environments like hospitals and cruise ships, where outbreaks of hardy viruses like norovirus can occur. In general, enveloped viruses are easier to inactivate with detergents and alcohols, whereas non-enveloped viruses are highly resistant, requiring stronger disinfectants and more stringent control measures.
4. How Surface Properties Influence Virion Survival
The properties of surfaces play a key role in determining interactions with viruses and bacteria. These properties include roughness, porosity, hydrophobicity, and surface energy, which can govern the inactivation of viruses or prevent their adhesion to surfaces (Table 2) [49,50]. Particular attention must be dedicated to the design of surface properties in antiviral coatings [51,52]. A deeper understanding of the chemical–physical interactions of viruses with the interface [53] clearly needs to be further developed [54,55]. Electrostatic secondary bonding, such as van der Waals interaction, the hydrophobic effect, and hydrogen bonding play a fundamental role at the interface. Modeling such interactions requires a case-by-case approach as a function of the surfaces and viruses.
Table 2.
Effects of surface properties on antiviral activity.
Surface roughness is a parameter that has a direct influence on surface–virus interactions. An increase in surface roughness results in a higher number of contact points between the surface and the virus. This can translate into better antiviral activity of the system. However, surface roughness must be controlled to prevent antiviral particles from nesting in the grooves of the surface, making disinfection more difficult. Smooth surfaces are often preferred in healthcare settings for easier cleaning and reduced contamination.
Surface energy influences wettability and the adhesion of viruses [56]. In general, low-energy surfaces, such as fluoropolymers, resist protein and viral attachment, while high-energy surfaces promote stronger interactions with antiviral agents or coatings. Surfaces can act as active elements, for example by producing reactive oxygen species that attack the structure of viruses, or passive elements, where controlling the surface energy can improve antiviral efficacy.
Porosity is another parameter that can be used in the design of antiviral surfaces [57]. For example, pores can act as reservoirs for antiviral agents, allowing sustained release over time [58]. Porosity allows for the deeper penetration of viruses, which might enhance interaction with antiviral agents embedded within the material. On the other hand, surfaces with high roughness or porosity may degrade faster or become harder to clean over time. Furthermore, fabricating surfaces with precise control over roughness, porosity, or surface energy can be challenging and costly.
The adhesion of viruses to surfaces is controlled by another important parameter, which is the degree of hydrophobicity of the surface [59]. Hydrophobic surfaces tend to repel water, and this reduces the possible adhesion of aerosol particles containing viruses. On the other hand, hydrophobic surfaces can also facilitate virus adhesion through non-polar interactions with proteins or the virus envelope.
Superhydrophobic surfaces minimize viral attachment by providing self-cleaning effects, where water droplets roll off and remove adhered particles [60].
These surface properties often work synergistically or antagonistically, depending on the material and application. For instance, combining surface roughness with hydrophobicity creates superhydrophobic surfaces, reducing viral adhesion and enhancing self-cleaning properties. Meanwhile, high porosity with low surface energy reduces viral adherence while allowing the incorporation of antiviral agents.
6. Conclusions
The lessons learned from the COVID-19 pandemic must be carefully considered for the development of antiviral coatings. The cost-effectiveness and real effect on limiting viral infections are critical aspects that should be part of the choice of developing and using antiviral coatings in an extensive way. In some specific restricted environments, such as emergency and surgery rooms, the application of biocidal surfaces still appears viable. Biocidal surfaces should have the broadest possible activity against different types of virus and bacteria. For this purpose, the surface design must consider a combination of different properties. These properties must be carefully engineered to balance a broad and effective antiviral activity with practical challenges like durability and scalability.
Visible-light-activated coatings represent a promising innovation, offering safe and continuous disinfection through the generation of reactive oxygen species. These coatings effectively target viral components, with singlet oxygen showing particular efficacy against enveloped viruses. While hydroxyl radicals exhibit higher reactivity and broad-spectrum activity, singlet oxygen stability and specificity make it ideal for long-term applications in well-lit environments. There are several challenges that still need to be addressed. One of these is the effectiveness of action in dark and low-light conditions, which can be addressed by combining light-activated coatings with other antiviral strategies to ensure efficacy even when light levels are low. Another issue is the high costs and complexity associated with synthesizing advanced materials. The coating process should be as simple, scalable, and cost-effective as possible. Additionally, it is important to consider the environmental impact and ensure the biocompatibility of nanomaterials. Future research should focus on optimizing the interaction between material properties, viruses, and ROS generation while exploring new strategies to overcome limitations in different environmental settings.
Funding
This work has been developed within the framework of the project e.INS-Ecosystem of Innovation for Next Generation Sardinia (cod. ECS 00000038) funded by the Italian Ministry for Research and Education (MUR) under the National Recovery and Resilience Plan (NRRP)—MISSION 4 COMPONENT 2, “From research to business” INVESTMENT 1.5, “Creation and strengthening of Ecosystems of innovation” and construction of “Territorial R&D Leaders”. The authors also acknowledge funding from MUR under the PRIN Project 2022LZWKAJ.
Data Availability Statement
No new data were created or analyzed in this study.
Conflicts of Interest
The author declares no conflicts of interest.
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