The global landscape of 3D food printing (3DFP), valued at an estimated USD$15 billion in 2023 and projected to escalate to USD$34.5 billion by 2028 (Markets and Markets, 2023), represents the forefront of culinary evolution, promising a paradigm shift in how we perceive and engage with food. This cutting-edge technology allows for the precise customization of food, covering aspects such as texture, color, shape, and various physiochemical attributes (Sun et al., 2015). Within this burgeoning field, a myriad of food materials has already undergone 3DFP processes. From the layers of printed cheese and cookies to surimi, chocolate, turkey, and even cell-cultured meat, the possibilities are limitless, signifying an era of diverse culinary exploration (Dick et al., 2020; Handral et al., 2020; Lanaro et al., 2017; Le Tohic et al., 2018; Mantihal et al., 2019; Ross et al., 2021; Severini et al., 2018; Vukušić Pavičić et al., 2021; Wang et al., 2018; Wilson et al., 2020; Yang et al., 2018).
Nevertheless, as with any innovation, the assimilation of 3DFP demands the evaluation of potential hazards to ensure the safety and wholesomeness of the resulting food products. The application of 3DFP introduces distinct challenges stemming from increased handling requirements, thus presenting opportunities for contamination within both the food ink and within its corresponding capsules (Hamilton & Gibson, 2022; 2023a; 2023b). The procedure for producing 3D printed foods encompasses the conventional protocols of food handling but also extends to the loading of food ink capsules and the subsequent post-printing handling, potentially exacerbating the risk of cross-contamination between the capsule, the food ink, and the food preparation environment.
Annually, major causative agents of foodborne illnesses contribute to an estimated 9.4 million cases and over 1,300 fatalities in the United States, alongside a staggering 600 million illnesses and over 418,000 deaths globally (Havelaar et al., 2015; Scallan et al., 2011). The predominant viral pathogen of concern is human norovirus (HuNoV). HuNoV not only poses a threat in the context of 3D printed foods but also stands as a significant contributor to foodborne illnesses both in the United States and on a global scale. HuNoV accounts for 58% (5.4 million) of reported foodborne illnesses, 149 fatalities in the United States, and an imposing 125 million illnesses and 35,000 deaths worldwide (Havelaar et al., 2015; Scallan et al., 2011). The economic repercussions of HuNoV in the United States are noteworthy, constituting a substantial $2.9 billion out of the total $51.05 billion attributed to all pathogens associated with foodborne illnesses, establishing it as the primary viral contributor to this economic burden (Scharff, 2012).
HuNoV is primarily transmitted through oral ingestion, leading to replication within the small intestine. This process results in lesions across the intestinal mucosa and subsequent viral shedding via feces (Tian et al., 2013). The critical role of histo-blood group antigens (HBGAs) as receptors facilitating HuNoV attachment and entry into host cells was elucidated by Tan & Jiang (2005). HuNoVs demonstrate strain-specific recognition of HBGAs, categorized into three major families: secretor, Lewis, and ABO (Tan & Jiang, 2010). Despite the significant public health risks posed by HuNoVs, research into their behavior and control is hampered by the challenges associated with culturing these viruses and the absence of effective small animal models. Recent advancements in three-dimensional cell culture technologies, particularly non-transformed stem cell-derived human intestinal enteroids, have shown promise. These enteroids mimic the gastrointestinal tract's complexity and cellular diversity, offering new pathways for HuNoV research (Chan et al., 2019; Costantini et al., 2018; Ettayebi et al., 2016).
The material properties of aw and pH may influence the persistence of viruses, as evidenced by prior studies (Tian et al., 2013; Trudeau et al., 2017). Foods and food ingredients with low aw are either intrinsically low in moisture or deliberately dehydrated from initially high- aw sources (Beuchat et al., 2013). The incorporation of significant quantities of salt or sugar can also be construed as an engineered drying process, resulting in a diminished water availability that impedes microbial growth (Beuchat et al., 2013). It is noteworthy that the minimum aw conducive to the growth of specific microorganisms, such as molds and yeasts, is established at 0.60 (Beuchat et al., 2013). Food products characterized by an aw < 0.85 fall into the category of low-aw, encompassing a diverse range including cereals, chocolate, dried produce, animal feed, spices and condiments, honey, hydrolyzed protein powder, pasta, peanut butter, and seeds (Beuchat et al., 2013). Despite the evident benefits of low-aw foods in controlling bacterial foodborne pathogens, there remains a scarcity of research on their influence on viral foodborne pathogens (Franco-Vega et al., 2020; Roos, 2020).
Given the difficulties in studying HuNoVs directly, surrogate viruses have been employed to understand HuNoV persistence and resistance. Initially, surrogates included poliovirus, hepatitis A virus (HAV), and bacteriophages as stand-ins for HuNoVs inactivation studies (Baert et al., 2009). Then, investigations turned to animal caliciviruses, such as feline calicivirus (FCV) and murine norovirus (MNV), due to their cultivability (Kreutz et al., 1994; Wobus et al., 2004). However, these surrogates lack the HBGA receptors akin to the predominant circulating HuNoV strains (e.g., GII.4) and do not induce gastrointestinal disease, marking a significant departure from HuNoV pathogenesis. Interestingly, while MNV shares genetic similarities with HuNoVs, it utilizes sialic acid receptor for entry and infecting macrophages and dendritic cells rather than mimicking HuNoV's gastrointestinal targets (Taube et al., 2009; Wobus et al., 2004). On another front, Tulane virus (TuV) offers a closer surrogate model by replicating in vitro in rhesus monkey kidney (LLC-MK2) cells and recognizing type-B HBGAs for infection, aligning more closely with HuNoV's enteric nature (Farkas et al., 2008; Farkas et al., 2010).
The primary aim of this study was to investigate the impacts of varying storage conditions, including temperature, time, and storage method (pre- vs. post-printing), on persistence of TuV, a HuNoV surrogate. The secondary aim is to evaluate food ink quality using four parameters: yeast and mold counts, aerobic counts, pH, and water activity (aw). To achieve these aims, 4 log PFU/g of TuV was incorporated into a protein cookie food ink for 3DFP, and analyses were conducted to assess its safety and quality, providing essential insights for development of regulatory guidance on 3D printed food inks and printed products.