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Table 2 Anti-EV71 effects of pure compounds from Chinese medicines

From: Chinese herbal medicines as a source of molecules with anti-enterovirus 71 activity

Category

Compound and reference

Chemical structure

Plant source

Chemical class

Anti-EV71 effect

Mechanism

Flavones

Apigenin [65]

Ocimum basilicum (Luo Le), etc

Flavone

Reduces CPE (EC50 25.5 μM, SI 8.7), viral protein expression, ROS generation, cytokine up-regulation

Interferes with viral IRES activity, JNK activation, association of EV71 RNA with hnRNP A1 and A2 proteins

Chrysosplenetin [67]

Laggera pterodonta (Chou Ling Dan)

Flavonol

Reduces CPE (EC50, 0.17 μM, SI 107.5), plaque formation, production of viral VP1 protein, and the viral yield

Shows strong antiviral potency targeting the post-attachment stage

Penduletin [67]

Laggera pterodonta (Chou Ling Dan)

Flavonol

Reduces CPE (EC50 0.17 μM, SI 655.5), plaque formation, production of viral VP1 protein, and the viral yield

Shows strong antiviral potency targeting the post-attachment stage

7,8-dihydroxyflavone [76]

Chrysanthemum morifolium Ramat (Ju Hua), etc

Flavone

Shows 20 % cytotoxicity, 80 % CPE reduction and 40 % IRES activity at 50 μM

 

Kaempferol [76]

Chrysanthemum morifolium Ramat (Ju Hua), etc

Flavonol

Shows 20 % cytotoxicity, 80 % CPE reduction and 40 % IRES activity at 50 μM, reduces virus yield, and viral protein expression

Changes the expression level of FUBP1, FUBP3, HNRPD, HNRH1 and HNRPF proteins, which may contribute to the anti-EV71 activity

Quercetin [76]

Chrysanthemum morifolium Ramat (Ju Hua), etc

Flavonol

Shows 20 % cytotoxicity, 80 % CPE reduction and 40 % IRES activity at 50 μM

 

Hesperetin [76]

Chrysanthemum morifolium Ramat (Ju Hua), etc

Flavonone

Shows 20 % cytotoxicity, 80 % CPE reduction and 40 % IRES activity at 50 μM

 

Hesperidin [76]

Chrysanthemum morifolium Ramat (Ju Hua), etc

Flavonone glucoside

Shows 20 % cytotoxicity, 80 % CPE reduction at 50 μM

 

Eupafolin [37]

Kalanchoe gracilis (Deng Long Cao)

Flavone

Reduces CPE (EC50 0.44 μM, SI 808), plaque formation, decreases virus-induced IL-6 and RANTES expression, and decreases the phosphorylation of cytokine induction-related proteins

Inactivates the virus, and suppresses proinflammatory cytokines

Chrysin [79]

Oroxylum indicum (L.)Vent. (Mu Hu Die), Pinus mon-ticola Dougl. (Bai Shan Song)

Flavone

Reduces CPE (EC50 10 μM, SI 20), viral RNA, capsid protein, and infectious virions

Inhibits viral 3C protease

Chrysin phosphate ester [79]

Synthesised

Flavone derivative

Reduces CPE (EC50 6 μM, SI 33), viral RNA, capsid protein, and infectious virion

Inhibits viral 3C protease

Luteolin [64, 80]

Lonicera japonica (Jin Yin Hua), Dendranthema indicum (Ye Ju Hua)

Flavone

Reduces CPE (EC50 31.56 μM, SI 9.25 in RD cells), inhibits viral RNA replication

Targets post-attachment stage

Rutin [38]

Saururus chinensis (Lour.) Baill (San Bai Cao)

Flavonoid glycoside

Reduces CPE (200 μM), viral RNA level, and virus titre

Inhibits activation of MEK1-ERK signalling pathway

Formononetin [82]

Trifolium pratense (San Ye Cao), etc

Isoflavone

Reduces CPE (EC50 3.98 μM, SI 43.07), viral RNA replication, protein synthesis

Suppresses ERK, p38, and JNK activation, and COX-2/PGE2 expression

Terpenes

Ursolic acid [63]

Ocimum basilicum (Luo Le)

Triterpenoid

Reduces CPE (EC50 1.1 μM, SI 200)

Inhibits viral infection and replication process

Linalool [65]

Ocimum basilicum (Luo Le)

Monoterpene

Reduces CPE (EC50 273.60 μM, SI 4.2)

 

Raoulic acid [84]

Raoulia australis

Diterpene

Reduces CPE (EC50 0.25 μM, SI above 658)

 

Glycyrrhizic acid [87]

Glycyrrhiza uralensis (Gan Cao)

Triterpenoid

Reduces plaque formation at 3, 5 μM and virus titre and expression of viral VP1 protein

Targets post-viral entry process

Geniposide [88]

Fructus gardeniae (Zhi Zi)

Monoterpene

Reduces CPE, viral RNA level, plaque formation, and inhibited viral IRES activity

 

GLTA [91]

Ganoderma lucidum (Ling Zhi)

Triterpenoid

Reduces CPE (EC50 below 0.16 μg/mL)

Blocks adsorption and uncoating

GLTB [91]

Ganoderma lucidum (Ling Zhi)

Triterpenoid

Reduces CPE (EC50 below 0.16 μg/mL)

Blocks adsorption and uncoating

Hederasaponin B [92]

Hedera helix (Chang Chun Teng)

Triterpenoid

Reduces CPE (EC50 24.77 μM, SI 2.02) and viral capsid protein expression

Inhibits viral capsid protein expression

Ginsenoside Rg2 [95]

Panax ginseng Meyer (Ren Shen)

Triterpenoid

Reduces CPE

 

Polyphenols

Epigallocatechin gallate (EGCG) [96]

Camellia sinensis (Lv Cha)

Polyphenol

Reduces plaque formation, viral RNA level, and raises the survival rate of Vero cells approximately fourfold relative to untreated infected cells at 25 μM

Has antioxidant activity, and suppresses viral RNA replication

Gallocatechin gallate (GCG) [96]

Camellia sinensis (Lv Cha)

Polyphenol

Reduces plaque formation, and raises the survival rate approximately fourfold higher than the infected group at 25 μM

 

Geraniin [99]

Geranium thunbergii (Lao Guan Cao)

Tannin

Reduces CPE, viral yield, can improve survival and clinical score in infected mice (EC50 10.5 μM, SI 20)

 

Chebulagic acid [102]

Terminalia chebula (He Zi)

Tannin

Reduces CPE, and reduces the mortality of infected mice, relieves the symptoms (EC50 13.1 μM, SI 16)

Inhibits viral replication

Corilagin [41]

Phyllanthus urinaria (Zhen Zhu Cao)

Ellagitannins

Reduces CPE (EC50 5.6 μg/mL)

 

Punicalagin [103]

Punica granatum L. (Shi Liu)

Tannin

Reduces CPE (EC50 15 μg/mL), viral RNA level, and mice mortality in vivo

 

Steroids

Timosaponin B-II [105]

Anemarrhena asphodeloides (Zhi Mu)

Steroidal saponin

Reduces CPE (EC50 4.3 μM, SI 92.9)

 

Anemarrhenasaponin II [105]

Anemarrhena asphodeloides (Zhi Mu)

Steroidal saponin

Reduces CPE (EC50 22.2 μM, SI 3.8)

 

Timosaponin G [105]

Anemarrhena asphodeloides (Zhi Mu)

Steroidal saponin

Reduces CPE (EC50 9.1 μM, SI 2.3)

 

Timosaponin A-IV [105]

Anemarrhena asphodeloides (Zhi Mu)

Steroidal saponin

Reduces CPE (EC50 4.7 μM, SI 2.2)

 

Timosaponin A-III [105]

Anemarrhena asphodeloides (Zhi Mu)

Steroidal saponin

Reduces CPE (EC50 1.1 μM, SI 2.4)

 

Shatavarin IV [105]

Anemarrhena asphodeloides (Zhi Mu)

Steroidal saponin

Reduces CPE (EC50 2.2 μM, SI 1.8)

 

Miscellaneous

Gallic acid [113]

Woodfordia fruticosa (Xia Zi Hua)

Phenolic acid

Reduces CPE (EC50 4.47 μM, SI 99.57)

Has antioxidant activity

Resveratrol [116, 117]

Vitis vinifera L. (Pu Tao), Polygonum cuspidatum Sieb.et Zucc.(Hu Zhang), Fructus mori (Sang Shen), Arachis hypogaea Linn. (Hua Sheng), Veratrum grandiflorum (Mao Ye Li Lu)

Phenol

Reduces CPE (EC50 20.2 mM, SI 15.2)

Blocks IKKs/NF-κB signalling pathway

Allophycocyanin [120]

 

Spirulina platensis

Protein

Reduces CPE (EC50 0.045 μM, SI 36.7), plaque formation (EC50 0.056 μM, SI 29.5), delays viral RNA synthesis, and inhibits EV71-induced apoptosis

Interferes with early stage of viral replication

Caffeic acid [36]

Kalanchoe gracilis (Deng Long Cao)

Phenol

Reduces CPE (EC50 23.87 μM, SI 11.51), plaque formation

 

Aloe-emodin [124]

Rheum palmatum (Da Huang)

Anthraquinone

Induces IFN expression, activates NO production, and reduces plaque formation (EC50 0.5-1.9 μM, SI above 5540)

Activates type I and II IFN signalling pathways against viral replication

Garlicin [127]

Allium Sativum (Da Suan)

Diallyl disulfide

Reduces CPE (EC50 99.95 μM, SI 44.66)

 

Oblongifolin J [128]

Garcinia oblongifolia (Ling Nan Shan Zhu Zi)

Prenylated benzoylphloroglucinol

Reduces CPE (EC50 31.1 μM, SI 1.5)

 

Oblongifolin M [128]

Garcinia oblongifolia (Ling Nan Shan Zhu Zi)

Prenylated benzoylphloroglucinol

Reduces CPE (EC50 16.1 μM, SI 2.4)

 

Euxanthone [128]

Garcinia oblongifolia (Ling Nan Shan Zhu Zi)

Xanthone

Reduces CPE (EC50 12.2 μM, SI 3.0)

 

Gramine derivative 4 s [130]

Synthesised

Indole alkaloid

Reduces CPE (EC50 9.1 μM, SI 14.3), viral RNA replication, protein synthesis, and virus-induced apoptosis

Inhibits viral adsorption or affects viral release from the cells

Chlorogenic acid [131]

Lonicera japonica (Jin Yin Hua), Eucommia ulmoides Oliv. (Du Zhong), Lythrum salicaria L. (Qian Qu Cai)

Aromatic acids

Reduces plaque formation (EC50 6.3 μg/mL)

Inhibits EV71 2A transcription and translation

Magnesium lithospermate B [132]

Salvia miltiorrhiza (Dan Shen)

Aromatic acids

Reduces CPE (EC50 0.09 mM, SI 10.52), plaque formation, protein expression

Influences virus infection, and IRES activity

Rosmarinic acid [132]

Salvia miltiorrhiza (Dan Shen)

Aromatic acids

Reduces CPE (EC50 0.50 mM, SI 2.97), plaque formation, protein expression

Influences virus infection, and IRES activity

Matrine [137]

Sophora flavescens (Ku Shen)

Gordon landmines ketoneses alkaloid

Reduces viral RNA level, and mice mortality in vivo

 

Lycorine [145]

Lycoris radiata (Shi Suan)

Benzylphenethylamine alkaloid

Reduces CPE (EC50 0.48 μg/mL, SI above 100), viral RNA level, and mice mortality in vivo

Influences viral protein expression