Review Article

Application of Traditional Chinese Medical Herbs in Prevention and Treatment of Respiratory Syncytial Virus

Table 2

TCMHs-derived compounds inhibiting RSV.
(a)

HerbsCompoundsAnti-RSV activityReferences

Folium IsatidisFraction III;
fraction IV
RSV replication ↓ (SI: 13.06; >24.33; MTT: 11.67; >22.32)
The ribavirin group (SI: <28.04; MTT: 40.52)
[33]

Flos Pueraria OmeiensisGenistein, tectorigeninPossess potent antiviral activity against RSV (CC50: 450; 500 μg/mL; IC50: 12.5; 30 μg/mL, SI: 36; 16.7);
the ribavirin group: (CC50: 62.5 μg/mL; IC50: 3.0 μg/mL; SI: 20.8)
[34]

Radix GentianaeRG2-1 [35] 
RG3-1 [36]
RSV replication ↓ (TC50: 10.66; 5.29 mg/mL; EC50: 420; 262.95 μg/mL; TI: 25.38; 20.12) [35, 36]; 
the ribavirin group (TC50: 1.18; 1.15 mg/mL; EC50: 30.88; 15.48 μg/mL; TI: 38.21; 74.92) [35, 36]
[35, 36]

Herba PatriniaeAP3 [37] 
AP4 [38]
RSV replication ↓; RSV entry ↓ (TC50: 11.45; 10.89 mg/mL; EC50: 0.0986; 0.0801 mg/mL; TI: 116.12; 135.95) [37, 38]; 
the ribavirin group (TC50: 0.076, 1.97 mg/mL; EC50: 0.00143, 0.036 mg/mL; TI: 53.45, 54.72) [37, 38]
[37, 38]

Litchi ChinensisFlavonoidsRSV replication ↓ (TC50: 152.9 mg/mL; IC50: 58.6 mg/mL; TI: 2.6); the ribavirin group (TC50: 154.9 mg/mL; IC50: 57.1 mg/mL; TI: 2.7)[39]

Radix Glycyrrhizae18β-GA [32] 
GD4 [40]
RSV replication ↓ (IC50: 4.3–4.5 μg/mL; CC50: 71.5–76.3 μg/mL; SI: 15.9–17.7) [32]; (EC50: 28.73 μg/mL; TI: 8.0) [40]; 
the ribavirin group (EC50: 5.67 μg/mL, TI: 215.0) [40]
[32, 40] 

Ligustrum lucidumOleuropeinSignificant antiviral activities against RSV (TC50: 562.5 μg/mL; IC50: 11.7 μg/mL; TI: 48); the ribavirin group (TC50: 62.5 μg/mL; IC50: 2.6 μg/mL; TI: 24)[41]

Lophatherum gracile Flavone 6-C-monoglycosides Potent antiviral activities against RSV (CC50: ranging from 254.5 ± 6.4 to 362.6 ± 15.4 μg/mL; IC50 ranging from 5.7 to 50 μg/mL, SI ranging from 5.6 to 63.6 μg/mL);
the ribavirin group (CC50: 62.5 ± 3.2 μg/mL; IC50: 3.0 ± 0.4 μg/mL; SI: 20.8)
[42]

Pithecellobium clypeariaQuercetinPossess potent antiviral activity against RSV (IC50: 2.5 μg/mL; SI: 180); the ribavirin group (IC50: 3.0 μg/mL; SI: 20.8)[43]

Sophora flavescensAnagyrine, oxymatrine, sophoranolPotent antiviral activities against RSV (IC50: 10.4; 10.4; 10.4 μg/mL; CC50: 250; 125; 250 μg/mL; SI: 24.0; 12; 24);
the ribavirin group (IC50: 2.6 μg/mL; CC50: 62.5 μg/mL; SI: 24)
[44]

TC50 is 50% of toxic concentration; EC50 is the concentration for 50% of maximal effect; IC50 is the concentration of the sample required to inhibit virus-induced CPE 50%; CC50 is the concentration of the 50% cytotoxic effect; selective index (SI) or therapeutic index (TI): CC50/IC50 or TC50/EC50 or TC50/IC50; MTT assay is a colorimetric assay for assessing cell metabolic activity.
(b)

HerbsCompoundsAnti-RSV activityReferences

Scutellaria baicalensis Wgonin oroxylin A Potent antiviral activities against RSV (IC50: 7.4; 14.5 μg/mL; CC50: 119.2; 58.1 μg/mL; SI: 16.1; 4.0);
the ribavirin group (IC50: 2.6 μg/mL; CC50: 62.5 μg/mL; SI: 24)
[44]

Selaginella uncinataUncinoside A;
uncinoside B
Potently inhibit RSV infection (IC50: 6.9; 1.3 μg/mL; TC50: 82.5; 83.3 μg/mL; TI: 12; 64);
the ribavirin group: (IC50: 2.6 μg/mL; CC50: 62.5 μg/mL; TI: 24)
[45]

Wikstroemia indicaDaphnoretinRSV replication ↓ (IC50: 5.87 μg/mL; SI: 28.17);
the ribavirin group (IC50: 3.05 μg/mL; SI: 21.4)
[46]

Radix wikstroemiaeGenkwanol B;
genkwanol C;
stelleranol
Potent antiviral activities against RSV (IC50: 9.6; 6.6; 10.2 μg/mL; CC50: 106.1; 145.3; 161.5 μg/mL; SI: 11; 21.9; 15.8);
the ribavirin group (IC50: 11.9 μg/mL; CC50: 256.1 μg/mL; SI: 21.6)
[47]

Youngia japonicaFractions 10 [26]; 
fractions 11 [26];  
3,4-dicaffeoylquinic acid [48];   
3,5-dicaffeoylquinic acid [48]
Syncytium formation of RSV ↓; potent antiviral activities against RSV (IC50: 3.0–6.0 μg/mL; MNCC: 200 μg/mL) [26]; (IC50: 0.5 μg/mL) [48]; 
the ribavirin group (IC50: 3.0 μg/mL, MNCC: 31 μg/mL) [26]; the ribavirin group (IC50: 2.5 μg/mL) [48]
[26, 48]

TC50 is 50% of toxic concentration; EC50 is the concentration for 50% of maximal effect; IC50 is the concentration of the sample required to inhibit virus-induced CPE 50%; CC50 is the concentration of the 50% cytotoxic effect; selective index (SI) or therapeutic index (TI): CC50/IC50 or TC50/EC50 or TC50/IC50; MNCC: the maximal concentration of the sample that did not exert toxic effect detected by microscopic monitoring after 72 h of incubation.