Review Article

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

Table 5

TCM formulas in prevention and inhibition of RSV.
(a)

NamesCompositionMechanisms and resultsReferences
Plant or mineralWeight (g)Used part

Modified Ding Chuan Tang (MDD)Salviae miltiorrhizae Radix 12 RootMDD exhibited significant antiviral and anti-inflammatory effects: lung viral loads ↓;
the MDD group: IC50: 27.2 μg/mL; CC50: >1000 μg/mL; SI: >36.8;
the ribavirin group: IC50: 2.8 μg/mL; CC50: 41.6 μg/mL; SI: 14.9
eotaxin ↓; IL-4 ↓; IFN-γ ↓ in serum and lung tissue; TLR4 ↓; NF-κB ↓ in the lung tissue
[67]
Scutellariae Radix9Root
Farfarae Flos10 Flower
Ephedra sinica Stapf4Stem

Ge Gen Tang (GGT) Cinnamomum cassia Blume3.0TwigGGT was more effective given before than after viral inoculation ();
viral attachment ↓; viral internalization ↓;
in A549 cells:
IC50 was 8.8 μg/mL (2 h before);
IC50 was 27.1 μg/mL (1 h before);
IC50 was 184.7 μg/mL (1 h after);
the immune-modulatory effect: IFN-β ↑;  
GGT will not increase TNF-α secretion, but rather inhibit TNF-α secretion in HEp-2 cells
[1]
Ephedra sinica Stapf4.5Stem
Glycyrrhiza uralensis Fischer et DC3.0Radix
Paeonia lactiflora Pallas3.0Radix
Pueraria lobata Ohwi6.0Radix
Zingiber officinale Roscoe4.5Root-like stem
Ziziphus jujuba Mill.var. inermis (Bge.) Rehd.4.0Fruit

 Jia Wei Yu Ping Feng Tang (JYT) Radix Astragali 27.7 RootViral attachment ↓; RSV internalization ↓; lung lesions and complication ↓;
inhibiting the expression of ICAM1;
in A549 cells:
the JYT group: CC50: 1373.37 ± 2.8 μg/mL, IC50: 97.0 μg/mL;
the ribavirin group: CC50: 579.47 ± 7.4 μg/mL; the IC50 value of ribavirin was similar;
JYD could inhibit RSV infection in all three modes of treatment but was more effective in the simultaneous and posttreatment modes ()
[68]
Rhizoma Atractylodis Macrocephalae16.7Rhizome
Radix Saposhnikoviae16.7Root
Flos Lonicerae japonicae16.7Flower bud
Rhizoma Dryopteris Crassirhizoma11.1Rhizome
Pericarpium Citri Reticulatae 11.1 Fruit

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; NF-κB: nuclear factor-kappa B; IL: interleukin; IFN-γ: interferon-γ; IFN-β: interferon β; TLR4 inhibitor: toll-like receptor 4; A549: human lung carcinoma cell; HEp-2: human larynx epidermoid carcinoma cell; ICAM-1: intercellular cell adhesion molecule-1.
(b)

NamesCompositionMechanisms and resultsReferences
Plant or mineralWeight (g)Used part

Liu He Tang (LHT) Agastache rugosa2.0Whole plantLHT was more effective when given before viral inoculation ();
viral attachment () ↓; 
RSV internalization () ↓;
CC50: 3000 μg/mL; IC50: 34.2–82.8 μg/mL;
IC50 value of ribavirin was similar;
LHT stimulated epithelial cells to secrete IFN-β and TNF-α to counteract HRSV infection before infection becomes established⁢
[69]
Amomum villosum Lour.1.5seed
Atractylodes macrocephala Koidz.2.0Root-like stem
Chaenomeles sinensis2.0Fruit
Dolichos lablab L.2.0Seed
Glycyrrhiza uralensis Fischer
et DC
1.5Radix
Magnolia officinalis Rehd. et Wils.2.0Bark
Panax ginseng C.A. Meyer1.5Root
Pinellia ternata (Thunb.) Breit.1.5Root and stem
Poria cocos (Schw.) Wolf2.5Sclerotium
Prunus armeniaca L.1.5Seed
Zingiber officinale Roscoe1.5Root-like stem
Ziziphus jujuba Mill.
Var. inermis (Bge.) Rehd.
1.5Fruit

Xiao Qing Long Tang (XQLT) Ephedra sinica Stapf9.0⁢Stem ⁢Hot water extract of XQLT dose-dependently inhibited HRSV-induced plaque formation when given before viral inoculation ();
viral attachment ↓ ();
RSV internalization ↓ ();
CC50: 300 μg/mL; IC50: 34.2–82.8 μg/mL;
IC50 value of ribavirin was similar;
in A549 cells:
IC50 was 22.6 μg/mL (2 h before);
IC50 was 50.4 μg/mL (1 h before);
IC50 was 128.1 μg/mL (1 h after);
secreting IFN-β ↑ before and after viral inoculation to counteract viral infection ()
[70]
Cinnamomum cassia Blume6.0⁢Twig⁢
Paeonia lactiflora Pall.9.0⁢Root⁢
Glycyrrhiza uralensis Fisch.6.0⁢Root⁢
Zingiber officinale Rosc.3.0⁢Rhizome⁢
Pinellia ternata (Thunb.) Breit.9.0⁢Tuber⁢
Asarum heterotropides F Maekawa3.0⁢Whole plant⁢
Schisandra chinensis (Turcz.) Baill.3.0⁢ Fruit

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; IFN-β: interferon β; TNF-α: tumor necrosis factor-α; A549: human lung carcinoma cell.