Received: 12 April 2021
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Revised: 20 June 2021
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Accepted: 21 June 2021
DOI: 10.1111/jfbc.13851
REVIEW
Therapeutic potential of phytoconstituents of edible fruits in
combating emerging viral infections
Veerasamy Pushparaj Santhi1 | Poomaruthai Masilamani1,2 |
Venkatraman Sriramavaratharajan3 | Ramar Murugan4 | Shailendra S. Gurav5 |
Veerasamy Pushparaj Sarasu6 | Subbaiyan Parthiban1 | Muniappan Ayyanar7
1
Department of Fruit Science, Horticultural
College and Research Institute for Women,
Tamil Nadu Agricultural University,
Tiruchirappalli, India
2
Anbil Dharmalingam Agricultural College
and Research Institute, Tamil Nadu
Agricultural University, Tiruchirappalli, India
3
Abstract
Plant-derived bioactive molecules display potential antiviral activity against various
viral targets including mode of viral entry and its replication in host cells. Considering
the challenges and search for antiviral agents, this review provides substantiated
data on chemical constituents of edible fruits with promising antiviral activity. The
Virchow Biotech Private Limited,
Hyderabad, India
bioactive constituents like naringenin, mangiferin, α-mangostin, geraniin, punica-
4
lagin, and lectins of edible fruits exhibit antiviral effect by inhibiting viral replication
Centre for Research and Postgraduate
Studies in Botany, Ayya Nadar Janaki Ammal
College (Autonomous), Sivakasi, India
5
Department of Pharmacognosy and
Phytochemistry, Goa College of Pharmacy,
Goa University, Panaji, India
6
Department of Clinical Microbiology,
Government Medical College, Pudukkottai,
India
7
Department of Botany, A.V.V.M.
Sri Pushpam College (Autonomous),
Bharathidasan University, Thanjavur, India
Correspondence
Muniappan Ayyanar, Department of Botany,
A.V.V.M. Sri Pushpam College (Autonomous),
Bharathidasan University, Poondi – 613503
Thanjavur, India.
Email: asmayyanar@yahoo.com
Funding information
The writing of this manuscript was
supported by the grant received from
the Science and Engineering Research
Board (SERB), Department of Science
& Technology (DST), Government
of India, New Delhi, India (Grant No.
EMR/2016/007164)
against IFV, DENV, polio, CHIKV, Zika, HIV, HSV, HBV, HCV, and SARS-CoV. The
significance of edible fruit phytochemicals to block the virulence of various deadly
viruses through their inhibitory action against the entry and replication of viral genetic makeup and proteins are discussed. In view of the antiviral property of active
constituents of edible fruits which can strengthen the immune system and reduce
oxidative stress, they are suggested to be diet supplements to combat various viral
diseases including COVID-19.
Practical applications
Considering the increasing threat of COVID-19, it is suggested to examine the therapeutic efficacy of existing antiviral molecules of edible fruits which may provide prophylactic and adjuvant therapy with their potential antioxidant, anti-inflammatory,
and immune-modulatory effects. Several active molecules like geraniin, naringenin,
(2R,4R)-1,2,4-trihydroxyheptadec-16-one, betacyanins, mangiferin, punicalagin, isomangiferin, procyanidin B2, quercetin, marmelide, jacalin lectin, banana lectin, and
α-mangostin isolated from various edible fruits have showed promising antiviral
properties against different pathogenic viruses. Especially flavonoid compounds extracted from edible fruits possess potential antiviral activity against a wide array of
viruses like HIV-1, HSV-1 and 2, HCV, INF, dengue, yellow fever, NSV, and Zika virus
infection. Hence taking such fruits or edible fruits and their constituents/compounds
as dietary supplements could deliver adequate plasma levels in the body to optimize
Abbreviations: apoB, apolipoprotein B; CHIKV, chikungunya virus; CV-B3, coxsackievirus B3; DENV, dengue virus; DNA, deoxyribonucleic acid; EFCs, edible fruits and their
constituents/compounds; EV71, human enterovirus 71; HBV, hepatitis B virus; hCMV, human cytomegalovirus; HCV, hepatitis C virus; HIV, human immunodeficiency virus; HSV-1,
herpes simplex virus-1; HSV-2, herpes simplex virus-2; IFN-α, interferon alpha; IFN- γ, interferon gamma; IFV-A, influenza A virus; IFV-B, influenza B virus; MDCK, Madin-Darby canine
kidney; MERS- CoV, Middle East respiratory syndrome virus; NSV, sindbis neurovirulent strain; PBMC, peripheral blood mononuclear cell; PEDV, porcine epidemic diarrhea virus; RNA,
ribonucleic acid; RNS, reactive nitrogen species; ROS, reactive oxygen species; RSV, respiratory syncytial virus; SARS, severe acute respiratory syndrome; Th1, T helper type 1; Th2, T
helper type 2; TNF-α, tumor necrosis factor alpha; VLDL, very low density lipoprotein; VZV, Varicella-zoster virus; WHO, World Health Organization.
J Food Biochem. 2021;00:e13851.
https://doi.org/10.1111/jfbc.13851
wileyonlinelibrary.com/journal/jfbc
© 2021 Wiley Periodicals LLC.
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the cell and tissue levels and could lead to possible benefits for the preventive measures for this pandemic COVID-19 situation.
KEYWORDS
COVID-19, immune-modulators, phytochemicals, therapeutics, viral replication
1 | I NTRO D U C TI O N
in 2012, thrombocytopenia syndrome causing SFTS bunyavirus in
2010, Ebola in West Africa during 2014–2016 and Zika virus in 2015
Viruses are one of the major causes of morbidity and mortality
(Baseler et al., 2017; Bogoch et al., 2016; Vijaykrishna et al., 2010; Yu
around the world that affect about five million people annually
et al., 2011; Zumla et al., 2015). Of these, SARS-CoV and MERS-CoV
(Andersen et al., 2020). There is an ever increase in the number of
are caused by the coronaviruses, the major pathogens which target
cases of human immunedeficiency virus, influenza, hepatitis C virus,
the primary respiratory system in humans and pose severe threat
and herpes simplex viruses which are leading causes of morbidity
during the last two decades.
and death in human (Khwaza et al., 2018). The respiratory tract in-
Most recent viral emergence is SARS-CoV-2, coronavirus disease
fections caused by different viral pathogens especially influenza
2019 (COVID-2019, a large group of ssRNA viruses) originated in
viruses are considered a critical public health issue and causing mil-
the middle of December 2019 from the city of Wuhan in China and
lions of deaths worldwide annually, particularly with lower respira-
now spreading to almost 220 countries with 178,503,429 confirmed
tory tract infections (Farrag et al., 2019). To overcome this, novel
cases including 3,872,457 deaths as of 05:44 pm CEST, 22 June 2021
molecules of natural products which hold effective therapeutic
as reported to World Health Organization (http://who.sprinklr.com).
potential against such viral diseases are the prime focus to prevent
The SARS-CoV-2 is transmitted from human to human by respiratory
the widespread infections and identification of antiviral mechanisms
droplets, close contact with diseased persons, and possibly by oral
from these drugs is attracted the researchers throughout the World
and aerosol contact of diseased patients and airborne transmission
(Patel et al., 2021).
is extremely virulent and represents a foremost route to spread of
Many viral diseases have so far been emerged from different parts
disease (dos Santos, 2020). The major routes of transmission of virus
of the world. Most of these viral diseases are infectious and pose
are reported by new infections within the family members, health
continuous challenge that can emerge or re-emerge at unpredict-
care workers, and small to larger communities. Because of rapid
able times in diverse climatic conditions. An emerging viral disease
spread and nature of transmission, the WHO declared the COVID-19
is broadly referred as one of the newly evolved infectious disease
as a pandemic disease with public health emergency of international
or recently recognized or have not been witnessed earlier within a
concern (Chikhale et al., 2020; Walls et al., 2020).
specific population or geographical region (Gedif Meseret, 2020).
The common symptoms of COVID-19 in humans include fever,
Smallpox emerged from Asia and spread to Europe in 5th century,
cough, dyspnea (shortness of breath), and in severe cases, the in-
yellow fever emerged from America during the 16th century, dengue
fection causes SARS, kidney failure, and pneumonia which leads to
fever from South-east Asia, Africa, and North America during the
death (Xian et al., 2020). Like SARS-CoV, the SARS-Cov-2 affects the
18th century, Spanish flu during 1918–1919 in almost all countries
elderly people with underlying comorbidities and cause complica-
which killed about 40 million people and HIV originated from Africa
tions with bilateral interstitial pneumonia, acute respiratory distress
in the second half of the 20th century which kills nearly 300,000
syndrome, acute cardiac injury, and secondary super-infections (Liu
people every year (Chastel, 2007).
et al., 2020). The potential cellular and molecular level pathogen-
Since 1980s, the world has frequently been facing newly devel-
esis of SARS-CoV-2 and its mechanisms responsible for different
oped/formed pandemic viral infections which continue as a major
malfunctions in the body are still unidentified (Filardo et al., 2020).
threat to the human population. In the late 1990s, a highly patho-
The recent pieces of evidence prove that the spike glycoproteins
genic and deadly avian influenza A virus (H5N1) with several sub-
of SARS-CoV-2 have structural similarity to the SARS-CoV (Lin
types like H7N9, H9N2, and H7N3 spread from poultry to human
et al., 2020; Walls et al., 2020).
which becomes a pandemic disease (Luo (George) & Gao, 2020).
The foremost step and important phenomenon in the coronavi-
Nipah virus (paramyxovirus) has been identified as a major cause of
rus infection is a viral entry into the host cell (interaction of host cell
severe encephalitis in South-east Asian countries (Chua, 2000).
through viral spike protein) followed by replication and spread into
Severe acute respiratory syndrome (SARS), a respiratory dis-
healthy cells. The natural therapeutic agents which block the entry
ease caused by a novel coronavirus (SARS-CoV) was first identi-
of viral DNA/RNA can be considered as potential antiviral therapeu-
fied from China in early 2000 that affected people in 37 countries
tics (Sayed et al., 2020; Zahedipour et al., 2020). There are many re-
with over 8,000 infections and 774 deaths (Fouchier et al., 2003).
semblances between the genetic makeup of MERS-CoV, SARS-CoV,
Other viral diseases emerged in the beginning of 21st century are
and SARS-CoV-2 (all three belong to a β-coronavirus family with
the pandemic influenza in 2009 (caused by swine H1N1 influenza
ssRNA, closer genome sequence homology, and almost same patho-
A virus), the Middle East respiratory syndrome virus (MERS-CoV)
genesis mechanism) and existing plant-based antiviral therapies used
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for SARS-CoV can also be examined against the COVID-19 (Bhuiyan
promising results against the deadly viruses like coronaviruses in hu-
et al., 2020).
mans (Mani et al., 2020; Sinha et al., 2020).
With the speedy spread of COVID-19, it is considered a major
Research on antiviral agents from plant extracts has gained mo-
alarming threat for almost all the countries and there is an increased
mentum since 1950s when some of the traditional medicinal plants
demand to carry out extensive research in developing effective vac-
have proven effective against some pathogenic viruses. Antiviral
cines or antiviral agents against the various strains of coronaviruses
synthetic medicines administered for exterminating these infectious
(Bhuiyan et al., 2020). The currently available drugs which are effec-
viruses also impose side effects on human health thus demanding in-
tive against some of the coronavirus strains can also be used against
tervention of antiviral agents of plant origin. Post-exposure of human
COVID-19, but this is not the perfect solution to overcome this pan-
system to different viral infections requires effective therapeutic
demic situation (Wilder-Smith et al., 2020).
approaches to overcome severe infections and it is vital to develop
novel antiviral agents from natural products (Chukwu Odimegwu &
Gospel Ukachukwu, 2020). Plant-derived bioactives display antiviral
1.1 | Natural products as antiviral agents
activity against the SARS viral targets including mode of viral entry
and viral replication into host cells (Sayed et al., 2020).
Natural products have made great contributions to human health.
Given the facts of the ability of edible fruit constituents in im-
Since ancient times, natural products from plant resources are used
proving body immunity, we have tried to consolidate previously pub-
in treating various diseases including viral infections. Subsequently,
lished data on such research with antiviral potential. The objective
many active constituents have been identified, isolated and their
of this review was to gather information on antiviral properties of
mechanisms of action in host organism have been elucidated by vari-
bioactive constituents isolated from edible fruits, and efforts to ob-
ous researchers (Liu & Du, 2012). Plants have the potential to pro-
tain their efficient delivery. Since secondary metabolites of edible
duce diverse secondary metabolites and maintain human health by
fruits are reported to possess antiviral properties, these can also be
inhibiting virus attachment, penetration, replication, and interfering
utilized in combating COVID-19 in the current pandemic situation.
intracellular signal activation pathways. So, it is essential to develop
potential antiviral agents from natural products that have been traditionally used as antiviral agents which can be expected to prolong
1.2 | Review methodology
the efficacy of drug therapy.
Although the antiviral activity of several natural products against
Several online bibliographical databases including PubMed, Scopus,
various infectious viruses has been investigated, there is a lacuna
and Web of Science were used to search literature on the antivi-
in the development of natural drugs as antiviral therapies against
ral effect of edible fruit constituents. An extensive literature search
the coronaviruses which cause many diseases like bronchitis, gas-
was conducted in the above databases with the terms “edible
troenteritis, hepatitis, pneumonia and leads to death in birds, bats,
fruits and phytoconstituents”, edible fruit constituents, “antiviral
cats, and humans (Denaro et al., 2020; Islam et al., 2020). There are
activity” along with “viral infections”, “viral replication”, “immuno-
several classes of phytochemicals present in various parts of plants
modulators”, and “immune boosters”. Only the reports that were
which are reported to have many active principles with antiviral ac-
in English were considered and included while compiling the data.
tivity (Ghildiyal et al., 2020). The phytochemicals like phenolic com-
The related articles linked to the retrieval list of articles were auto-
pounds, alkaloids, flavonoids, saponins, quinines, tannins, terpenes,
prompted during the literature search and reviewed for relevance.
proanthocyanidins, proanthocyanins, lignins, glycosides, steroids,
The references cited in the retrieved articles were also searched to
organic acids, coumarins thiosulfonates with a broad spectrum of
get further results. Chemical structures of compounds were drawn
pharmacokinetics, are reported to have antiviral activity (Chukwu
using ACD/ChemSketch software (ACD/Labs Release 2012, File ver-
Odimegwu & Gospel Ukachukwu, 2020; Liu & Du, 2012).
sion 14.01, Build 65,894).
The bioactive plant compounds like rutin, quercetin, myricetin and baicalin, mangiferin, naringenin are effective against avian
IFV, HSV-1, HSV-2, IFV, rhinovirus, DENV, poliovirus, adenovirus,
Epstein-Barr virus, Mayaro virus, Japanese encephalitis virus, respi-
1.3 | Phytoconstituents (from edible fruits) as
source of antiviral agents
ratory syncytial virus, HCV, enterovirus, Newcastle disease virus,
HIV, HBV, and Zika virus (Ben-Shabat et al., 2020). The mechanism
Bioactive constituents like flavonoids and polyphenols extracted
of action of these antiviral compounds is also well addressed. In the
from various fruits shown to alleviate an inflammatory response
last few decades, the success of plant-based effective therapies
in adipocytes, macrophages, and other immune cells and improve
led to much attention in the identification of antiviral lead mole-
several metabolic disorders by modulating their mechanism (Li
cules of plant origin (Lee et al., 2013). With the continuous search
et al., 2020). Among the reported phytochemicals from edible
on antiviral agents, plant-based natural compounds such as caffeic
fruits, phenolic compounds were extensively studied to reduce
acid, griffithsin, isobavachalcone, myricetin, psoralidin, quercetin,
the risk of life-threatening diseases like cancer, heart problem, and
saikosaponin B2, scutellarein, silvestrol, and tryptanthrin showed
diabetes along with antimicrobial, antiviral, anti-inflammatory, and
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antiallergenic properties (Shahidi & Ambigaipalan, 2015). Several
oxidative damage and improving the immune system) and it can
plants of nutraceutical significance and their phytochemicals are
also be effective antiviral agents against COVID-19. The existing
reported to be effective against diverse viral respiratory infections
evidences suggest that a number of phytoconstituents derived
and altered the immune stimulation and inflammation modulating
from fruits, spices, herbals, and roots possess a significant antioxi-
effects (Patel et al., 2021). Due to the revival of interest in herbal
dant, anti-inflammatory and virucidal functions and can reduce the
medicines and novel compounds of nutraceutical plants, the AYUSH
risk or severity of a wide range of viral infections by boosting the
(https://www.ayush.gov.in/) systems of medicine promote lifestyle
immune response mostly in people with deficient dietary sources
modification and dietary management in day-to-day life in the pre-
(Mrityunjaya et al., 2020).
vention of COVID-19 by improving immunity in the body.
Many functional foods and substances naturally possess diverse
Antioxidants present in edible fruits can scavenge reactive ox-
bioactive compounds that have been scientifically proven to have
ygen species and inhibit the NF-kB-mediated inflammation which
immune-boosting properties and antioxidant present in such foods
leads to inhibit oxidative stress (Wood & Gibson, 2009). The excess
or edible fruits can be directly obtained as dietary supplements
amount of free radicles produced in the body by various factors
(López-Varela et al., 2002). For example, hesperidin from orange
could cause oxidative stress which leads to chronic diseases, so the
(one of the renowned source for its vitamin and flavonoids content)
increased consumption of edible fruits with a rich amount of antiox-
attracted the attention of researchers, since the compound has a low
idants in the daily diet will prevent or slow down the oxidative stress
binding energy, both with the SARS-CoV-2 spike protein and with
(Sun et al., 2002). Several flavonoid compounds extracted from edi-
main protease which transforms the early proteins of virus into a
ble fruits possess antiviral activity against a wide array of viruses like
complex responsible for viral replication in host cells as evidenced
HIV-1, HSV-1 and 2, HCV, INF, dengue, yellow fever, NSV, and Zika
by computational methods (Bellavite & Donzelli, 2020). Flavonoid
virus infection (Cataneo et al., 2019).
compounds have the capacity to bind with functional domains of the
Various bioactive components present in the edible fruits could
SARS-CoV-2 protein which referred as the viral surface glycoprotein
have complementary and overlapping mechanisms of action by per-
that required for early attachment and internalization of viruses into
forming as antioxidants, stimulant factor in the immune system, mo-
the host cells (Patel et al., 2021).
lecular level regulators of gene expression in cell proliferation and
apoptosis, hormone metabolism as well as antimicrobial and antiviral
agents (Liu, 2013). The phytochemicals present in the edible fruits
1.4 | Naringenin, a potent antiviral compound
act as immune-modulators by enhancing the cell-mediated immunity and activate non-specific immune responses and activation of
The flavonoid group of compounds are effective against several
necessary immune cells in the body result in the production of vital
viruses mainly HCV by blocking its entry into host cell and can al-
components like interferons, cytokines, and chemokines which are
leviate HCV infection by reducing apolipoprotein B100 (apoB100)
served as stimulators in the immune responses (Yang & Wang, 2020).
secretion which is required for infection of HCV (Hernández-Aquino
The phytochemicals tested for antiviral activity are abundant in var-
& Muriel, 2018). Naringenin (4′,5,7-trihydroxy flavanone; Figure 1a)
ious nuts, fruits, berries, and its active components possibly have
is one of the most important naturally occurring flavonoids widely
the capacity to diminish infection and replication of many viruses
distributed in various fruits and vegetables and one of a promis-
(Brijesh et al., 2009).
ing drug candidate in the development of anti-COVID-19 therapy
The review also provided an overview of likely effects of the
(Tutunchi et al., 2020).
intake of edible fruits constituents to strengthen the immune cells
The addition of naringenin at 250, 125, and 62.5 μM to Huh-7.5
by reducing the oxidative stress in host body system which in turn
cells infected with DENV 1,2,3, and 4 serotypes proved the ability
inhibit the viral attachment and replication on the host cell. Several
to impair and reduce the DENV replication and its maturation with
active molecules from the fruits like geraniin from rambutan, nar-
effectiveness similar to IFN-α 2A (a well-known antiviral cytokine)
ingenin from citrus and grapes, (2R,4R)-1,2,4-trihydroxyheptadec-
and ribavirin treatments (Frabasile et al., 2017). After 24 hr of nar-
16-one from avocado, betacyanin from red dragon, mangiferin and
ingenin treatment at 62.5 μM concentration (identified as non-toxic
isomangiferin from mango, procyanidin B2 and quercetin from apple,
concentration), it effectively reduced the percentage of Huh-7.5
punicalagin from pomegranate, marmelide from bael, jacalin lectin
DENV-1 infected cells and reduced the number of infected CD14+
from jackfruit, and a banana lectin from banana have been isolated
cells in human PBMCs and number of infectious virus particles in the
and showed promising antiviral properties against different patho-
culture. It was also revealed that, after 6 hr of naringenin treatment,
genic viruses (Table 1). Several of these phytochemicals of edible
the DENV-1 infection reduced the DENV-titer which confirms the
fruits have complementary and overlapping mechanisms of action
potential anti-DENV activity of this flavanone compound.
including potential antiviral effect by either inhibiting the formation
Naringenin impairs the ZIKV replication and efficiently reduced
of viral DNA/RNA or inhibiting the activity of viral reproduction in-
the number of ZIKV infected human monocyte-derived dendritic
side the host cell.
cells at 125 μM (Cataneo et al., 2019). From the molecular mod-
The EFCs possessed a vast range of antiviral activity through dif-
elling data, naringenin’s ability to interact with viral protease (al-
ferent mode of action (e.g., inhibition of viral replication, reducing
losteric inhibitors) is analyzed and the molecular target of naringenin
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TA B L E 1
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List of phytochemicals isolated from edible fruits with antiviral properties
Phytochemical
Viruses studied
Observation
References
Naringenin
HBV
Infectivity of viruses in the host cell by targeting viral
envelope by reverse transcriptases
Alam et al. (2017)
HCV
Reduction in lipid profile and liver enzyme aspartate
transaminase with a decreased infectivity and spread of
infection
Goncalves et al. (2017)
DENV-1,2,3 & 4
Reduction in Huh-7.5 DENV-1 infected cells and CD14+
cells in human PBMCs
Frabasile et al. (2017)
DENV-2
50% of reduction in viral RNA infection
Zandi et al. (2011)
ZIKV
Reduction in the number of infected hmd-DCs by
impairing the viral replication
Cataneo et al. (2019)
HCV
Minimum binding energy with NS2 protease and target
protein for antiviral activity were analysed by in silico
method
Sajitha Lulu et al. (2016)
CHIKV
Production of viral proteins was prevented in a host cell by
which leads to killing 50% of infected cells
Ahmadi et al. (2016)
NSV
80% of viral replication was inhibited by blocking the
infectivity
Paredes et al. (2003)
HCV
70% of inhibition in the secretion of HCV core and HCV
RNA which leads to inhibition of apoB100-dependent
HCV secretion
Nahmias et al. (2008)
HCV
Assembly of infectious HCV particles blocked by
activating the peroxisome proliferator-activated
receptor-α and reduction in VLDL production
Goldwasser et al. (2011)
HSV-1
56.8% of plaque reduction was observed with decreased
viral replication
Zheng and Lu (1990)
HIV
The significant cytopathic effect in infected cells
Guha et al. (1996)
Poliovirus
Increased virulence and replication of the virus in host
cells was observed in different stages of poliovirus
Rechenchoski
et al. (2018)
HSV-2
Viral replication was significantly reduced with decreased
plaque formation in HeLa cells
Zhu et al. (1993)
HIV-1IIIB & HIV-1RF
The inhibitory activity is effective against peptidic
protease inhibitor-resistant strains in lower
concentrations
Wang et al. (2011)
Isomangiferin
HSV-1
69.5% of plaque reduction with decreased viral replication
Zheng et al. (1990)
α-Mangostin
HIV-1
Significant inhibitory activity with decreased viral
replication
Chen et al. (1996)
DENV-2
Viral replication was reduced by more than 50% and
increased gradually by post-infection
Sugiyanto et al. (2019)
DENV-1,2,3 & 4
The infection rate was reduced by 47%–55% by inhibiting
the cytokine and chemokine transcription
Tarasuk et al. (2017)
DENV-2
100% inhibition of viral replication was noticed by
preventing the viral attachment at early stages of
infection
Abdul Ahmad et al.
(2017)
EV71
Addition of geraniin at 2 hr post EV71 infection on human
rhabdomyosarcoma cells inhibited infectious virus yield
and viral RNA replication
Yang, Zhang,
et al. (2012)
Geraniin significantly enhanced the survival rate of EV71
infected mice and decreased viral replication in muscle
tissues
Yang, Zhang,
et al. (2012)
The compound inhibited the replication of HSV-2 with
an IC 50 and IC90 of 18.4 ± 2.0 and 37.6 ± 2.3 µM,
respectively, and inhibited the replication of HSV-1 with
an IC50 of 35.0 ± 4.2 µM.
Yang et al. (2007)
Mangiferin
Geraniin
DENV-1,2
(Continues)
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SANTHI eT Al.
(Continued)
Viruses studied
Observation
References
HIV-1
Significant inhibitory effect against the replication of
HIV-1 showed with IC50 and EC50 of 1.8 ± 0.5 µg/ml and
0.24 ± 0.10 µg/ml respectively in MAGI cells
Notka et al. (2003)
The significant anti-HIV activity was recorded in CD4+
lymphoid cells MT4 at even low concentrations
Notka et al. (2003)
EV71
Viral replication was inhibited with reduced cytopathic
effect on rhabdomyosarcoma cells
Yang, Zhang,
et al. (2012)
HSV-1
Viral infectivity and replication were reduced 8-fold with
no toxicity
Houston et al. (2017)
HSV-2
100% inhibition of viral infection was recorded in
Hep-2 cells of human epithelial tissue
Arunkumar and
Rajarajan (2018)
HBV
Punicalagin down regulated the level of cccDNA formation
in HBV without inhibiting viral RNA transcription and
DNA replication in the host cells.
Liu et al. (2016)
IFV-A
The compound significantly inhibiting the agglutination of
chicken RBCs in the IFV-A and prevents the proliferation
of IFV-A in both single and multiple cycle growth
conditions in infected MDCK cells
Haidari et al. (2009)
(2R, 4R)-1,2,4trihydroxyheptadec-16-one
DENV-1,2,3 & 4
The survival rate of DENV infected mice was increased by
stimulating the NF-κB- mediated IFN responses with no
cytotoxicity
Wu et al. (2019)
BanLec (Banana lectin)
HIV-1
Attachment of virus into the host cell was prevented in
very low concentrations
Mazalovska and
Kouokam (2018)
HIV
Mitogenicity and significant antiviral properties were
observed
Swanson et al. (2015)
Influenza A, B
Engineered BanLec exhibited antiviral activity at 10 μg/ml
Covés-Datson et al.
(2020)
HIV
Penetration of viral particles and viral envelopes into the
host cells was observed with less toxicity
Akkouh et al. (2015)
HIV
Inhibition of viral entry into the host cell and spread of
infection was reduced by binding to the glycosylated viral
envelope
Swanson et al. (2010)
HIV-1
Inhibition of viral replication by binding to membrane
molecules together with CD4
Favero et al. (1993)
HSV-2, VZV, hCMV
50% of inhibition and viral replication was noticed with
mitogenic action for NK lymphocyte
Wetprasit et al. (2000)
Lectin like compounds
(Japanese plum)
H1N1, H3N2
Prevents the attachment of viral haemagglutination in
host MDCK cells before viral adsorption
Yingsakmongkon
et al. (2008)
Betacyanin (Fractions)
DEN-V
95% of viral replication and infection was inhibited with
no cytotoxicity
Chang et al. (2020)
Marmelide
Coxsackievirus B3
Loss of infectivity was observed with inactivating the
viruses at 125 µg/ml for 1 hr at 37℃
Badam et al. (2002)
Phytochemical
Punicalagin
Jacalin (Jackfruit lectin)
is NS2B-NS3 protease. It is proved that naringenin displays strong
down-regulating the production of viral proteins that are involved in
antiviral activity by affecting viral replication or assembly of viral
viral replication (Ahmadi et al., 2016). Administration of naringenin
particles especially post-infection (Cataneo et al., 2019). Antiviral
at 25 μg/ml in baby hamster cells 21 clone 15 (BHK-21) infected with
activity of naringenin is analyzed by protein prediction study using
sindbis neurovirulent strain (NSV) inhibited the viral replication up
molecular modelling protocol, in which it showed minimum binding
to 80% by blocking the infectivity of the NSV (Paredes et al., 2003).
energy of 7.97 kcal/mol with NS2 protease and all the observed li-
The HCV is the foremost cause for chronic liver diseases asso-
gands present within the binding pocket of target protein (Sajitha
ciated with circulating lipoproteins, cholesterol, and lipid pathways
Lulu et al., 2016).
and it progresses to a chronic state in about 70% of patients, ul-
Naringenin extracted from the citrus fruits possesses significant
timately causing cirrhosis and hepatocellular carcinoma (Nahmias
antiviral activity by inhibiting the CHIKV replication in a host cell and
et al., 2008). Their study also suggested to take naringenin as
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(b)
(a)
(e)
(c)
(f)
7 of 16
(d)
(g)
(h)
F I G U R E 1 Major phytochemicals isolated from edible fruits with potential antiviral properties. (a) Naringenin; (b) Mangiferin;
(c) Isomangiferin; (d) α-Mangostin; (e) Geraniin; (f) Punicalagin; (g) Betacyanins; (h) Marmelide
supplementation with the diet to HCV patients since, the compound
presence of 0.14 μg/mg concentration of naringenin in ethanolic leaf
has the ability of reduction in HCV viral load by inhibiting viral secre-
extracts of the plant Guiera senegalensis J.F. Gmel. (Combretaceae)
tion and possibly by allowing uninfected cells to regenerate which
showed significant anti-HBV activity by RP-HPTLC method which
potentially increasing the overall rate of viral clearance in the pa-
supports the possible role of the compound in inhibition of HBV
tients. The HCV replication depends on the expression of apoB100
gene expressions and DNA replication (Alam et al., 2017).
and assembly very-low-density lipoprotein (VLDL) in host cells especially in human hepatocytes (Huang et al., 2007).
The Huh-7.5.1 cells infected with HCV administered with 200 μM
naringenin for 24 hr inhibits the secretion of HCV core and HCV
1.5 | Mangiferin against HSV-1, 2,
HIV, and poliovirus
positive-strand RNA followed by inhibition of apoB100-dependent
HCV secretion in a dose-dependent manner (Nahmias et al., 2008).
Mangiferin (1,3,6,7-tetrahydroxy-C2-β-D-glucoside) is a xanthone
Naringenin obtained from grapefruit [Vitis vinifera L., Vitaceae] re-
glucoside found in significant level in higher plants and a major com-
pressed VLDL secretion, microsomal triglyceride transfer protein
pound in various parts of Mango [Mangifera indica L., Anacardiaceae]
activity, and transcription of 3-hydroxy-3-methyl-glutarl-coenzyme
such as fruit peel, kernel, stalk, leaf, bark, and seed. It possesses
A reductase and acyl-coenzyme A cholesterol acyl-transferase lead-
immune-modulating effects on different oxidative mechanisms in
ing to a reduction in 80% of HCV by silencing the apoB mRNA in
curing various disorders (Wang et al., 2011). Mangiferin (Figure 1b)
infected cells and caused a 70% reduction in the release of apoB100
and isomangiferin (Figure 1c) isolated from the fruit pulp of mango
as well as HCV replication (Nahmias et al., 2008).
have significant antiviral property against HSV-1 with 56.8% and
Naringenin obtained from the grapefruit significantly inhibited
69.5% of average plaque reduction rates respectively and have com-
the secretion of apoB and HCV RNA followed by a decreased level
parable results over the standard drugs like acyclovir, idoxuridine,
of HCV core protein secretion (Goldwasser et al., 2011). Naringenin
and cyclocytidine (Zheng & Lu, 1990). Mangiferin isolated from the
inhibits the HCV secretion by blocking the assembly of infectious
leaves of mango showed an EC50 and EC99 at the concentration of
HCV particles and the antiviral activity is mediated by activating per-
33 and 80 mg/ml against HSV-2 plaque formation in HeLa cells and
oxisome proliferator-activated receptor-α led to a reduction in VLDL
reduces viral replication efficiently in the late event of HSV-2 repli-
production which is necessary for the secretion of HCV particles in
cation (Zhu et al., 1993).
host cells.
Naringenin exhibited significant virucidal activity against the
Mangiferin purified from the fruits of Mango at a concentration
of 10 µg/ml significantly reduced the cytopathic effect of HIV in
DENV-2 type with the IC50 of 52.64 μg/ml by inhibiting the DENV-2
susceptible human leukemia cells and showed a EC50 of the drug at
RNA level at 50 μg/ml concentration (Keivan et al., 2014). The
3.59 µg/ml and compound did not found any substantial change in
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the uninfected human leukemia cells when added with the differ-
SANTHI eT Al.
and DENV-3 was recorded by decreasing the cytokine (IL-6 and
ent doses of mangiferin (Guha et al., 1996). Mangiferin purified from
TNF-α) and chemokine (RANTES, MIP-1β, and IP-10) transcription.
the root and rhizome extracts of anemarrhena (Anemarrhena aspho-
Therefore, α-mangostin can be considered as a potent antiviral agent
deloides Bunge, Asparagaceae) exhibited dose-dependent anti-HIV
than the synthetic ribavirin due to its superior activity. In the coun-
inhibitory activity on HIV-1 induced syncytium formation in HIV-1IIIB
tries where all the four DENV serotypes are common which leads to
and HIV-1RF with the EC50 of 7.13 μg/ml (16.90 μM) and 15.45 μg/ml
severe secondary infections, α-mangostin is ideal and an effective
(36.61 μM) respectively (Wang et al., 2011). In the time-of-addition
antiviral drug (Sugiyanto et al., 2019).
assay, when mangiferin was added at various times after HIV-1IIIB
In vitro prophylactic effect of α-mangostin (extracted from the
infected C8166 cells, the compound blocked HIV-1 p24 antigen pro-
pericarps of mangosteen) was significantly inhibited the replication
duction after 12 hr. It is also observed that mangiferin is effective
of CHIKV in Vero E6 cells with the 100% reduction of virus titer at
against HIV-1 peptidic protease inhibitor-resistant strains and less
8 μM concentration under cotreatment condition (Patil et al., 2021).
effective against the protease inhibitor-resistant strains of HIV-1.
Also, reduction of CHIKV replication in serum and muscles of in-
Mangiferin isolated from the fruit peels of mango showed good
fected mice models showed nearly 99% of reduction in CHIKV RNA
inhibitory property against poliovirus-1 with 97.8%, 84.2%, and
copies with low and high dose of α-mangostin. The molecular dock-
57.1% of viral inhibition at 200, 100, and 50 μg/ml concentrations,
ing study revealed that α-mangostin interacts with the E2-E1 het-
respectively (Rechenchoski et al., 2018). The overall IC50 was re-
erodimeric glycoprotein and the outcomes suggest that α-mangostin
corded as 53.5 μg/ml and after 12 hr of mangiferin treatment 62.7%
can possibly inhibit the replication of CHIKV infection through mul-
of viral inhibition was recorded at the concentration of 100 μg/ml.
tiple target proteins (Patil et al., 2021).
However, during the late stages of viral replication, even at a low
concentration (25 μg/ml) mangiferin exhibited strong virucidal activity with 100% of viral inhibition of viral adsorption.
1.6 | α-Mangostin against DENV, HIV, and CHIKV
1.7 | Geraniin against DENV-2, EV71,
HSV-1,2, and HIV
Geraniin (Figure 1e) is an ellagitannin with a complex chemical structure belongs to a hydrolysable tannin group and commonly found
The α-mangostin (Figure 1d) is the major xanthone extracted from
in edible fruits like common berries (raspberries, strawberries,
the pericarps and bark of the mangosteen (Garcinia mangostana L.,
and blackberries), pomegranate, almonds, rambutan, and walnuts
Clusiaceae) and holds a wide range of biological activities such as an-
(Palanisamy et al., 2011). Gareniin has a wide range of pharmaco-
timicrobial, antiparasitic, antioxidant, anti-inflammatory, anti-tumor,
logical activities and possesses antioxidant, antibacterial, antifungal,
antiobesity, cardioprotective, and antidiabetic (Ibrahim et al., 2016).
antitumour, antihypertensive, antinociceptive, radioprotective, and
This xanthone compound showed noteworthy pharmacological ef-
antiviral properties (Yang, Zhang, et al., 2012).
fects in in vitro studies as well as in experimental animal models
through various mechanisms of action.
Geraniin isolated from the rambutan [Nephelium lappaceum L.,
Sapindaceae] fruit rind reduces the infectivity of DENV-2, represses
The ethanolic extract of mangosteen fruit is considered as a
the viral attachment, and prevents DENV-2 replication upto 100%
potent inhibitor of HIV-1 protease activity and the antiviral prop-
of inhibition during early stages of viral infection (Abdul Ahmad
erty of this fruit is due to the presence of purified molecules like
et al., 2017). Geraniin effectively reduced the DENV-2 infectivity at
α-mangostin and γ-mangostin (Chen et al., 1996). The administra-
3.28 μM of concentration in a dose-dependent manner. It was also
tion of α-mangostin (obtained from the pericarps of mangosteen)
observed that the mechanism of geraniin is either through the bind-
to dengue patients during the acute phase of illness may decrease
ing or disruption to the DENV-E protein by inhibiting attachment
infection severity by activating the host’s immune response through
of the virus to cellular receptors and binding of geraniin to E-DIII
mechanism of interfering DENV NS5 protein activity which is essen-
prevents protein-protein interaction between host cells and DENV-2
tial for DENV replication and reducing transcriptional responses of
thus preventing viral attachment and entry of DENV into the host
cytokines (Sugiyanto et al., 2019).
cells (Abdul Ahmad et al., 2017). Geraniin produced a low cytotoxic-
The effect of α-mangostin against the DENV infection and post-
ity on human rhabdomyosarcoma cells in plaque reduction assay and
infection in PBMCs, TNF-α and IFN- γ cytokines revealed that in-
addition of 20 μg/ml concentration of geraniin (with an IC50 of 10 μg/
creasing concentration of α-mangostin inhibits the viral replication
ml) at 2 hr post EV71 infection positively inhibited the infectious
by more than 50% with the IC50 of 5.47 and 5.77 μM for 24 and
virus yield and viral RNA replication (Yang, Zhang, et al., 2012). In an
48 hr of post-treatments, respectively (Sugiyanto et al., 2019). The
in vivo study, the treatment of 0.4 and 1.0 mg/kg doses of geraniin
α-mangostin inhibits DENV production in cultured hepatocellular
significantly enhanced the survival rate of EV71 infected mice with
carcinoma HepG2 and Huh-7 cells, and cytokine/chemokine ex-
35% and 40%, respectively with a reduction in mortality and de-
pression in HepG2 cells (Tarasuk et al., 2017). DENV virus-infected
creased viral replication in muscle tissues (Yang, Zhang, et al., 2012).
cells treated with α-mangostin considerably reduced the infection
Geraniin extracted from the whole plant parts of Phyllanthus uri-
rates 47%–55%, and complete inhibition in production of DENV-1
naria L. [Phyllanthaceae] showed promising anti-HSV-1 and HSV-2
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activity (Yang et al., 2007). The compound efficiently inhibited the
virucidal action with a resulting log reduction of 4.6 ± 0.16 mg/
replication of HSV-2 with the IC50 and IC90 of 18.4 ± 2.0 µM and
ml from 2.4 ± 0.9 mg/ml. Punicalagin exhibits a strong anti-HSV-2
37.6 ± 2.3 µM concentrations, respectively, and showed strong
activity with 100% inhibition at 31.25 μg/ml and 50% of inhibition
inhibitory effect against the replication of HSV-1 with the IC50 of
at 15.625 μg/ml in HEp-2 cells of human epithelial tissue-specific
35.0 ± 4.2 µM concentration of geraniin. The purified fraction of
(Arunkumar & Rajarajan, 2018). Liu et al. (2016) made an attempt
Phyllanthus emblica leaves enriched with geraniin showed significant
to examine the anti-HBV activity of punicalagin through cell-based
inhibitory effect against the replication of HIV-1 with the IC50 and
cccDNA (covalanetly closed circular DNA which formed from circu-
EC50 values of 1.8 ± 0.5 µg/ml (at a concentration of 1.9 ± 0.5 µM)
lar partially double-strand DNA) accumulation and stability assay
and 0.24 ± 0.10 µg/ml (at a concentration of 0.25 ± 0.1 µM), respec-
in HepDES19 and HepG2.117 cell lines. Their study revealed that,
tively, in MAGI cells (Notka et al., 2003). Likewise, geraniin showed
punicalagin efficiently down regulated the level of cccDNA forma-
decent anti-HIV-1 activity in the CD4+ lymphoid cells MT4 with the
tion in HBV without inhibiting RNA transcription and DNA replica-
EC50 and CC50 values of 0.46 ± 0.17 µg/ml (0.48 ± 0.18 µM concen-
tion in host cells that indicates the role of punicalagin in cccDNA
tration) and 13.53 ± 2.30 µg/ml (14.20 ± 2.41 µM concentration)
metabolism.
respectively.
1.8 | Punicalagin against IFV-A, EV71,
HSV-1, 2, and HBV
1.9 | (2R,4R)-1,2,4-Trihydroxyheptadec-16-one
against DENV
The compound (2R,4R)-1,2,4-trihydroxyheptadec-16-one (THHY)
Punicalagin (Figure 1f) is a large polyphenolic compound which be-
extracted and purified from the unripe avocado [Persea americana
longs to the hydrolysable tannins and identified as a major active
Mill., Lauraceae] fruits possesses anti-DENV activity with the EC50
constituent of pomegranate [Punica granatum L. Lythraceae] fruits
of 14.61 ± 2.4, 10.98 ± 1.9, 12.87 ± 1.7, and 14.61 ± 2.1 µM on
especially in fruit rinds (Yang, Xiu, et al., 2012). The compound is
DENV-1, 2, 3, and 4 serotypes, respectively, with no observable
considered as potential free radical scavengers (antioxidant) which
cytotoxicity to host cell by stimulating the NF-κB-mediated IFN re-
have superoxide anion, singlet oxygen, and hydroxyl radical scav-
sponses against the studied four serotypes (Wu et al., 2019). THHY
enging abilities with lipid peroxidation inhibitory activity along
also prevents DENV replication in a time-dependent manner and
with several health benefits (Kulkarni et al., 2007). Punicalagin also
treatment of virus-infected mice with THHY increased the survival
possess a wide range of pharmacological effects including antimi-
rate ensuring that this fruit as a potential dietary resource to develop
crobial, antioxidant, chemo-preventive, hepatoprotective, immune-
a supplement to treat DENV and related viral diseases.
stimulant, antiproliferative, apoptotic, and antiviral activities (Yang,
Xiu, et al., 2012).
Punicalagin is the active anti-influenza component of the fruit
rind extract of pomegranate which increases the inhibitory effect
1.10 | Lectins against Flu, HIV-1 & 2, HSV-2,
VZV, and CMC
synergistically with oseltamivir by inhibiting the agglutination of
chicken RBCs in the IFV-A (Haidari et al., 2009). The compound also
Lectins are principally proteins that bind to specific carbohydrate
has the potential to inhibit the proliferation of IFV-A in both single
structures and different lectins isolated from plants, animals, fungi,
and multiple cycle growth conditions in the infected MDCK cells.
and microbes are reported to be effective against HCV, influenza
The in vitro and in vivo analysis on the antiviral effect of punicalagin
A/B, HSV-1 & 2, Japanese encephalitis virus, and coronaviruses with
(isolated from fruit rind extract of pomegranate) on EV71 showed
more focus on the anti-HIV property (Mazalovska & Kouokam, 2018).
that the compound decreases the cytopathic effect on rhabdomyo-
In general, the lectins of plant origin encloses tandem repeats within
sarcoma cells after treatment with 15 µg/ml of punicalagin at 2 hr
the primary sequence and exist in the form of monomeric and higher
post EV71 infection significantly inhibits the viral replication (Yang,
multimeric states comprised of β-sheets (Mitchell et al., 2017). In
Xiu, et al., 2012). The punicalagin also impressively prolonged the
antiviral therapies, lectins can neutralize different viruses includ-
survival time and reduced the mortality of mice models when admin-
ing influenza and HIV making them potential targets in developing
istered with dose of 0.4, 1, or 5 mg/kg body weight which recorded
novel antiviral drugs. As natural proteins, lectins target the sugar
20, 40, and 38% of long-term survivor of infected mice.
moieties of a SARS-CoV spike protein (glycoprotein) and primarily
Punicalagin (extracted from fruit rind of pomegranate) at
mannose binding lectins indicated their interference with virus at-
very low concentration shows a strong virucidal log reduction of
tachment to SARS-CoV spike protein making them early entry inhibi-
8.93 ± 0.35 (at 0.05 mg/ml concentration) on a mass to mass basis
tors (Keyaerts et al., 2007).
and reduces infectivity of the HSV-1 by inhibiting the viral replica-
The lectin (BanLec) isolated from the banana fruits [Musa
tion in T75 of Vero cells infected with HSV-1 (Houston et al., 2017).
acuminata Colla, Musaceae] is one of the jacalin-related (lectin iso-
It was also observed that, when the punicalagin was added with
lated from Jackfruit) lectins which have the affinity towards high-
ZnSO 4 at 0.14 mg/ml concentration it potentially increased the
mannose structures. BanLec can inhibit various HIV-1 isolates in
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low nano-molar range with a concentration-dependent manner
and also in red beetroot (as a red betacyanin and a yellow betax-
thus preventing the attachment of virus into host cell (Mazalovska
anthin), various green amaranth species. Betacyanins extracted
& Kouokam, 2018). BanLec is one of the potent mitogens form mu-
from various sources of fruits and other plant parts show a wide
rine T-cells and when a mutation happens within sugar-binding site
range of pharmacological effects including antioxidant, antibacte-
of BanLec, it reduces mitogenic activity without affecting HIV neu-
rial, antifungal, anticancer, and antilipidemic activities (Gengatharan
tralization and mitogenicity, besides antiviral activities of BanLec re-
et al., 2015). The betacyanin (Figure 1g) fractions obtained from red
quires association with N-glycans (Swanson et al., 2015).
dragon fruit (Hylocereus costaricensis [F.A.C. Weber] Britton & Rose,
The H84T BanLec, an engineered banana lectin is effective
Cactaceae) shows a significant virucidal effect against the DENV-2
against an array of influenza virus strains that possesses significant
with 95% of inhibition at 379.5 µg/ml (with an IC50 of 126.70 μg/
antiviral activity better than most of the previously tested lectins
ml) without any cytotoxicity supporting its efficiency as a potential
(Covés-Datson et al., 2020). The engineered lectin-like H84T BanLec
antiviral agent (Chang et al., 2020). Their study on the virucidal ef-
is a broad-spectrum lectin capable of inhibiting both influenza A and
fect of betacyanin fractions showed the ability of the compound to
B type viruses, which could be used as a potent therapeutic agent
inactivate the extracellular DENV-2 particles and decrease the viral
against a diverse array of viral strains. The antiviral lectins can pre-
infection in dose-dependent manner.
vent penetration of viral pathogens into the host cells which are
suitable for topical applications with lower toxicity than other commonly practiced antiviral therapies and the glycoprotein covered
1.12 | Marmelide against CV-B3
retroviruses like HIV and other viruses having similar type envelopes
(Akkouh et al., 2015). BanLec binds to glycosylated viral envelope and
The exposure of CV-B3 to marmelide (Figure 1h) isolated from the
inhibits the cellular entry of the virus into a host cell and suppresses
bael [Aegle marmelos Corr., Rutaceae] fruits causes a total loss of
HIV-1 infection. This activity is identical to the existing snowdrop
infectivity by inhibiting the formation of viral cells followed by the
lectin-like Griffithsin, known anti-HIV drugs like maraviroc and T-20
inactivation of viruses. The addition of marmelide at a concentration
(Swanson et al., 2010). Likewise, intranasal administration of H84T
of 125 μg/ml for 1 hr on CV-B3 in Vero cells resulted in increased
BanLec after 4 hr post infection of mice model with H1N1 efficiently
inhibition of infectivity that signifies the effect of the compound
blocked viral infection with about 75% of survival rate with even at
(Badam et al., 2002). Therefore, marmelide could be a novel virucidal
lower dose of 0.03 mg (Swanson et al., 2010).
agent against the CV-B3 by further studying the mode of action by
The jacalin, obtained from the fruits of jackfruit [Artocarpus het-
molecular level studies, since the mode of action marmelide could
erophyllus Lam. Moraceae] and a jacalin-α chain-derived peptide in-
be associated with the earlier and later stages of virus replication in
hibits HIV-1 infection in human T lymphoid cells exerts its anti-HIV
the host cell.
activity through binding to membrane molecules together with CD4
and as like other lectins the jacalin may not interact with external
glycoprotein of the virus (Favero et al., 1993). Lectin derived from
2 | CO N C LU D I N G R E M A R K S
jackfruit seeds inhibits HSV-2, VZV, and hCMV and shows mitogenic
action for NK lymphocytes (CD16+/CD56+) (Wetprasit et al., 2000).
Among the reported antiviral compounds of edible fruits, naringenin,
Lectin like molecules isolated from the concentrated fruit juice of
mangiferin, and lectins are much effective against more number of
Japanese Plum [Prunus mume Siebold & Zucc., Rosaceae] exhibits an-
viruses as reported by various researchers. Figure 2 displays the an-
tiviral activity against the human influenza A viruses like A/PR/8/34
tiviral activity of phytochemicals isolated from the edible fruits with
(H1N1), A/Aichi/2/68 (H3N2) and A/Memphis/1/71 (H3N2) in host
a different mode of action. The components α-mangostin, betacya-
Mardin-Darby canine kidney (MDCK) cells before viral adsorption
nins, geraniin, naringenin, and (2R,4R)-1,2,4-trihydroxyheptadec-16-
(Yingsakmongkon et al., 2008). The concentrated fruit juice extract
one shown potential candidates against dengue virus serotypes. The
of Japanese Plum prevents and reduces the infectivity of human in-
figure also clearly shows the antiviral effect of these constituents
fluenza A virus and it may be due to the presence of lectin-like com-
by inhibiting the viral replication, plaque formation, viral replication,
pounds (with high molecular weight) which inhibits the attachment
attachment of the virus into a host cell, blocks the assembly of viral
of viral hemagglutination on host cell surfaces.
particles, down-regulating the production of viral proteins which in
turn lead to a reduction in viral infectivity in host cells.
The anticipated role of EFCs in the management of COVID-19
1.11 | Betacyanins against DENV-1
as evidenced by their efficacy against other viral diseases is shown
in Figure 3. It was evident that, as soon as the SARS-CoV-2 virus
Betacyanin is a red-violet pigment belongs to betalains (pigments
crosses the respiratory tract, it spreads into the lung cells with its
group) which are water-soluble, nitrogen containing pigments and
specific spike protein which can couple with ACE-2 receptors of
can exist as the red-violet betacyanins or yellow betaxanthins
the host cell. The EFCs may directly damage the virus structure and
(Gengatharan et al., 2015). These groups of compounds are com-
inhibit the entry of viruses by disturbing the connections between
monly available in several fruit crops like red dragon fruit, cacti fruit
viral spike proteins and host ACE-2 receptors. Also, EFCs may inhibit
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F I G U R E 2 Compounds isolated from edible fruits and its multi-target antiviral activity with a described mechanism. The different colored
double arrow represents specific phytochemicals with respective antiviral properties with various actions in a host cell. LTN (Lectins)–Pink;
PCN (Punicalagin)–Light blue; MME (Marmelide)–Light Green; BCN (Betacyanins)–Green; GRN (Geraniin)–Dark Red; NGN (Naringenin)–Red;
AMSN (α-mangostin)–Dark Blue; THH ([2R, 4R]-1,2,4-trihydroxyheptadec-16-one)–Orange; MFR (Mangiferin)–Purple
the internalization of the virus into the host cell. The EFCs may
coronavirus outbreaks like SARS-CoV and MERS CoV in the recent
inhibit viral replication by suppressing the protease (Mpro), RNA-
past and other major life threatening viral diseases like HCV and INF
dependent RNA-polymerase (RdRp), and protein synthesis.
were successfully treated by various herbal drugs and phytoconstit-
The figure also evidences the effect of EFCs in reducing oxida-
uents of nutraceuticals (Patel et al., 2021). It was also advised that
tive damage caused during COVID-19 infection via surplus ROS/
the prevention of viral respiratory related infections requires intake
RNS and free radicals. It was reported that, increased utilization
of vitamin C in the form of commercial drugs or regular consumption
of free radicals might have impacted negatively in the COVID-19
of fruits like orange, lemon, etc. which contains hesperidin as major
patients who are prone to depleted levels of antioxidants like vita-
compound (Bellavite & Donzelli, 2020). Hence taking such fruits
mins, enzymes and some mineral elements (Muhammad et al., 2021).
or EFCs as dietary supplements delivers adequate plasma levels in
Likewise, lectins of different plant origin (including edible fruits) in-
the body to optimize the cell and tissue levels which led to possible
terfere with the SARS-CoV glycoprotein during the initial entry and
benefits for the preventive measures for this pandemic COVID-19
viral release into the host cell which piloted the further research on
situation.
anti- SARS-CoV activity and anti-COVID-19 therapies using these
The use of dietary supplements from various food sources and
plant lectins (Keyaerts et al., 2007). Similarly, we hypothesized that
nutraceuticals as coadjutant therapeutics for the prevention and
EFCs may improve the immune system thereby suppress the COVID
treatment of COVID-19 infection could be a useful strategy, since
19 infection, since antioxidants present in EFCs such as vitamin A,
food-derived antioxidants has a key role in prevention of oxidative
C, D, and E are reported to improve the immune response against
stress and inflammation which are plays a significant cause in the
COVID-19 (Khanna et al., 2021).
progression of COVID-19 (Lammi & Arnoldi, 2021). The results of the
The overall recommendation of EFCs in COVID-19 treatment is
recent studies also suggested that antioxidant rich vitamins like vi-
due to their ability to improve the immune system as well as reduc-
tamin C and D are effectively activated the immune response which
ing the oxidative stress in the host cell machinery which helps to
leads to reducing the risk of respiratory tract infections by notice-
prevent the viral entry. As reported earlier, seasonal epidemics with
ably balancing the inflammatory reaction which suggests the use of
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F I G U R E 3 Possible binding mechanism of constituents of edible fruit extracts against the COVID-19 virus. The figure depicts the regular
intake of edible fruits and their constituents/compounds leads to strengthening the immune cells and reduces the oxidative stress in the
host body system which in turn inhibits the viral attachment and replication on the host cell
those vitamins as nutritional supplements for COVID-19 patients
AU T H O R C O N T R I B U T I O N S
(Lammi & Arnoldi, 2021).
Data curation; Formal analysis; Writing-original draft: V.P. Santhi.
Despite a few vaccines available against Covid-19 and several
Conceptualization; Writing-original draft: P. Masilamani. Formal analysis;
vaccines in the pipeline, psychological stigma against this viral infec-
Resources; Writing-original draft: Venkatraman Sriramavaratharajan.
tion remains the same which warrants extensive research on herbal
Data curation; Formal analysis; Writing-review & editing: Ramar
medications in the cure of Covid-19. The current situation led the sci-
Murugan. Data curation; Validation; Writing-review & editing:
entists to develop new drugs and immune-modulators from natural
Shailendra S. Gurav. Data curation; Formal analysis; Methodology:
resources which reveal promising efficacy to promote immune sys-
V.P. Sarasu. Data curation; Resources: S. Parthiban. Conceptualization;
tem in the treatment and management of Covid-19. These continuing
Funding acquisition; Project administration; Supervision; Validation;
researches on preclinical and clinical trials on nutraceuticals and food
Writing-review & editing: Muniappan Ayyanar.
supplements of various plant resources could provide novel drugs
against the emerging viral infections with better therapeutic bene-
E T H I C S A P P R OVA L
fits, less expensive, and minor adverse reactions. Considering the in-
The manuscript is a review article and do not need any ethical
creasing threat of COVID-19, it is opined to examine the therapeutic
approval.
efficacy of existing antiviral molecules of edible fruits discussed in
this review as food supplements. Such focused research may provide
ORCID
prophylactic and adjuvant therapy against the COVID-19 because
Muniappan Ayyanar
https://orcid.org/0000-0003-4685-6376
of their potential antioxidant, anti-inflammatory and immunemodulatory effects against the other emerging viral infections.
C O N S E N T FO R P U B L I C AT I O N
The manuscript does not have any data copied from other sources
and the mechanism flowchart provided in the manuscript is drawn
by us.
C O N FL I C T O F I N T E R E S T
The authors declared that they have no conflict of interest.
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How to cite this article: Santhi, V. P., Masilamani, P.,
Sriramavaratharajan, V., Murugan, R., Gurav, S. S., Sarasu, V.
P., Parthiban, S., & Ayyanar, M. (2021). Therapeutic potential
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https://doi.org/10.1111/jfbc.13851