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New Biotechnology  Volume 26, Number 6  December 2009 RESEARCH PAPER

Antiviral activity of ethanol extracts of

Research Paper
Ficus binjamina and Lilium candidum
in vitro
Ludmila Yarmolinsky1, Michele Zaccai2, Shimon Ben-Shabat3,
David Mills4 and Mahmoud Huleihel1
1
Department of Virology and Developmental Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
2
Department of Life Sciences and Biotechnology Engineering, The Jacob Blaunstein Institutes of Desert Research, Ben-Gurion University of the Negev,
Beer-Sheva, Israel
3
Department of Pharmacology, Faculty of Health Sciences, The Jacob Blaunstein Institutes of Desert Research, Ben-Gurion University of the Negev,
Beer-Sheva, Israel
4
Albert Katz Department of Dryland Biotechnologies, The Jacob Blaunstein Institutes of Desert Research, Ben-Gurion University of the Negev, Beer-Sheva, Israel

The antiviral activity of plant ethanol extracts against Herpes Simplex Virus-1 and -2 (HSV-1 and HSV-2)
and Varicella-Zoster Virus (VZV) was investigated in vitro. Ficus binjamina, resistant to plant viruses, and
Lilium candidum, which has a high susceptibility to plant viruses were used. Leaf extracts of F. binjamina
inhibited all studied viruses, while its fruit extracts inhibited only VZV. L. candidum leaf extracts had no
effect on VZV but strongly inhibited HSV-1 and slightly HSV-2. None of the extracts showed significant
cytotoxic effect on uninfected Vero cells even at a concentration of 250 mg/ml (CC50 > 400 mg/ml). The
greatest antiviral effect was obtained when extracts were added to cells at the time of infection, whereas a
partial inhibitory effect was observed when they were added post-infection. There was indirect evidence
for strong interactions between the plant extracts and the viruses and weak interactions with the cell
surface.

Introduction ulcers, reddened skin, burns and injuries [5]. L. candidum has a
It is well known that plants defend themselves, in an ecological high susceptibility to plant viruses and fungi [6]. Its antiviral
sense, with a rich variety of secondary metabolites which have properties have not been investigated to date. Although weeping
negative effects on insects, microbes, and others. Phytoalexins fig (Ficus binjamina) has not been mentioned as a medicinal plant,
are secondary metabolites that are absent in healthy plants and it is not susceptible to various plant viruses unlike other decorative
accumulate only in response to microorganism attack or stress [1–3]. species of Ficus [7].
Many plants also synthesize antimicrobial compounds as a part of Acyclovir (ACV) is the most prescribed anti-HSV drug [8–10].
their normal growth and development [4]. The presence of antiviral Although ACV and other nucleoside derivatives have been
secondary phytochemicals is unknown either in healthy plants or in approved for therapeutic use against HSV-1 and HSV-2 worldwide
infected plants. We hypothesized that plants which are tolerant to [8], the search for new effective antiherpetic drugs is important for
various plant viruses might produce antiviral compounds, which in the following reasons: (a) development of ACV-resistant herpes
turn could also inhibit animal and human viruses. viruses mutants [11], (b) side effects, such as nausea, vomiting
White lily (Lilium candidum) is known in folk medicine as anti- and headache, rash and diarrhea, associated with the available drugs
inflammatory and cosmetic remedy. Bulbs and flowers of this and (c) ACV is not highly effective in recurrent HSV attacks [12].
plant have been used for the treatment of ulcers, furuncles, finger Therefore, there is a need for novel antiherpetic agents with high
efficacy, low toxicity and a different mode of action from ACV and
Corresponding author: Huleihel, M. (mahmoudh@bgumail.bgu.ac.il) other nucleoside derivatives.

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RESEARCH PAPER New Biotechnology  Volume 26, Number 6  December 2009

In the present study we investigated the antiviral activity of Vero cells were seeded at 0.15  106 cells/well in 24-well culture
ethanolic extracts of F. binjamina and L. candidum on various plates, in RPMI with 10% FCS and antibiotics. Following overnight
members of the herpes family of viruses (HSV-1, HSV-2 and VZV) incubation, medium was removed and each well was infected at a
in vitro. multiplicity of infection (m.o.i.) of 0.1 PFU/cell in the presence or
absence of the examined extract for two hours at 378C. The
Materials and methods unabsorbed virus was removed and cells were overlaid with either
Plant material a layer of CMC (for plaque assay) or RPMI containing 2% FCS and
F. binjamina plants and L. candidum bulbs were obtained from antibiotics in the presence or absence of increasing concentrations
nurseries and grown in a controlled greenhouse at the Ben-Gurion of the extract under test. Two to three days post-infection (p.i.) the
University, Beer-Sheva, Israel. CMC overlay was removed, cell monolayers were fixed with 10%
formalin in saline, stained with crystal violet and plaques were
Research Paper

Preparation of plant ethanolic extracts counted. The development of CPE was evaluated daily by micro-
Ethanolic extracts were prepared from different plant organs (stems, scopic observation and expressed as the %age of damaged cells.
leaves and fruit of F. binjamina; bulbs, petals, leaves of L. candidum). IC50s were calculated by determining the extract concentration
Plant tissues were destroyed in 95% ethanol solution, incubated at required to confer a 50% plaque inhibition of the herpes virus
RT for 48 hours, and centrifuged at 2000 rpm for 10 min, and the infected cell monolayers. To elucidate the antiviral mechanism of
supernatant evaporated by lyophilizer. The pellet was dissolved in a the plant extracts, infected cells were treated with increasing
minimal amount of 95% ethanol (0.5 ml) and diluted with water to concentrations (0.01–500 mg/ml) of the extracts at various periods
a final concentration of 10 mg/ml. The extracts were sterilized by of time before, during or after infection. To examine possible
filtration and diluted with medium containing 2% Newborn calf interactions between the plant extract and cells, Vero cells were
serum (NBCS) to the appropriate concentrations. incubated in medium containing the appropriate dose of extract at
378C for two hours, washed three times with saline and infected
Fractionation of ethanolic plant extract with virus without further treatment. To study possible direct
The obtained plant ethanolic extracts were separated into different effect of these extracts on viral infectivity, 107 PFU of the appro-
fractions by reverse phase chromatography (RP-C18 Sepack) with a priate virus particles were preincubated with 1 mg/ml of the
stepwise methanol gradient: 0%, 20%, 40%, 60%, 80% and 100%. extract at 48C or 228C for different periods of time (15, 30, 60,
90 and 120 min). Then these mixtures were diluted 104 times with
Cells and viruses fresh medium (to minimize the concentration of the extract at the
African green monkey kidney (Vero) cells were purchased from the time of infection) and cell monolayers were infected with the
American Type Culture Collection (ATCC), Rockville, MD, USA. diluted mixture.
Cells were grown in Dulbecco’s modified Eagle’s medium (DMEM) Acyclovir [9-(2-hydroxyethoxymethyl) guanosine, Sigma, 10 mg/
containing 10% fetal calf serum (FCS), 1% glutamine, 50 U/ml ml] was used as a positive control for HSV-1, HSV-2 and VZV.
penicillin, 50 mg/ml streptomycin and incubated at 378C in a
humidified air containing 5% CO2. HSV-1 was obtained from the Statistical analysis
ATCC (VR-735), HSV-2 and VZV were obtained from the virology All data were analyzed using Statistica for Windows software
laboratory Soroka University Medical Center, Beer-Sheva, Israel. All (StatSoft, Inc., Tulsa, Oklahoma), and P < 0.05 was chosen as
of these viruses are susceptible to ACV. The viruses were propagated the minimal acceptable level of significance. Simple regression
to >108 plaque forming units (PFU) per ml in Vero cells and their models were subsequently used to eliminate nonsignificant
concentration was estimated by a standard plaque assay [13]. effects. Values are presented as means  SD.

Cytotoxicity examination Results


Vero cells were treated with various concentrations of plant Cytotoxicity examination
extracts and the toxicity of the extracts was tested by three Ethanolic extracts were prepared from various parts (leaves, stems,
methods: 1. Direct count. The cells were counted by Neubauer bulbs and fruits) of F. binjamina and L. candidum. Different con-
hemacytometer indicating their replication rate. 2. Morphological centrations of each extract were added to Vero cell monolayers for
changes were daily observed by optical inverted microscope. 3. three days and the cytotoxicity of these extracts was evaluated by
MTT assay was performed as previously described [14]. Briefly, different assays as described above. No cytotoxicity was observed
Vero cells were incubated with 50 mg/ml MTT solution at 378C for at concentrations below 100 mg/ml in all examined extracts and
five hours. This solution was converted by mitochondrial succi- the concentrations found to cause 50% toxicity (CC50) of these
nate dehydrogenase enzyme into insoluble formazan (purple). The extracts are summarized in Table 1.
MTT solution was removed and replaced with SDS solution to
dissolve the formazan. After overnight incubation at 378C, absor- Antiviral activity of extracts against herpes viruses
bance was measured at 570 nm, indicating the metabolic activity Vero cell monolayers were treated with increasing concentrations
of the cells. of the appropriate extracts at the time of infection with 0.1 m.o.i.
of HSV-1, HSV-2 or VZV. The treatment was terminated immedi-
Antiviral activity examination ately post-infection and the antiviral activity was evaluated by
The antiviral activity of the tested plant extracts was evaluated by plaque assay. The results demonstrated significant and reprodu-
plaque assay and cytopathic effect (CPE) development as follows. cible antiviral activity of F. binjamina leaf extracts against HSV-1,

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New Biotechnology  Volume 26, Number 6  December 2009 RESEARCH PAPER

TABLE 1
CC50 of L. candidum and F. binjamina extracts from different plant
organs
Species Plant organ CC50 (mg/ml)
L. candidum Bulb >500
# Petals >500
# Leaves 700
F. binjamina Stems 120
# Leaves 490
# Fruits >1000

Research Paper
HSV-2 and VZV with the respective IC50 of 0.5 mg/ml, 1.7 mg/ml
and 35 mg/ml (Fig. 1). L. candidum leaf extracts had no effect on
VZV, while they strongly inhibited HSV-1 and HSV-2 with IC50 of 8
and 20 mg/ml, respectively.
The selectivity index (SI), (determined as CC50/IC50) of F. bin-
jamina leaf extract against these herpes viruses was significantly
higher than that of ACV, while the efficiency of L. candidum leaf
extract was much lower compared to F. binjamina and ACV (Fig. 2).
Extract of F. binjamina fruit had no effect on HSV-1 and HSV-2 FIGURE 2

infection, while significantly inhibiting VZV infection with an Selectivity index (SI) of plant extracts and acyclovir against HSV-1, HSV-2 and
VZV. Vero cell monolayers were treated with different concentrations of the
appropriate extract during and after infection. SI was determined as CC50/
IC50. Values are means  SD (n = 5).

IC50 of 10 mg/ml (P < 0.001). Stems of F. binjamina did not show


significant antiviral properties, but had a high toxicity (Table 1);
neither bulbs nor petals of L. candidum had any significant anti-
herpetic activity.
In addition, a strong synergistic antiviral activity between ACV
and F. binjamina was found (Fig. 3). When each was added at low
concentration (0.01 mg/ml) to the cells at the time of infection with
the different examined viruses, a low antiviral activity (10–20%) was
observed. However, when the cells were treated with a mixture of
both ACV and F. binjamina extract at the same concentrations,
significant inhibition (70%) of the viral infection was obtained.
Similar results were observed with L. candidum and ACV (data not
shown).

FIGURE 1 FIGURE 3
Antiviral activity of leaf extracts on herpes viruses. Vero cells were infected Synergistic effect of leaf extract of F. binjamina and acyclovir against HSV-1,
with 0.1 m.o.i. of the tested viruses in the presence or absence of increasing HSV-2 and VZV. Vero cells were infected with 0.1 m.o.i. of the tested viruses in
doses of leaf extracts from F. binjamina (A) or L. candidum (B). Extract the presence of 0.01 mg/ml of leaf extract of F. binjamina or 0.01 mg/ml of ACV
application was terminated immediately post-infection. Plaque numbers or a mixture of both components at the same concentrations. Plaque numbers
(PFU) of the treated cultures are presented as a percentage of the positive (PFU) of the treated cultures are presented as a percentage of the positive
control (infected but untreated cell cultures). Values are means  SD (n = 5). control (infected but untreated cell cultures). Values are means  SD (n = 5).

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RESEARCH PAPER New Biotechnology  Volume 26, Number 6  December 2009

TABLE 2
Effect of time of leaf extract addition on herpes virus infections
Leaf extract (100 mg/ml) Virus (0.1 m.o.i.) Plaque forming units (% of control)
Before During After During and
infection only infection only infection only after infection
F. binjamina HSV-1 84.2  6.30 0.5  0.04 37.1  2.01 0  0.08
HSV-2 94.6  5.27 1.8  0.28 41.1  3.29 1.6  1.16
VZV 100.1  0.47 31.6  4.25 29.7  4.16 26.8  3.64
L. candidum HSV-1 99.3  3.11 18.7  1.75 42.5  2.11 13.4  0.91
HSV-2 100.0  0.62 23.6  2.19 56.3  3.18 20.1  3.02
VZV 100.0  0.09 97.5  1.29 100.2  1.14 96.1  2.14
Research Paper

Vero cell monolayers were treated with 100 mg/ml of the appropriate extract for different periods of time before, at or after infection with 0.1 m.o.i. of HSV-1, HSV-2 or VZV. Antiviral activity
was evaluated by plaque assay. Values are means  SD (n = 5).

Effect of time of leaf extract addition on herpes virus infection with F. binjamina extract completely inhibited plaque formation
Vero cells were infected with 0.1 m.o.i. of the herpes viruses and while 90 min with L. candidum extract was required for such
treated with 100 mg/ml leaf extracts for various periods of time inhibition (Fig. 4). The results obtained with both incubation
before, at, or after infection. When the cells were treated with leaf temperatures (48C or 228C) were similar.Effect of leaf extracts on
extracts only at the time of infection or both at the time of development of viral CPE
infection and post-infection, inhibition of all viruses tested was Vero cells were infected with the different herpes viruses (HSV-
the highest (P < 0.01) (Table 2). It can also be seen that F. binjamina 1, HSV-2 or VZV) in the presence or absence of different concen-
leaf extract was significantly more effective against HSV-1 and trations of either F. binjamina or L. candidum leaf extract. At the
HSV-2 than against VZV. At a concentration of 100 mg/ml F. end of the infection period, the cell culture media were removed
binjamina completely inhibited the development of HSV-1 and and replaced by fresh medium with or without leaf extract. CPE
HSV-2 infections as opposed to about 70% VZV inhibition development was evaluated every 24 hours by inverted micro-
(Table 2). By contrast, L. candidum leaf extract had no significant scopy and expressed as the percentage of damaged cells in the
effect on VZV (P > 0.1), but strongly inhibited HSV-1 and HSV-2 at culture. Significant prevention of HSV-1 and HSV-2 CPE develop-
a concentration of 100 mg/ml (P < 0.01). At 500 mg/ml, L. candi- ment during the whole period was observed when the cells were
dum leaf extract almost completely inhibited HSV-1 (0  0%) and treated continuously with F. binjamina (50 mg/ml) or L. candidum
HSV-2 (1.08  0.07%).
Preincubation of cells with extracts had no significant effect on
the development of infection induced by all examined viruses
(P > 0.1). However, when the infected cells were treated with the
extract only p.i., there was a partial reduction of the plaques
number induced by the different examined viruses (Table 2).

Effect of leaf extracts on virus adsorption


The question was raised whether leaf extracts prevented virus
infection by blocking adsorption to the host cells, and if so,
whether the extract acts through interaction with the virus par-
ticles, with the host cells or both. To test leaf extract–cell inter-
action, Vero cells were first incubated in medium containing the
extract and then infected with the virus without further extract
addition. As mentioned above (Table 2), preincubation of the cells
with the leaf extracts had no effect on the viral infection of all the
tested viruses.
To examine possible interaction between viral particles and
leaf extracts, the appropriate viruses were preincubated with the
extracts for different periods of time as detailed in ‘Materials and
Methods’ section. Then these mixtures were diluted with a fresh
medium and used to infect Vero cell monolayers. Our results
show a considerable inhibition of plaque formation by the
highly diluted virus–leaf extracts mixtures (Fig. 4). In the case FIGURE 4
of HSV-1 (Fig. 4A), incubation of 15 min was sufficient to inhibit Effect on virus infectivity of preincubation of leaf extracts with the virus.
1000 mg/ml of leaf extracts was incubated with 5 m.o.i. of HSV-1 (A) or HSV-2
about 90 or 75% of plaque formation by F. binjamina and L.
(B) at 48C for different periods of time (15, 30, 60, 90 and 120 min). This
candidum leaf extracts, respectively. Incubation for 30 min was mixture was diluted 104 times with fresh medium and the cells were infected
enough for complete inhibition of plaque formation by both with the diluted mixture. PFU were evaluated by the standard plaque assay
plant extracts. In the case of HSV-2 (Fig. 4B), 30 min incubation and presented as means  SD (n = 5).

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New Biotechnology  Volume 26, Number 6  December 2009 RESEARCH PAPER

Research Paper
FIGURE 5
Effect of the removal of leaf extracts on development of herpes virus cytopathic effect (CPE). Vero cells were infected with 0.1 m.o.i. of herpes viruses (HSV-1, HSV-2
or VZV) in the absence (control) or presence of F. binjamina (50 mg/ml) (A, C, E) or L. candidum (100 mg/ml) (B, D) leaf extracts. At the end of the infection period, the
cell culture media were removed and replaced with fresh medium with or without leaf extract. Treatment with the extracts was terminated three or ten days post-
infection. CPE development was evaluated every 24 hours by inverted microscopy and expressed as the percentage of damaged cells in the culture. Data are
means  SD of three independent experiments.

(100 mg/ml) leaf extracts (Fig. 5). In the case of VZV infected cells, tion (by HSV-1 and -2) but only slightly inhibited VZV, whereas
F. binjamina leaf extract provided significant protection against the fractions 0 and 20% MeOH significantly inhibited VZV.
development of CPE, while L. candidum leaf extract had almost no
effect on this parameter. When the treatment with the leaf extracts Discussion
was only applied at the time of infection, there was a significant In the present study we have demonstrated that leaf ethanolic
gradual increase in CPE development of tested viruses. When the extract of F. binjamina effectively inhibited infection of Vero cells
plant extract was removed even at ten days p.i., an increase in CPE by HSV-1, HSV-2 and VZV in vitro, while fruit extract inhibited only
was also observed (Fig. 5). It seems that the continuous presence of VZV. The leaf extracts of L. candidum had no effect on VZV while
the leaf extracts in the cell culture medium is essential for con- strongly inhibited HSV-1 and slightly HSV-2. Although HSV-1,
tinuous protection of Vero cells against the CPE of the virus. HSV-2 and VZV belong to the subfamily Alphaherpesvirinae and
have many similar characteristics, they have different clinical
Antiviral activity of F. binjamina and L. candidum ethanolic manifestations, as well as different biochemical and serological
extracts fractions properties [15,16]. Previous studies have reported differential anti-
Vero cells were treated with 10 mg/ml of leaf extract fractions of F. viral activity of plant extracts on HSV-1, HSV-2 and VZV. For
binjamina and L. candidum at the time of infection with 0.1 m.o.i. instance, an aqueous extract of Yin Chen Hao Tang (YCHT), a
of the herpes viruses. The results (Fig. 6) showed that fraction Chinese prescription containing Artemisia capillaries, Rheum offi-
eluted with 80%-MeOH of both F. binjamina (Fig. 6A) and L. cinale, and Gardenia jasminoids inhibited HSV-2 infection more
candidum (Fig. 6B) ethanol extracts completely blocked viral infec- effectively than HSV-1 in vitro [17]. Flavonoids from Capparis

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RESEARCH PAPER New Biotechnology  Volume 26, Number 6  December 2009

Our results showed a strong synergistic antiviral effect between


plant extracts and ACV (Fig. 3). This synergistic activity is probably
connected to their different mechanisms of action. While ACV
inhibits viral DNA synthesis [8], plant extracts are thought to exert
their inhibitory action at a very early stage in the viral infection
cycle that is virus adsorption onto and/or penetration into the host
cell [21]. In agreement with these findings our results showed that
the plant extracts tested exert their antiherpetic effect mainly by
direct interaction with the virus particles and by blocking virus
access to the host cells. We showed a direct effect of the plant
extracts on the herpes viruses, which significantly inhibited the
Research Paper

infection (Fig. 3). It seems probable that this effect is caused either
by a strong interaction (maybe irreversible) between the virus and
the extract, the effect being maintained after several serial dilu-
tions, or by direct inactivation of the virus. These results are in
agreement with those obtained by Cheng et al. [17] who showed
that the aqueous extract of YCHT inhibited HSV-1 and HSV-2
infections probably through direct inactivation of the virus infec-
tivity. Our results also showed a weak inhibition of the viral
infection in plant extract pretreated cell cultures (Table 2). This
slight inhibition could be explained by a weak or reversible inter-
action between the extract and the cell membrane.
Fractionation of the extracts improved their antiviral activity
compared to the crude extracts. The best inhibitory effect against
HSV-1 and HSV-2 was obtained with the 80%-MeOH eluted frac-
tion of the extracts, whereas 0 and 20% MeOH fractions offer the
FIGURE 6
Antiviral activity of fractionated leaf extracts on HSV-1, HSV-2 and VZV
strongest inhibitory effect against VZV (Fig. 6). It seems that the
infection. Vero cells were infected with 0.1 m.o.i. of the viruses in the presence 80%-MeOH fraction is rich with flavonoids and the 20%-MeOH
of 10 mg/ml of the appropriate chromatographic fractions of leaf extracts of F. fraction mainly contains polysaccharides (our preliminary results
binjamina (A) or L. candidum (B). Plaque numbers (PFU) of the treated with HPLC profiles, data not shown).
cultures is presented as a percentage of the positive control (infected but F. binjamina, which is resistant to various plant viruses, was
untreated cell cultures). Values are means  SD (n = 5).
more effective against the human viruses than L. candidum, which
has a high susceptibility to plant viruses. We used only healthy
spinosa buds were active against HSV-2, but did not show activity plants, non-infected by viruses. L. candidum might produce more
against HSV-1 [18]. Many biflavonoids were isolated from Rhus effective antiviral compounds against animal and human viruses
succedanea and Garcinia multiflora. Amenthoflavone and robust- in response to plant virus infection. An additional investigation is
flavone demonstrated moderate activities against HSV-1 and HSV- required to assess this assumption.
2 but did not affect VZV infection. Rhustflavanone inhibited only For deeper understanding of the underlying reasons for the
HSV-2 whereas succedaneaflavanone inhibited only VZV [19]. differential inhibitory effect of F. binjamina and L. candidum
Acetone, ethanol and methanol extracts of Phyllanthus urinaria extracts, it is necessary to perform further studies including iso-
inhibited HSV-2 but not HSV-1 infection [20]. lation and identification of the plant antiviral agents.

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