. doi: 10.1016/j.virs.2025.07.007
Citation: Yubin Yu, Sihao Liu, Qinghua Liu, Xiuping Liu, Kaili Wu. Quercetin inhibits herpes simplex virus 1 replication in corneal epithelium and suppresses keratitis progression .VIROLOGICA SINICA, 2025, 40(4) : 647-657.  http://dx.doi.org/10.1016/j.virs.2025.07.007

槲皮素抑制1型单纯疱疹病毒在角膜上皮中的复制并抑制角膜炎的进展

  • 槲皮素是一种具有强大抗病毒活性的天然化合物,然而其在治疗单纯疱疹性角膜炎(HSK)中的作用仍有待探索。本研究旨在探究槲皮素对1型单纯疱疹病毒(HSV-1)的抗病毒效应。在人角膜上皮细胞(HCECs)中模拟HSV-1感染的不同阶段,作者发现30 μmol/L的槲皮素主要通过阻断病毒吸附阶段来抑制病毒复制。RNA测序及后续分析显示,槲皮素能以剂量依赖的方式上调核因子E2相关因子2(Nrf2)的表达。敲低Nrf2的表达则会部分削弱槲皮素的抗病毒作用。在小鼠模型中,局部应用100 μmol/L的槲皮素能够有效减轻HSK的严重程度、降低泪液中的病毒滴度,并抑制病毒蛋白VP16在角膜及三叉神经节中的表达。这些发现证实了槲皮素对HSV-1的抗病毒作用,为后续阐明其治疗HSK的作用机制提供了重要基础。

Quercetin inhibits herpes simplex virus 1 replication in corneal epithelium and suppresses keratitis progression

  • Quercetin is a natural compound with potent antiviral effects; however, its role in the treatment of herpes simplex keratitis (HSK) remains underexplored. Here, we investigated the antiviral effects of quercetin against herpes simplex virus 1 (HSV-1). By examining different phases of viral infection in human corneal epithelial cells (HCECs), we found that 30 μmol/L quercetin inhibits HSV-1 replication primarily by disrupting viral attachment. RNA-sequencing and subsequent analyses revealed that the nuclear factor E2-related factor 2 (Nrf2) was upregulated by quercetin in a dose-dependent manner. Knocking down Nrf2 partially compromised quercetin's antiviral effect. Importantly, topical application of 100 μmol/L quercetin alleviated HSK severity in mice, reduced viral titers in tears, and inhibited VP16 expression in the cornea and trigeminal ganglia. These findings demonstrate the antiviral effect of quercetin against HSV-1 and provide a foundation for mechanistic studies to elucidate its therapeutic potential in HSK.

  • 加载中
    1. Dai, Y., Idorn, M., Serrero, M. C., Pan, X., Thomsen, E. A., Narita, R., Maimaitili, M., Qian, X., Iversen, M. B., Reinert, L. S., Flygaard, R. K., Chen, M., Ding, X., Zhang, B.-c., Carter-Timofte, M. E., Lu, Q., Jiang, Z., Zhong, Y., Zhang, S., Da, L., Zhu, J., Denham, M., Nissen, P., Mogensen, T. H., Mikkelsen, J. G., Zhang, S.-Y., Casanova, J.-L., Cai, Y., Paludan, S. R., 2024. TMEFF1 is a neuron-specific restriction factor for herpes simplex virus. Nature 632, 383-389.

    2. Di Petrillo, A., Orru, G., Fais, A., Fantini, M. C., 2022. Quercetin and its derivates as antiviral potentials: A comprehensive review. Phytother Res 36, 266-278.

    3. Duan, F., Ni, S., Nie, Y., Huang, Q., Wu, K., 2012. Small interfering RNA targeting for infected-cell polypeptide 4 inhibits herpes simplex virus type 1 replication in retinal pigment epithelial cells. Clin Exp Ophthalmol 40, 195-204.

    4. Duan, F., Zeng, W., Zhang, Y., Li, D., Wu, K., 2022. Lipopolysaccharide enhances HSV-1 replication and inflammatory factor release in the ARPE-19 cells. Heliyon 8, e11787.

    5. Duan, R., de Vries, R. D., van Dun, J. M., van Loenen, F. B., Osterhaus, A. D., Remeijer, L., Verjans, G. M., 2009. Acyclovir susceptibility and genetic characteristics of sequential herpes simplex virus type 1 corneal isolates from patients with recurrent herpetic keratitis. J Infect Dis 200, 1402-1414.

    6. Guo, H., Pang, K., Wei, Y., Yi, C., Wu, X., 2015. Herpes virus entry mediator in human corneal epithelial cells modulates the production of inflammatory cytokines in response to HSV type 1 challenge. Ophthalmic Res 54, 128-134.

    7. Han, Y., Guo, S., Li, Y., Li, J., Zhu, L., Liu, Y., Lv, Y., Yu, D., Zheng, L., Huang, C., Li, C., Hu, J., Liu, Z., 2023. Berberine ameliorate inflammation and apoptosis via modulating PI3K/AKT/NFκB and MAPK pathway on dry eye. Phytomedicine 121, 155081.

    8. Hill, J. M., Rayfield, M. A., Haruta, Y., 1987. Strain specificity of spontaneous and adrenergically induced HSV-1 ocular reactivation in latently infected rabbits. Curr Eye Res 6, 91-97.

    9. Hung, P. Y., Ho, B. C., Lee, S. Y., Chang, S. Y., Kao, C. L., Lee, S. S., Lee, C. N., 2015. Houttuynia cordata targets the beginning stage of herpes simplex virus infection. PLoS One 10, e0115475.

    10. Jaishankar, D., Yakoub, A. M., Yadavalli, T., Agelidis, A., Thakkar, N., Hadigal, S., Ames, J., Shukla, D., 2018. An off-target effect of BX795 blocks herpes simplex virus type 1 infection of the eye. Sci Transl Med 10, eaan5861.

    11. James, C., Harfouche, M., Welton, N. J., Turner, K. M., Abu-Raddad, L. J., Gottlieb, S. L., Looker, K. J., 2020. Herpes simplex virus: global infection prevalence and incidence estimates, 2016. Bull World Health Organ 98, 315-329.

    12. Lee, S., Lee, H. H., Shin, Y. S., Kang, H., Cho, H., 2017. The anti-HSV-1 effect of quercetin is dependent on the suppression of TLR-3 in Raw 264.7 cells. Arch Pharm Res 40, 623-630.

    13. Li, F., Song, X., Su, G., Wang, Y., Wang, Z., Jia, J., Qing, S., Huang, L., Wang, Y., Zheng, K., Wang, Y., 2019. Amentoflavone inhibits HSV-1 and ACV-resistant strain infection by suppressing viral early infection. Viruses 11, 466.

    14. Li, J., Cheng, C., Lin, T., Xue, R., Liu, X., Wu, K., 2022a. Efficacy of sodium polyanethol sulfonate on herpes simplex virus-1 infection in vitro. Mol Vis 28, 516-525.

    15. Li, Y., Wei, Y., Li, G., Huang, S., Xu, J., Ding, Q., Hong, J., 2022b. Targeting NECTIN-1 based on CRISPR/Cas9 system attenuated the herpes simplex virus infection in human corneal epithelial cells in vitro. Transl Vis Sci Technol 11, 8.

    16. Liu, Y., You, Q., Zhang, F., Chen, D., Huang, Z., Wu, Z., 2021. Harringtonine inhibits herpes simplex virus type 1 infection by reducing herpes virus entry mediator expression. Front Microbiol 12, 722748.

    17. Luan, J., Zhu, Y., Lin, J., Zhang, Y., Xu, Q., Zhan, L., Tian, X., Zhao, G., Peng, X., 2023. Quercetin protects against Aspergillus fumigatus keratitis by reducing fungal load and inhibiting TLR-4 induced inflammatory response. Cytokine 171, 156356.

    18. Luo, Z., Kuang, X. P., Zhou, Q. Q., Yan, C. Y., Li, W., Gong, H. B., Kurihara, H., Li, W. X., Li, Y. F., He, R. R., 2020. Inhibitory effects of baicalein against herpes simplex virus type 1. Acta Pharm Sin B 10, 2323-2338.

    19. McKay, T. B., Kivanany, P. B., Nicholas, S. E., Nag, O. K., Elliott, M. H., Petroll, W. M., Karamichos, D., 2022. Quercetin decreases corneal haze in vivo and influences gene expression of TGF-beta mediators in vitro. Metabolites 12, 626.

    20. Muzammil, K., Sabah Ghnim, Z., Saeed Gataa, I., Fawzi Al-Hussainy, A., Ali Soud, N., Adil, M., Ali Shallan, M., Yasamineh, S., 2024. NRF2-mediated regulation of lipid pathways in viral infection. Mol Aspects Med 97, 101279.

    21. Oh, H. N., Kim, C. E., Lee, J. H., Yang, J. W., 2015. Effects of quercetin in a mouse model of experimental dry eye. Cornea 34, 1130-1136.

    22. Olagnier, D., Farahani, E., Thyrsted, J., Blay-Cadanet, J., Herengt, A., Idorn, M., Hait, A., Hernaez, B., Knudsen, A., Iversen, M. B., Schilling, M., Joergensen, S. E., Thomsen, M., Reinert, L. S., Lappe, M., Hoang, H. D., Gilchrist, V. H., Hansen, A. L., Ottosen, R., Nielsen, C. G., Moeller, C., van der Horst, D., Peri, S., Balachandran, S., Huang, J., Jakobsen, M., Svenningsen, E. B., Poulsen, T. B., Bartsch, L., Thielke, A. L., Luo, Y., Alain, T., Rehwinkel, J., Alcami, A., Hiscott, J., Mogensen, T. H., Paludan, S. R., Holm, C. K., 2020. SARS-CoV2-mediated suppression of NRF2-signaling reveals potent antiviral and anti-inflammatory activity of 4-octyl-itaconate and dimethyl fumarate. Nat Commun 11, 4938.

    23. Rousseau, A., Pharm, S. B., Gueudry, J., Deback, C., Haigh, O., Schweitzer, C., Boutolleau, D., Labetoulle, M., 2022. Acyclovir-resistant herpes simplex virus 1 keratitis: A concerning and emerging clinical challenge. Am J Ophthalmol 238, 110-119.

    24. Shah, A., Farooq, A. V., Tiwari, V., Kim, M. J., Shukla, D., 2010. Hsv-1 infection of human corneal epithelial cells: Receptor-mediated entry and trends of re-infection. Mol Vis 16, 2476-2486.

    25. Sharma, A., Taniguchi, J., 2017. Review: Emerging strategies for antimicrobial drug delivery to the ocular surface: Implications for infectious keratitis. Ocul Surf 15, 670-679.

    26. Sibley, D., Larkin, D. F. P., 2020. Update on herpes simplex keratitis management. Eye (Lond.). 34, 2219-2226.

    27. Spear, P. G., 2004. Herpes simplex virus: Receptors and ligands for cell entry. Cell Microbiol 6, 401-410.

    28. Stoddard, A. R., Koetje, L. R., Mitchell, A. K., Schotanus, M. P., Ubels, J. L., 2013. Bioavailability of antioxidants applied to stratified human corneal epithelial cells. J. Ocul. Pharmacol Ther 29, 681-687.

    29. Tan, T., Xia, L., 2020. TRIM21 aggravates herpes simplex virus epithelial keratitis by attenuating STING-IRF3-mediated type I interferon signaling. Front Microbiol 11, 703.

    30. Wang, H., Jia, X., Zhang, M., Cheng, C., Liang, X., Wang, X., Xie, F., Wang, J., Yu, Y., He, Y., Dong, Q., Wang, Y., Xu, A., 2023. Isoliquiritigenin inhibits virus replication and virus-mediated inflammation via NRF2 signaling. Phytomedicine 114, 154786.

    31. Whitley, R. J., Gnann, J. W., Jr., 1992. Acyclovir: A decade later. N Engl J Med 327, 782-789.

    32. Xu, L., Zhong, X. L., Xi, Z. C., Li, Y., Xu, H. X., 2022. Medicinal plants and natural compounds against acyclovir-resistant hsv infections. Front Microbiol 13, 1025605.

    33. Yin, J., Peng, X., Lin, J., Zhang, Y., Zhang, J., Gao, H., Tian, X., Zhang, R., Zhao, G., 2021. Quercetin ameliorates Aspergillus fumigatus keratitis by inhibiting fungal growth, toll-like receptors and inflammatory cytokines. Int Immunopharmacol 93, 107435.

    34. Yu, Y., Li, K., Xue, R., Liu, S., Liu, X., Wu, K., 2023. A20 functions as a negative regulator of the lipopolysaccharide-induced inflammation in corneal epithelial cells. Exp Eye Res 228, 109392.

    35. Zeng, W. B., Jiang, H. F., Gang, Y. D., Song, Y. G., Shen, Z. Z., Yang, H., Dong, X., Tian, Y. L., Ni, R. J., Liu, Y., Tang, N., Li, X., Jiang, X., Gao, D., Androulakis, M., He, X. B., Xia, H. M., Ming, Y. Z., Lu, Y., Zhou, J. N., Zhang, C., Xia, X. S., Shu, Y., Zeng, S. Q., Xu, F., Zhao, F., Luo, M. H., 2017. Anterograde monosynaptic transneuronal tracers derived from herpes simplex virus 1 strain H129. Mol Neurodegener 12, 38.

    36. Zhang, L., Wang, J., Wang, Z., Li, Y., Wang, H., Liu, H., 2022. Upregulation of nuclear factor E2-related factor 2 (Nrf2) represses the replication of herpes simplex virus type 1. Virol J 19, 23.

    37. Zhu, S., Viejo-Borbolla, A., 2021. Pathogenesis and virulence of herpes simplex virus. Virulence 12, 2670-2702.

  • 加载中

Figures(1)

Article Metrics

Article views(4563) PDF downloads(11) Cited by(0)

Related
Proportional views
    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Quercetin inhibits herpes simplex virus 1 replication in corneal epithelium and suppresses keratitis progression

      Corresponding author: Kaili Wu, wukaili@mail.sysu.edu.cn
    • a. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, 510060, China;
    • b. Department of Ophthalmology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325035, China

    Abstract: Quercetin is a natural compound with potent antiviral effects; however, its role in the treatment of herpes simplex keratitis (HSK) remains underexplored. Here, we investigated the antiviral effects of quercetin against herpes simplex virus 1 (HSV-1). By examining different phases of viral infection in human corneal epithelial cells (HCECs), we found that 30 μmol/L quercetin inhibits HSV-1 replication primarily by disrupting viral attachment. RNA-sequencing and subsequent analyses revealed that the nuclear factor E2-related factor 2 (Nrf2) was upregulated by quercetin in a dose-dependent manner. Knocking down Nrf2 partially compromised quercetin's antiviral effect. Importantly, topical application of 100 μmol/L quercetin alleviated HSK severity in mice, reduced viral titers in tears, and inhibited VP16 expression in the cornea and trigeminal ganglia. These findings demonstrate the antiviral effect of quercetin against HSV-1 and provide a foundation for mechanistic studies to elucidate its therapeutic potential in HSK.

    Figure (1)  Reference (37) Relative (20)

    目录

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return