- Research article
- Open Access
- Open Peer Review
Anti-HSV-2 activity of Terminalia chebula Retz extract and its constituents, chebulagic and chebulinic acids
BMC Complementary and Alternative Medicine volume 17, Article number: 110 (2017)
Development of new and effective therapeutics for sexually transmitted herpes simplex virus-2 (HSV-2) infection is important from public health perspective. With an aim to identify natural products from medicinal plants, in the present study, the potential of Terminalia chebula Retz was investigated for its activity against HSV-2.
Fruits of Terminalia chebula Retz were used to prepare 50% ethanolic extract. In addition, chebulagic acid and chebulinic acid both purified from T. chebula were also used. The extract as well as purified compounds were first used to determine their in vitro cytotoxicity on Vero cells by MTT assay. T. chebula extract, chebulagic acid, chebulinic acid along with acyclovir were subsequently assessed for direct anti-viral activity, and their ability to inhibit attachment and penetration of HSV-2 to the Vero cells. In addition, their anti-HSV-2 activity was also determined by in vitro post-infection plaque reduction assay.
Cytotoxicity assay using Vero cells revealed CC50 = 409.71 ± 47.70 μg/ml for the extract whereas chebulagic acid and chebulinic acid showed more than 95% cell viability up to 200 μg/ml. The extract from T. chebula (IC50 = 0.01 ± 0.0002 μg/ml), chebulagic (IC50 = 1.41 ± 0.51 μg/ml) and chebulinic acids (IC50 = 0.06 ± 0.002 μg/ml) showed dose dependent potent in vitro direct anti-viral activity against HSV-2. These also effectively prevented the attachment as well as penetration of the HSV-2 to Vero cells. In comparison, acyclovir showed poor direct anti-viral activity and failed to significantly (p > 0.05) prevent the attachment as well as penetration of HSV-2 to Vero cells when tested upto 50 μg/ml. However, in post-infection plaque reduction assay, T. chebula extract, chebulagic and chebulinic acids showed IC50 values of 50.06 ± 6.12, 31.84 ± 2.64, and 8.69 ± 2.09 μg/ml, respectively, which were much lower than acyclovir (71.80 ± 19.95 ng/ml).
The results presented herein suggest that T. chebula extract, chebulagic and chebulinic acids have higher direct antiviral activity against HSV-2 and efficacy to inhibit virus attachment and penetration to the host cells as compared to acyclovir. However, acyclovir is more potent to inhibit post-infection virus replication. Hence, T. chebula may be a useful candidate for developing alternative therapy for prevention of sexually transmitted HSV-2 infection.
Herpes simplex virus-2 (HSV-2) is a double stranded DNA virus belonging to the family Herpesviridae. It causes genital herpes, contributing to the risk of HIV infection through sexual route [1, 2]. HSV-2 is sexually transmitted virus and infect 500 million people worldwide and 20–23 million new infections are reported annually , http://www.who.int/mediacentre/factsheets/fs400/en/#hsv2. Since virus is an intracellular parasite in neural ganglia, it is difficult to completely eliminate it [1, 4]. Nucleoside derivatives such as acyclovir, valaciclovir, famciclovir and cidafovir have been widely used for the treatment of HSV infection . In addition to high cost, treatment with acyclovir and other related drugs is also associated with the emergence of drug resistant strains , which is a major hurdle in the immunocompromised individuals, co-infected with other opportunistic Sexually Transmitted Infections (STIs) such as HIV-1 [7, 8].
Natural products from medicinal plants have been an important source of new biologically effective compounds exhibiting different modes of action against viral infection [9–11]. Terminalia chebula Retz. (T. chebula) is an evergreen flowering tree of the Combretaceae family and extensively used in traditional medicine. Pharmacological studies revealed the inhibitory activity of T. chebula on viral infections, such as human immunodeficiency virus type 1 (HIV-1), herpes simplex virus-1 (HSV-1), cytomegalovirus (CMV) and influenza [12–16]. In addition, the extract from T. chebula also has anti-bacterial, anti-fungal, anti-carcinogenic, anti-oxidant, anti-diabetic and anti-aging activities . T. chebula has various phytoconstituents like tannins, flavonoids, sterols, amino acids, fructose, resins and fixed oil etc. However, tannins such as chebulinic acid, chebulagic acid, gallic acid, chebulic acid, corilagin and ellagic acid may constitute 30% of various phytochemicals [18, 19]. Though there are several studies on the anti-HSV-1 activity of T. chebula extract and its constituents namely chebulagic acid [15, 20, 21], but their activity against HSV-2 needs to be addressed.
Keeping in view of the above, the 50% ethanolic extract prepared from the fruits of T. chebula was evaluated for direct anti-viral activity and its impact on the attachment and penetration of the HSV-2 to the Vero cells. Chebulagic and chebulinic acids from T. chebula were also tested in these assays and their activity compared with well known drug, acyclovir. Additionally, the extract and pure compounds were also evaluated for in vitro anti-HSV-2 activity in post-infection plaque reduction assay.
Plant material, preparation of 50% ethanolic extract, and compounds
The fruits of Terminalia chebula were collected from the medicinal plants garden of Ayurveda Research Institute, Poojappura, Kerala and the identity was confirmed at Ayurveda Research Institute, Trivandrum, Kerala. The voucher specimen (HLL/04/2013) has been kept at Natural Products Division of HLL Lifecare Limited, Trivandrum, Kerala, India. Air and shade dried fruits were grinded and strained through a 30 mesh (0.5 mm). The finely grinded powder (24 g) was subjected to pressurized sequential extraction using Accelerated Solvent Extractor (ASE 150, Dionex Inc., Sunnyvale, CA, USA) essentially as described previously [22, 23]. In brief, the material was mixed with diatomaceous earth at 4:1 ratio. The mixture was placed into a sample cell (100 ml) and loaded onto the ASE 150 system. Extraction was performed using 50% ethanol under pressure (1500 psi) at 60 °C with a flush volume of 60% using 2 static cycles. The solvent was then evaporated in a rotary evaporator (Büchi Labortechnik AG, 9230 Flawil, Switzerland). The dried extract was weighed and used for further studies.
Highly pure commercial chebulagic acid and chebulinic acid, both purified from T. chebula, were obtained from MP Biomedicals, Ohio, Solon, USA. These compounds were used as reference standard to identify the corresponding peaks in 50% ethanolic extract prepared from fruits of T. chebula as well as to determine their anti-HSV-2 activity in various assays as described below. Both the compounds were dissolved in absolute ethanol (10 mg/ml) and further dilutions were made in the culture medium before use. Acyclovir (commercial name acycloguanosin) was purchased from Sigma-Aldrich Inc., St. Louis, MO, USA. It was dissolved in dimethyl sulphoxide (DMSO) to make stock solution of 7 mg/ml and further diluted in culture medium to prepare working concentration (s) prior to use. The final concentration of DMSO was < 0.1% in various assays where acyclovir was used.
High performance liquid chromatography analysis
The Reverse Phase High Performance Liquid Chromatography (HPLC; LC Agilent, Agilent Technologies, Boblingen, Germany) of the plant extract was performed using a Reverse phase XTerra RP 18 column (4.6 × 250 mm, 5 μm; Waters Corporation, Milford, USA) and pure compounds (chebulagic and chebulinic acids) were used as reference standards. HPLC grade solvents were purchased from Merck, Mumbai, India. The solvent system used was 0.01% orthophosphoric acid in water : acetonitrile (80 : 20) with a flow rate of 1 ml/min. The peaks were detected at 272 nm. The extract was prepared at a concentration of 5 mg/ml and the standards at 1 mg/ml in the mobile phase solvent system and 20 μl of each was injected for analysis. The data was processed using open lab software (Agilent Technologies).
Cells and viruses
African green monkey kidney cells (Vero cells) were obtained from National Centre of Cell Science, Pune, India and maintained in Dulbecco’s modified Eagle’s medium (DMEM; Sigma-Aldrich Inc.) supplemented with 10% fetal bovine serum (FBS; Biological Industries, Kibbutz beit HaemeK, Israel) and an antibiotic-antimycotic cocktail [Penicillin (100 units/ml), Streptomycin (100 μg/ml) and Amphotericin B (250 ng/ml); Pen-Strep-Ampho sol, Biological Industries]. For HSV-2 G strain (VR-734; ATCC, Rockville, USA) production, the Vero cell culture was maintained at 37 °C in a humidified atmosphere of 5% CO2. The HSV-2 strain was propagated in the 25-cm2 tissue culture flask for 72 h at 37 °C in CO2 incubator at multiplicity of infection (MOI) of 0.01 PFU/cell . After three cycles of freezing/thawing, the supernatant was titrated on the basis of Plaque Forming Unit (PFU) as previously described  and stored in aliquots at −80 °C until use.
The cytotoxicity of the 50% ethanolic T. chebula extract, chebulagic acid, chebulinic acid and acyclovir was assessed by MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; Sigma-Aldrich Inc.] assay . In brief, Vero cells (1.25 × 104/well) were seeded in 96-well cell culture plates (Greiner Bio-One, GmbH, Frickenhausen, Germany) and grown overnight at 37 °C in humidified atmosphere of 5% CO2. After 24 h, cells were treated with varying concentrations of the T. chebula extract, chebulagic acid, chebulinic acid and acyclovir in duplicate along with vehicle [dimethyl sulfoxide (DMSO) and/or ethanol] control for 48 h. Negative control included cells with medium only. After incubation, 20 μl of MTT (5 mg/ml in 50 mM PBS) was added per well and incubated for 4 h at 37 °C, followed by addition of MTT solvent (100 μl/well; 0.04 N HCl in absolute isopropanol). The absorbance (OD) was read at 540 nm with reference filter at 630 nm by using microplate spectrophotometer (ELX 800MS; BioTek Instrument Inc., Vermont, USA). Percent viability was calculated by dividing the OD obtained in treatment group by OD in the respective vehicle control multiplied by 100.
Anti-HSV-2 activity of the extract of T. chebula, chebulagic acid and chebulinic acid
Direct anti-viral activity assay
To evaluate direct inactivation of HSV-2 by 50% ethanolic T. chebula extract, chebulagic acid and chebulinic acid, HSV-2 virus (100 PFU) was pre-incubated with sub-toxic serial concentrations of the T. chebula extract, chebulagic acid, chebulinic acid and acyclovir at 37 °C for 1 h. Subsequently, the contents were added to the confluent Vero cells monolayer growing in a 24-well cell culture plate (Corning Incorporated Costar, NY, USA) followed by incubation at 37 °C for 1 h under the humidified 5% CO2 atmosphere. After virus adsorption, the supernatant was aspirated and infected cells were washed twice with serum free DMEM and overlaid with 1% low melting point (LMP) agarose overlay medium. After 48 h incubation, cells were fixed with 10% formaldehyde (in 50 mM PBS), stained with 0.2% crystal violet and number of plaques counted. The percent plaque reduction was calculated as 100 – [(P T/P C) × 100], where P T and P C refer to the number of plaques in the presence and absence of the compound, respectively. The direct anti-viral activity was measured by plaque reduction as compared to the vehicle treated virus control. The minimal concentration of the compound required to inhibit 50% of plaque numbers (IC50) was calculated by regression analysis of the dose–response curves of the extract/compounds.
HSV-2 attachment and penetration assay
The attachment and penetration assays were performed essentially as described previously [26, 27] with slight modifications. In brief, for attachment assay, confluent Vero cells grown in 24-well cell culture plates were pre-chilled at 4 °C for 1 h. The medium was aspirated and virus (100 PFU/well) was added in the presence or absence of the varying concentrations of 50% ethanolic T. chebula extract, chebulagic acid, chebulinic acid and acyclovir to the Vero cells and incubated for 3 h at 4 °C. Subsequently, cells were washed twice with plain DMEM medium, and processed as described in direct anti-viral activity assay to determine IC50. In the penetration assay, HSV-2 virus (100 PFU/well) was added to the pre-chilled confluent monolayer of Vero cells growing in 24-well culture plate for 3 h at 4 °C to allow attachment. The medium was replaced with pre-warmed fresh medium containing varying concentrations of test extract/compounds and incubated at 37 °C to maximize virus penetration. After 30 min, the infected monolayer cultures were treated with warm PBS (pH 3.0) for 1 min to inactivate the non-penetrated viruses. After washing three times with serum-free medium, cells were overlaid with 1% LMP agarose and processed to quantitate the number of plaques after 48 h incubation as described above.
Post-infection virus plaque reduction assay
The anti-HSV-2 activity of 50% ethanolic T. chebula extract, chebulagic acid, chebulinic acid and acyclovir has been evaluated by using post-infection plaque reduction assay . In brief, Vero cells (8 × 104/well) were seeded in 24-well cell culture plate and incubated at 37 °C in a humidified atmosphere of 5% CO2 to form complete monolayer. After incubation, medium was removed and cells were infected with HSV-2 virus (100 PFU/well) for 1 h at 37 °C under humidified atmosphere of 5% CO2. After virus adsorption, viral inocula was subsequently removed by washing the cells twice with fresh serum free DMEM and cells were overlaid with 1% LMP agarose, containing varying concentrations (less than calculated CC50 values) of the 50% ethanolic extract from T. chebula, chebulagic acid and chebulinic acid. Acyclovir was used as positive control and agar overlay containing appropriate solvents (DMSO/ethanol), used to prepare test compounds comprises the vehicle control. After 48 h incubation, plates were processed and number of plaques counted.
The values are expressed as mean ± standard error mean of three/four independent experiments performed in duplicate. For determination of the CC50 and IC50 values, nonlinear regression of concentration-response curves were prepared using GraphPad Prism 4 (GraphPad Software Inc., CA, USA). The statistical significance in reduction of plaques in presence of T. chebula extract, chebulagic acid, chebulinic acid and acyclovir versus respective vehicle treated virus control was determined by one-way ANOVA and p < 0.05 was considered statistically significant. Significance among various treatment groups was further analysed by using Tukey post-hoc test.
T. chebula extract, chebulagic acid and chebulinic acid showed potent direct anti-viral activity
The 50% ethanolic extract from the fruits of T. chebula was prepared as described in Methods. From 24 g powder, the average yield of 50% ethanolic extract was 15 g (62.5% yield). Analysis of T. chebula extract by reverse phase HPLC revealed multiple peaks, furthermore chebulagic acid and chebulinic acid revealed a retention time of 11.2 and 29.2 min, respectively (Fig. 1). In addition to these two major peaks, peak with retention time of 3.4 min corresponded to gallic acid (Fig. 1).
Before evaluating the anti-HSV-2 activity of the 50% ethanolic extract prepared from the fruits of T. chebula or compounds chebulagic acid and chebulinic acid, their effect on the viability of Vero cells was determined by MTT assay as described in Methods. The extract of T. chebula revealed 409.71 ± 47.70 μg/ml CC50 value (Table 1). The chebulagic and chebulinic acids showed > 95% cell viability when tested up to 200 μg/ml. The CC50 value of 351.85 ± 48.80 μg/ml was observed with acyclovir (Table 1).
Anti-HSV-2 activity by direct inactivation of the virus was tested in the presence of crude extract/compounds. HSV-2 virus was pre-treated with varying concentrations of T. chebula extract, chebulagic acid, chebulinic acid and acyclovir followed by analysis of their ability to infect Vero cells by formation of plaques as described in Methods. The pre-treatment of HSV-2 with the plant extract, chebulagic acid as well as chebulinic acid showed a significant reduction in the formation of plaques as compared to vehicle treated virus control group with IC50 values of 0.01 ± 0.0002, 1.41 ± 0.51, and 0.06 ± 0.002 μg/ml respectively (Table 1). The differential anti-HSV-2 activity of the above treatment groups with respect to each other was not significant using one way ANOVA. The direct antiviral activity of the T. chebula extract, chebulagic acid and chebulinic acid was approximately 20 to 2900 fold higher than acyclovir (IC50 = 29.04 ± 1.04 μg/ml; Table 1).
T. chebula extract, chebulagic acid and chebulinic acid effectively inhibited HSV-2 attachment and penetration to the Vero cells
Further, the effect of T. chebula extract, chebulagic acid, chebulinic acid and acyclovir was also evaluated on the attachment and penetration of HSV-2 to the Vero cells as described in Methods. T. chebula extract, chebulagic acid and chebulinic acid significantly inhibited in vitro binding of HSV-2 to Vero cells in a dose-dependent manner with the IC50 values of 0.48 ± 0.20, 1.66 ± 0.30, and 0.29 ± 0.01 μg/ml as compared to vehicle treated virus control respectively (Fig. 2). The differences among the treatment groups of plant extract, chebulagic acid and chebulinic acid for inhibition of HSV-2 attachment to Vero cells was significant by one way ANOVA analysis. Furthermore, analysis by Tukey post-hoc test revealed that anti-HSV-2 activity in the attachment assay by chebulinic acid was significantly higher than chebulagic acid. Acyclovir, when tested up to a concentration of 50 μg/ml did not show any significant (p > 0.05) inhibition in the HSV-2 binding to Vero cells as revealed by the number of plaques observed as compared to DMSO treated negative control (Fig. 2). Further, pre-treatment of the Vero cells with the 10 μg/ml of T. chebula extract, chebulagic acid & chebulinic acid and 1 μg/ml of acyclovir followed by infection with HSV-2 did not show any significant reduction in the number of viral plaques as compared to vehicle treated cells, suggesting that the above extract/compounds do not have any inhibitory effect on the host cell receptors (data not shown).
In addition to the attachment assay, we also observed a concentration dependent significant inhibition of HSV-2 penetration to the Vero cells by the T. chebula extract, chebulagic acid and chebulinic acid with the IC50 values of 0.99 ± 0.52 μg/ml, 4.65 ± 0.02 μg/ml, and 0.68 ± 0.05 μg/ml respectively with respect to vehicle treated virus control (Fig. 3). The differences among the treatment groups of plant extract, chebulagic acid and chebulinic acid for inhibition of HSV-2 penetration in the Vero cells was significant by one way ANOVA analysis. Further analysis of the data by Tukey post-hoc test revealed significant differences between chebulagic acid treatment group with respect to plant extract or chebulinic acid treatment groups. However, no significant difference was observed between plant extract versus chebulinic acid treatment group. As in attachment assay, chebulinic acid in the penetration assay also showed highest anti-HSV-2 activity. Acyclovir (50 μg/ml) did not reveal any significant (p > 0.05) decrease in HSV-2 penetration to the Vero cells under similar experimental conditions (Fig. 3).
T. chebula extract, chebulagic acid and chebulinic acid showed reduced anti-HSV-2 activity as compared to acyclovir in post-infection plaque reduction assay
In the post-infection plaque reduction assay, acyclovir showed dose dependent significant inhibition of HSV-2 replication with an IC50 value of 71.80 ± 19.95 ng/ml (Fig. 4). However, extract (IC50 = 50.06 ± 6.12 μg/ml) as well as chebulagic (IC50 = 31.84 ± 2.64 μg/ml) and chebulinic (IC50 = 8.69 ± 2.09 μg/ml) acids showed approximately 120–700 fold lower IC50 values as compared to acyclovir in the post-infection plaque reduction assay (Fig. 4). Using Tukey post-hoc test, chebulinic acid showed significantly higher anti-HSV-2 activity as compared to plant extract as well as chebulagic acid. However, anti-HSV-2 activity was not significantly different between plant extract versus chebulagic acid.
In the present study, we have shown that the 50% ethanolic extract prepared from the fruits of T. chebula has a very potent direct antiviral activity against HSV-2 (Table 1). The direct anti-viral activity of the aqueous extract prepared from the seeds of T. chebula on influenza A (H3N8) virus has also been reported . Casuarinin, a hydrolyzable tannin isolated from the bark of Terminalia arjuna Linn also showed potent virucidal activity against HSV-2 at a concentration of 25 μM . The observed direct anti-viral activity by the two hydrolyzable tannins namely chebulagic acid and chebulinic acid purified from T. chebula against HSV-2 is reported for the first time, which seems to be higher than casuarinin. The direct anti-viral activity of T. chebula extract, chebulagic acid and chebulinic acid was also significantly (p < 0.05) higher than acyclovir, a well known drug used for the treatment of HSV infection. We speculate that the direct anti-viral activity of T. chebula extract, chebulagic acid and chebulinic acid may be due to their interaction with viral surface glycoproteins, causing alteration in its function or by making virus particles inert and prevent their attachment and spreading to the Vero cells. Indeed hydrolyzable tannins such as chebulagic acid and punicalagin have been shown to bind to glycoproteins of various viruses thereby inhibiting their entry to the host cells as well as prevent cell-to-cell spread (20, 21).
HSV requires its glycoproteins (gB, gC, gD, gH and gL) to interact with the host cell receptors (heparan sulphate, nectin-1 and nectin-2) followed by penetrating the membrane by fusion process [30, 31]. T. chebula extract, chebulagic acid and chebulinic acid showed potent inhibition of HSV-2 attachment (Fig. 2) as well as penetration (Fig. 3) to Vero cells. It has been shown that casuarinin, inhibited the attachment and penetration of HSV-2 to Vero cells broadly through the disturbances of the viral glycoproteins . Chebulagic acid and punicalagin, the hydrolyzable tannins isolated from the fruits of T. chebula, inhibited HSV-1 viral particles and prevented their binding, penetration and cell-to-cell spread, as well as secondary infection . However, pre-treatment of the host cells with chebulagic acid and punicalagin were not effective in prevention of HSV-1 infection. Their inhibitory activities targeted HSV-1 glycoproteins involved in the attachment and membrane fusion, by blocking interaction with host cell surface glycosaminoglycans. Antiviral activity of chebulagic acid and punicalagin was significantly reduced in mutant cell lines deficient for heparan sulfate and chondroitin sulfate suggesting that these tannins may be interfering in the interaction of HSV-1 glycoproteins with heparan sulfate/chondroitin sulfate rather than lysis of viral membrane . It is likely that the T. chebula extract, chebulagic acid and chebulinic acid also target HSV-2 glycoproteins that are responsible for its binding to host cell receptors. Failure of acyclovir to show any significant decrease in the attachment as well as penetration of HSV-2 to the host cells may be due to the fact that it primarily works intra-cellularly by inhibiting virus replication.
The results shown in the present study revealed that 50% ethanolic extract prepared from the fruits of T. chebula, chebulagic acid and chebulinic acid also inhibited post-fusion HSV-2 replication or spread to other cells, which was approximately 120–700 fold lower as compared to acyclovir. Keeping in view of the large molecular weight of chebulagic acid and chebulinic acid, it is likely that they may not penetrate the Vero cells and hence may not interfere in intracellular virus replication. In contrast, acyclovir will enter the cells and inhibit HSV-2 replication. Acyclovir is converted in the virus infected cells to acyclovir monophosphate using viral-encoded thymidine kinase and subsequently to acyclovir triphosphate by using host cell enzymes, which prevent virus DNA synthesis and thus replication by inhibiting the viral DNA polymerase . It is likely that T. chebula extract, chebulagic acid and chebulinic acid binds to viral glycoproteins expressed on the infected Vero cell surface thereby rendering their unavailability for cell-to-cell spread. However, further studies will be required to understand the plausible mechanism by which T. chebula extract, chebulagic acid and chebulinic acid exhibit anti-HSV-2 activity in the post-infection plaque reduction assay.
T. chebula fruit is one of the important ingredients of Triphala-an important herbal preparation used for centuries in the traditional Indian system of Ayurveda as colon cleanser, digestive, diuretic and laxative . The extract prepared from the fruits of T. chebula or its constituents have shown diverse pharmacological activities which include, antioxidant and free radical scavenging activity, anticarcinogenic activity, hepatoprotective activity, cardioprotective activity, cytoprotective activity, antidiabetic activity, antibacterial, fungal and viral activity, gasterointestinal motility improving and anti-ulcerogenic activity etc. [17, 34–38]. Keeping in view of its acetylcholinestrase inhibitors activity, antioxidant and anti-inflammatory effects, its potential for the treatment of alzheimer’s disease is also being explored . Interestingly, in vivo anti-viral property of chebulagic acid, was also demonstrated by treating mice challenged with a lethal dose of human enterovirus 71 (major causative agent of hand, foot and mouth disease in younger children), which led to reduce mortality and clinical symptoms mediated by inhibiting viral replication . In another study, the extract prepared from T. chebula Retz when administered along with acyclovir significantly curtailed the development of skin lesion and prolonged the mean survival rate of HSV-1 infected mice as compared to when administered either acyclovir or herbal extract alone . These studies suggest the enormous clinical potential of T. chebula for a variety of ailments. The obvious question comes to mind about the safety of the T. chebula-based herbal preparations. The ethanolic extract of T. chebula fruits did not show any mutagenic properties as tested in bacterial mutation assays and also did not reveal any toxic effects when repeatedly administered orally in rats . The anti-mutagenic activity of the hydrolyzable tannins purified from T. chebula has also been shown by another independent study . The fruits from T. chebula could reduce the lead and almunium induced genotoxicity . These studies suggest that T. chebula extract and hydrolyzable tannins are safe molecules to be used as therapeutic agents against HSV. In contrast, a known side effect of prolonged treatment with acyclovir is nephrotoxicity . However, the extract of T. chebula has nephroprotective activity . Use of T. chebula extract, chebulagic and chebulinic acids could improve the prognosis of sexually transmitted HSV-2 as well as reduction of sexually transmitted HIV-1 as co-infection. The extract of T. chebula will also be useful against viruses that use glycosaminoglycans as entry door in to the host such as Hepatitis C, HIV and dengue viruses. However, extensive investigations are needed to exploit its therapeutic potential for drug resistant viruses.
To the best of our knowledge, we have demonstrated for the first time, anti-HSV-2 activity of T. chebula. Due to potent direct antiviral activity against HSV-2 including its attachment as well as penetration by T. chebula extract, chebulagic acid and chebulinic acid, which is higher than acyclovir, this plant may be a good source to identify natural product (s). However, additional studies will be required to determine the mechanism by which T. chebula and its constituents exhibit anti-HSV-2 activity.
Accelerated solvent extractor
- CC50 :
Concentration that shows 50% of cytotoxic effect
Dulbecco’s modified Eagle’s medium
Fetal bovine serum
Human immunodeficiency virus
High Performance Liquid Chromatography
Herpes simplex virus
- IC50 :
Inhibitory concentration producing 50% reduction in plaque formation
Low melting point
Multiplicity of infection
Plaque forming unit
Sexually transmitted infection
Brugha R, Keersmaekers K, Renton A, Meheus A. Genital herpes infection: a review. Int J Epidemiol. 1997;26:698–709.
Severson JL, Tyring SK. Relation between herpes simplex viruses and human immunodeficiency virus infections. Arch Dermatol. 1999;135:1393–97.
Looker KJ, Garnett GP, Schmid GP. An estimate of the global prevalence and incidence of herpes simplex virus type 2 infection. Bull World Health Organ. 2008;86:805–12.
Whitley RJ, Roizman B. Herpes simplex virus infections. Lancet. 2001;357:1513–8.
Cassady KA, Whitley RJ. New therapeutic approaches to the alphaherpesvirus infections. J Antimicrob Chemother. 1997;39:119–28.
Englund JA, Zimmerman ME, Swierkosz EM, Goodman JL, Scholl DR, Balfour HHJ. Herpes simplex virus resistant to acyclovir. A study in a tertiary care center. Ann Intern Med. 1990;112:416–22.
Erlich KS, Mills J, Chatis P, Mertz GJ, Busch DF, Follansbee SE, et al. Acyclovir-resistant herpes simplex virus infections in patients with the acquired immunodeficiency syndrome. N Engl J Med. 1989;320:293–6.
Bean B. Antiviral therapy: current concepts and practices. Clin Microbiol Rev. 1992;5:146–82.
De Clercq E. Current lead natural products for the chemotherapy of human immunodeficiency virus (HIV) infection. Med Res Rev. 2000;20:323–49.
Newman DJ, Cragg GM, Snader KM. Natural products as sources of new drugs over the period 1981–2002. J Nat Prod. 2003;66:1022–37.
Kitazato K, Wang Y, Kobayashi N. Viral infectious disease and natural products with antiviral activity. Drug Discov Ther. 2007;1:14–22.
el Mekkawy S, Meselhy MR, Kusumoto IT, Kadota S, Hattori M, Namba T. Inhibitory effects of Egyptian folk medicines on human immunodeficiency virus (HIV) reverse transcriptase. Chem Pharm Bull. 1995;43:641–8.
Yukawa TA, Kurokawa M, Sato H, Yoshida Y, Kageyama S, Hasegawa T, et al. Prophylactic treatment of cytomegalovirus infection with traditional herbs. Antiviral Res. 1996;32:63–70.
Badmaev V, Nowakowski M. Protection of epithelial cells against influenza A virus by a plant derived biological response modifier Ledretan-96. Phytother Res. 2000;14:245–9.
Kurokawa M, Nagasaka K, Hirabayashi T, Uyama S, Sato H, Kageyama T, et al. Efficacy of traditional herbal medicines in combination with acyclovir against herpes simplex virus type 1 infection in vitro and in vivo. Antiviral Res. 1995;27:19–37.
Oyuntsetseg N, Khasnatinov MA, Molor-Erdene P, Oyunbileg J, Liapunov AV, Danchinova GA, et al. Evaluation of direct antiviral activity of the Deva-5 herb formulation and extracts of five Asian plants against influenza A virus H3N8. BMC Complement Altern Med. 2014;14:235.
Gupta PC. Biological and pharmacological properties of Terminalia chebula Retz. (Haritaki)- An overview. Int J Pharm Pharm Sci. 2012;4(Suupl 3):62–8.
Juang LJ, Sheu SJ, Lin TC. Determination of hydrolyzable tannins in the fruit of Terminalia chebula Retz. by high-performance liquid chromatography and capillary electrophoresis. J Sep Sci. 2004;27:718–24.
Kumar KJ. Effect of geographical variation on contents of tannic acid, gallic acid, chebulinic acid and ethyl gallate in Terminalia chebula fruits. Nat Prod. 2006;2:100–4.
Lin LT, Chen TY, Chung CY, Noyce RS, Grindley TB, McCormick C, et al. Hydrolyzable tannins (chebulagic acid and punicalagin) target viral glycoprotein-glycosaminoglycan interactions to inhibit herpes simplex virus 1 entry and cell-to-cell spread. J Virol. 2011;85:4386–98.
Lin LT, Chen TY, Lin SC, Chung CY, Lin TC, Wang GH, et al. Broad-spectrum antiviral activity of chebulagic acid and punicalagin against viruses that use glycosaminoglycans for entry. BMC Microbiol. 2013;13:187.
Alonso-Salces RM, Korta E, Barranco A, Berrueta LA, Gallo B, Vicente F. Determination of polyphenolic profiles of Basque cider apple varieties using accelerated solvent extraction. J Agric Food Chem. 2001;49:3761–7.
Benthin B, Danz H, Hamburger M. Pressurized liquid extraction of medicinal plants. J Chromatogr A. 1999;837:211–9.
Blaho JA, Morton ER, Yedowitz JC. Herpes simplex virus: propagation, quantification, and storage. Curr Protoc Microbiol. 2005;Chapter 14:Unit 14E.1-23.
Mosmann T. Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods. 1983;65:55–63.
Cheng HY, Lin TC, Yang CM, Wang KC, Lin LT, Lin CC. Putranjivain A from Euphorbia jolkini inhibits both virus entry and late stage replication of herpes simplex virus type 2 in vitro. J Antimicrob Chemother. 2004;53:577–83.
Wachsman MB, Castilla V, de Ruiz Holgado AP, de Torres RA, Sesma F, Coto CE. Enterocin CRL35 inhibits late stages of HSV-1 and HSV-2 replication in vitro. Antiviral Res. 2003;58:17–24.
Shigeta S, Mori S, Baba M, Ito M, Honzumi K, Nakamura K, et al. Antiviral activities of ribavirin, 5-ethynyl-1-beta-D-ribofuranosylimidazole-4-carboxamide, and 6′-(R)-6′-C methylneplanocin A against several ortho- and paramyxoviruses. Antimicrob Agents Chemother. 1992;36:435–9.
Cheng HY, Lin CC, Lin TC. Antiherpes simplex virus type 2 activity of casuarinin from the bark of Terminalia arjuna Linn. Antiviral Res. 2002;55:447–55.
Spear PG. Herpes simplex virus: receptors and ligands for cell entry. Cell Microbiol. 2004;6:401–10.
Heldwein EE, Krummenacher C. Entry of herpes viruses into mammalian cells. Cell Mol Life Sci. 2008;65:1653–68.
Elion GB. Acyclovir: discovery, mechanism of action, and selectivity. J Med Virol. 1993;Suppl 1:2–6.
Baliga MS. Triphala, Ayurvedic formulation for testing and preventing cancer: a review. J Altern Complement Med. 2010;16:1301–8.
Hazra B, Sarkar R, Biswas S, Mandal N. Comparative study of the antioxidant and reactive oxygen species scavenging properties in the extracts of the fruits of Terminalia chebula, Terminalia belerica and Emblica officinalis. BMC Complement Altern Med. 2010;10:20.
Lee HS, Jung SH, Yun BS, Lee KW. Isolation of chebulic acid from Terminalia chebula Retz. and its antioxidant effect in isolated rat hepatocytes. Arch Toxicol. 2007;81:211–8.
Suchalatha S, Shyamala Devi CS. Protective effect of Terminalia chebula against experimental myocardial injury induced by isoproterenol. Indian J Exp Biol. 2004;42:174–8.
Malekzadeh F, Ehsanifar H, Shahamat N, Levin M, Colwell RR. Antibacterial activity of black myrobalan (Terminalia chebula Retz.) against Helicobactor pyroli. Int J Antimicrob Agents. 2001;18:85–8.
Bag A, Bhattacharyya SK, Chattopadhyay RR. The development of Terminalia chebula Retz. (Combretaceae) in clinical research. Asian Pac J Trop Biomed. 2013;3:244–52.
Afshari AR, Sadeghnia HR, Mollazadeh H. A review on potential mechanisms of Terminalia chebula in alzheimer’s disease. Adv Pharmacol Sci. 2016. doi 10.1155/2016/8964849.
Yang Y, Xiu J, Liu J, Zhang L, Li X, Xu Y, et al. Chebulagic acid, a hydrolyzable tannin, exhibited antiviral activity in vitro and in vivo against human enterovirus 71. Int J Mol Sci. 2013;14:9618–27.
Kim JH, Koo YC, Hong CO, Yang SY, Jun W, Lee KW. Mutagenicity and oral toxicity studies of Terminalia chebula. Phytother Res. 2012;26:39–47.
Kaur S, Grover IS, Singh M, Kaur S. Antimutagenicity of hydrolyzable tannins from Terminalia chebula in Salmonella thyphimurium. Mutat Res. 1998;419:169–79.
Gunness P, Aleksa K, Bend J, Koren G. Acyclovir-induced nephrotoxicity: the role of the acyclovir aldehyde metabolite. Transl Res. 2011;158:290–301.
Rao NK, Nammi S. Antidiabetic and renoprotective effects of the chloroform extract of Terminalia chebula Retz. seeds in streptozotocin-induced diabetic rats. BMC Complement Altern Med. 2006;6:17.
We would like to acknowledge Mr. Rajit Ram, Technical Officer, Reproductive Cell Biology Lab, National Institute of Immunology, New Delhi for providing help in preparing the culture medium and maintenance of the cell culture facility. We would also like to thank Prof. R. N. Pandey, Head, Department of Biostatics, All India Institute of Medical Sciences, New Delhi, India for help in analysis of data using Tukey post-hoc test.
This study was financially supported by the research grants from the Department of Biotechnology (BT/PR5691/MED/108/11/2012), Government of India and Indian Council of Medical Research (5/7/853/12-RCH), Government of India. SKG would like to acknowledge J. C. Bose Fellowship (SB/S2/JCB-040/2015) by Science and Engineering Research Board, Department of Science and Technology, Government of India. The views expressed by the authors, does not necessarily reflect the views of the funding agencies.
Availability of data and materials
The 50% ethanolic extract prepared from the fruits of T. chebula Retz has been deposited as voucher specimen (HLL/04/2013) and will be available from Natural Products Division, HLL Lifecare Limited, Trivandrum, Kerala, India.
AK performed the antiviral assays and analysed the data statistically. KPS and RN collected the plant material, prepared crude extract and analysed it by HPLC. AA and NNM participated in the experimental work and helped in manuscript writing. SKG supervised the work, interpreted the results and wrote the manuscript. All authors contributed accordingly and approved the final manuscript.
The authors declare that they have no competing interests.
Consent for publication
Ethics approval and consent to participate
About this article
Cite this article
Kesharwani, A., Polachira, S.K., Nair, R. et al. Anti-HSV-2 activity of Terminalia chebula Retz extract and its constituents, chebulagic and chebulinic acids. BMC Complement Altern Med 17, 110 (2017) doi:10.1186/s12906-017-1620-8
- Anti-HSV-2 activity
- Attachment assay
- Penetration assay
- Post-infection plaque reduction assay
- Terminalia chebula