Key result
Moracin M inhibits enterovirus infection and reduces viral load by blocking viral attachment to cells.
Why the study?
Hand, foot, and mouth disease poses a serious threat to young children with severe neurological manifestations primarily caused by EV71, but no specific antiviral drug is currently available.
Moracin M shows promise as a potent inhibitor of EV71 and CA16 by preventing viral attachment, effectively reducing viral load and tissue inflammation in preclinical models of hand, foot, and mouth disease.
Hypothesis-generating for Moracin M in HFMD models; does not support clinical use pending human trials.
The global outbreak of hand, foot, and mouth disease (HFMD), mainly caused by enterovirus A71 (EV71) and coxsackievirus A16 (CA16) of the genus enterovirus, poses a serious threat to the health of young children, and severe neurological manifestations and associated symptoms are primarily attributed to EV71 infection. There is currently no specific antiviral drug available for HFMD. In this study, we identified Moracin M (MM), a flavonoid compound derived from Smilax china , as a potent inhibitor of EV71 and CA16 infection. Mechanistic investigation revealed that MM exerts its antiviral effects primarily by inhibiting viral attachment to host cells by targeting the virus. Furthermore, MM showed excellent safety and significant anti-EV71 activity in neonatal mice, and it also effectively suppressed the inflammatory response and alleviated muscle, lung, and brain tissue damage induced by EV71 infection. In conclusion, our study identified and demonstrated MM as a promising inhibitor of EV71 and CA16, providing important insights for the further development of MM as a potential therapeutic agent for HFMD caused by these viruses.
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Zhu et al. (2026) studied Enterovirus A71 (EV71) and Coxsackievirus A16 (CA16) infection / Hand, foot, and mouth disease. Moracin M vs. Vehicle control (DMSO or PBS) was evaluated on Viral RNA level, infection inhibition rate, and tissue damage evaluation. Moracin M significantly inhibited EV71 and CA16 infection primarily by blocking viral attachment to host cells and effectively suppressed viral load, inflammatory response, and tissue damage in infected neonatal mice.
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