Why the study?
Human enteroviruses cause substantial global disease burdens without specific approved therapeutics, and the efficacy and pharmacodynamic basis of traditional Chinese medicine against them remain underexplored.
Does Huashi Baidu Formula and its flavonoid components inhibit enteroviruses and attenuate inflammatory responses in preclinical models?
Does Huashi Baidu Formula and its flavonoid components inhibit enteroviruses and attenuate inflammatory responses in preclinical models?
HSBDF and its flavonoid components, particularly velutin, demonstrate broad-spectrum anti-enteroviral activity by targeting 3C protease and reducing inflammation in preclinical models.
Human enteroviruses are important pathogens of hand-foot-and-mouth disease, poliomyelitis, and encephalitis, etc., posing substantial global health burdens with no specific approved therapeutics. While traditional Chinese medicine (TCM) has demonstrated antiviral potential during the COVID-19 pandemic, its efficacy and pharmacodynamic material basis against enteroviruses remains underexplored. Here, we systematically characterized the broad-spectrum anti-enterovirus activity of Huashi Baidu Formula (HSBDF), a clinically approved TCM for COVID-19, and identified three flavonoid compounds as its active components responsible for this antiviral effect. Transcriptomics analysis revealed that HSBDF attenuated CV-A9-induced inflammation by modulating MAPK and NF-κB signaling pathways. High Performance Liquid Chromatography-Tandem Mass Spectrometry (HPLC-MS/MS) analysis identified 152 chemical compounds in HSBDF, among which three flavonoids-velutin, isorhamnetin, and (-)-epicatechin gallate-exhibited potent pan-enteroviral inhibition. Mechanistically, these compounds suppressed the activity of 3C proteases in enteroviruses, while concurrently attenuating CV-A9-induced upregulation of IL-6, TNF-α, MCP-1, and COX-2. Utilizing a BALB/c young mouse model, it was demonstrated that the HSBDF and its compound velutin effectively suppressed viral replication in vivo. Collectively, this study advances TCM-based strategies for enterovirus therapy exemplified by HSBDF and highlights flavonoid scaffolds as promising candidates for developing broad-spectrum anti-enteroviral agents.
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Hu et al. (2025) studied this question.
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