Anti-influenza A virus activity of rhein through regulating oxidative stress, TLR4, Akt, MAPK, and NF-κB signal pathways

PLoS One. 2018 Jan 31;13(1):e0191793. doi: 10.1371/journal.pone.0191793. eCollection 2018.

Abstract

Rhein, an anthraquinone compound existing in many traditional herbal medicines, has anti-inflammatory, antioxidant, antitumor, antiviral, hepatoprotective, and nephroprotective activities, but its anti-influenza A virus (IAV) activity is ambiguous. In the present study, through plaque inhibition assay, time-of-addition assay, antioxidant assay, qRT-PCR, ELISA, and western blotting assays, we investigated the anti-IAV effect and mechanism of action of rhein in vitro and in vivo. The results showed that rhein could significantly inhibit IAV adsorption and replication, decrease IAV-induced oxidative stress, activations of TLR4, Akt, p38, JNK MAPK, and NF-κB pathways, and production of inflammatory cytokines and matrix metalloproteinases in vitro. Oxidant H2O2 and agonists of TLR4, Akt, p38/JNK and IKK/NF-κB could significantly antagonize the inhibitory effects of rhein on IAV-induced cytopathic effect (CPE) and IAV replication. Through an in vivo test in mice, we also found that rhein could significantly improve the survival rate, lung index, pulmonary cytokines, and pulmonary histopathological changes. Rhein also significantly decreased pulmonary viral load at a high dose. In conclusion, rhein can inhibit IAV adsorption and replication, and the mechanism of action to inhibit IAV replication may be due to its ability to suppress IAV-induced oxidative stress and activations of TLR4, Akt, p38, JNK MAPK, and NF-κB signal pathways.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • A549 Cells
  • Animals
  • Anthraquinones / pharmacology*
  • Antiviral Agents / pharmacology*
  • Cytokines / biosynthesis
  • Dogs
  • Female
  • Humans
  • Influenza A Virus, H1N1 Subtype / drug effects*
  • Influenza A Virus, H1N1 Subtype / pathogenicity
  • Influenza A Virus, H1N1 Subtype / physiology
  • Lung / drug effects
  • Lung / pathology
  • MAP Kinase Signaling System / drug effects
  • Madin Darby Canine Kidney Cells
  • Male
  • Matrix Metalloproteinases / biosynthesis
  • Mice
  • Mice, Inbred C57BL
  • NF-kappa B / metabolism
  • Orthomyxoviridae Infections / drug therapy
  • Orthomyxoviridae Infections / metabolism
  • Orthomyxoviridae Infections / virology
  • Oxidative Stress / drug effects
  • Pneumonia, Viral / drug therapy
  • Pneumonia, Viral / pathology
  • Pneumonia, Viral / physiopathology
  • Proto-Oncogene Proteins c-akt / metabolism
  • Signal Transduction / drug effects
  • Toll-Like Receptor 4 / metabolism
  • Virus Attachment / drug effects
  • Virus Replication / drug effects

Substances

  • Anthraquinones
  • Antiviral Agents
  • Cytokines
  • NF-kappa B
  • Toll-Like Receptor 4
  • Proto-Oncogene Proteins c-akt
  • Matrix Metalloproteinases
  • rhein

Grants and funding

This work was supported by: 1. National Natural Science Foundation of China (No. 81374040), JPD, https://isisn.nsfc.gov.cn/egrantweb/contract/index?datetimestamp=1505135618010#; 2. National Natural Science Foundation of China (No. 81773976), JPD, https://isisn.nsfc.gov.cn/egrantweb/contract/index?datetimestamp=1505135618010###; 3. Department of Education, Guangdong Government under the Top-tier University Development Scheme for Research and Control of Infectious Diseases (No. 2015014), JPD; and 4. Department of Education, Guangdong Government under the Top-tier University Development Scheme for Research and Control of Infectious Diseases (No. 2015087), JPD. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.