Andrographolide exerts anti-respiratory syncytial virus activity by up-regulating heme oxygenase-1 independent of interferon responses in human airway epithelial cells

Mol Biol Rep. 2023 May;50(5):4261-4272. doi: 10.1007/s11033-023-08346-z. Epub 2023 Mar 14.

Abstract

Background: Respiratory syncytial virus (RSV) is the leading cause of mortality and morbidity in children under the age of five. Despite this, there is still a lack of safe and effective vaccines and antiviral agents for clinical use. Andrographolide exerts antiviral functions against a variety of viruses, but whether (and how) it exerts antiviral effects on RSV remains unclear.

Methods and results: In vitro RSV infection models using A549 and 16HBE cell lines were established, and the effects of andrographolide on RSV were analyzed via RSV N gene load and proinflammatory cytokine levels. The RNA transcriptome was sequenced, and data were analyzed by R software. Andrographolide-related target genes were extracted via network pharmacology using online databases. Lentiviral transfection was applied to knockdown the heme oxygenase-1 gene (Hmox1, HO-1). Results showed that andrographolide suppressed RSV replication and attenuated subsequent inflammation. Network pharmacology and RNA sequencing analysis indicated that the hub gene HO-1 may play a pivotal role in the anti-RSV effects of andrographolide. Furthermore, andrographolide exerted antiviral effects against RSV partially by inducing HO-1 but did not activate the antiviral interferon response.

Conclusion: Our findings demonstrated that andrographolide exerted anti-RSV activity by up-regulating HO-1 expression in human airway epithelial cells, providing novel insights into potential therapeutic targets and drug repurposing in RSV infection.

Keywords: Andrographolide; Antivirus; Heme oxygenase-1; Respiratory syncytial virus.

MeSH terms

  • Antiviral Agents / pharmacology
  • Child
  • Diterpenes* / pharmacology
  • Diterpenes* / therapeutic use
  • Epithelial Cells / metabolism
  • Heme Oxygenase-1* / drug effects
  • Heme Oxygenase-1* / genetics
  • Humans
  • Interferons / drug effects
  • Interferons / metabolism
  • Respiratory Syncytial Virus Infections* / drug therapy
  • Respiratory Syncytial Virus Infections* / metabolism
  • Respiratory Syncytial Virus, Human* / genetics
  • Respiratory Syncytial Virus, Human* / pathogenicity

Substances

  • andrographolide
  • Antiviral Agents
  • Heme Oxygenase-1
  • Interferons
  • Diterpenes