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Calcium spirulan derived from Spirulina platensis inhibits herpes simplex virus 1 attachment to human keratinocytes and protects against herpes labialis

Published:September 02, 2015DOI:https://doi.org/10.1016/j.jaci.2015.07.027

      Background

      Chronic infections with herpes simplex virus (HSV) type 1 are highly prevalent in populations worldwide and cause recurrent oral lesions in up to 40% of infected subjects.

      Objective

      We investigated the antiviral activity of a defined Spirulina platensis microalga extract and of purified calcium spirulan (Ca-SP), a sulfated polysaccharide contained therein.

      Methods

      The inhibitory effects of HSV-1 were assessed by using a plaque reduction assay and quantitative PCR in a susceptible mammalian epithelial cell line and confirmed in human keratinocytes. Time-of-addition and attachment experiments and fluorescence detection of the HSV-1 tegument protein VP16 were used to analyze the mechanism of HSV-1 inhibition. Effects of Ca-SP on Kaposi sarcoma–associated herpesvirus/human herpes virus 8 replication and uptake of the ORF45 tegument protein were tested in human retinal pigment epithelial cells. In an observational trial the prophylactic effects of topically applied Ca-SP were compared with those of systemic and topical nucleoside analogues in 198 volunteers with recurrent herpes labialis receiving permanent lip makeup.

      Results

      Ca-SP inhibited HSV-1 infection in vitro with a potency at least comparable to that of acyclovir by blocking viral attachment and penetration into host cells. Ca-SP also inhibited entry of Kaposi sarcoma–associated herpesvirus/human herpes virus 8. In the clinical model of herpes exacerbation, the prophylactic effect of a Ca-SP and microalgae extract containing cream was superior to that of acyclovir cream.

      Conclusion

      These data indicate a potential clinical use of Ca-SP containing Spirulina species extract for the prophylactic treatment of herpes labialis and suggest possible activity of Ca-SP against infections caused by other herpesviruses.

      Key words

      Abbreviations used:

      ACV (Acyclovir), Ca-SP (Calcium spirulan), CHX (Cycloheximide), HSV (Herpes simplex virus), IC50 (Half-maximal inhibitory concentration), KSHV/HHV-8 (Kaposi sarcoma–associated herpesvirus/human herpes virus 8), MOI (Multiplicity of infection), pfu (Plaque-forming units), PMU (Permanent lip makeup), PRA (Plaque reduction assay), SPME (Spirulina platensis microalgae extract), TCID50 (50% Tissue culture infective dose)
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