Background
Dengue is a mosquito-borne viral infection that has become a major public health concern worldwide. Presently, there is no specific vaccine or treatment available for dengue viral infection.
Methods
Lignosus rhinocerotis, Pleurotus giganteus, Hericium erinaceus, Schizophyllum commune and Ganoderma lucidium were selected for evaluation of their in-vitro anti-dengue virus serotype 2 (DENV-2) activities. Hot aqueous extracts (HAEs), ethanol extracts (EEs), hexane soluble extracts (HSEs), ethyl acetate soluble extracts (ESEs) and aqueous soluble extracts (ASEs) were prepared from the selected mushrooms. The cytotoxic effects of the extracts were evaluated by the MTT assay. The anti-DENV-2 activities of the extracts were evaluated in three different assays: simultaneous, attachment and penetration assays were perfomed using plaque reduction assays and RT-qPCR assays. The effect of the addition time on viral replication was assessed by the time of addition assay, and a virucidal assay was carried out to evaluate the direct effect of each mushroom extract on DENV-2. The chemical composition of glucans, and the protein and phenolic acid contents in the extracts were estimated.
Results
We found that the HAEs and ASEs of L. rhinocerotis, P. giganteus, H. erinaceus and S. commune were the least toxic to Vero cells and showed very prominent anti-DENV2 activity. The 50% inhibitory concentration (IC50) values of the ASEs ranged between 399.2–637.9 μg/ml, while for the HAEs the range was 312.9–680.6 μg/ml during simultaneous treatment. Significant anti-dengue activity was also detected in the penetration assay of ASEs (IC50: 226.3–315.4 μg/ml) and HAEs (IC50: 943.1–2080.2 μg/ml). Similarly, we observed a marked reduction in the expression levels of the ENV and NS5 genes in the simultaneous and penetration assays of the ASEs and HAEs. Time-of-addition experiments showed that the highest percent of anti-DENV2 activity was observed when the mushroom extracts were added immediately after virus adsorption. None of the extracts exhibited virucidal effect. Chemical composition analysis showed that the major components in the mushroom HAEs and ASEs were glucan (beta D-glucan) and proteins, however, there was no significant correlation between the anti-dengue activity and the concentration of glucans and proteins.
Dengue is a critical mosquito-borne viral disease that continues to cause substantial public health burdens in Asia and the Pacific. The reported number of dengue cases has increased over the past decade. In 2017, there were 407,199 dengue cases and 874 dengue deaths reported from countries in the Western Pacific Region [1]. In Malaysia, the number of dengue cases was 82,840 and 171 deaths, the third highest among the countries in the Western Pacific region. Dengue virus (DENV) exists in nature as four antigenically distinct but closely related virus serotypes known as DENV-1, 2, 3 and 4, which can be transmitted to humans by the mosquito species Aedes aegypti and Aedes albopictus. The clinical syndrome of DENV infection had been classified into dengue with or without warning signs and severe dengue. Attempts regarding vaccine development for dengue have been a continuous challenge for many years due to the inability of the vaccines to concurrently protect against all four antigenically distinct dengue serotypes [2, 3]. Effective antiviral therapies are currently unavailable for DENV. Dengue patients are usually managed through supportive therapies until they recover without any specific treatment measures. The search for new antiviral agents is vital for the prompt treatment of dengue infection to avoid further development of severe dengue, to control the spread of the outbreak and to enhance possible vaccination programmes in the future.
Culinary and medicinal mushrooms have great prospects in the drug and nutraceutical industries. They possess a wide range of pharmacological properties, including antimicrobial, antiviral, antitumour, anti-inflammatory, immunomodulatory, hypoglycaemic and hepatoprotective properties, and thus can be considered a functional food. Mushroom antiviral activities have been reported towards human immunodeficiency virus (HIV) using lectin isolated from Hericium erinaceus [4] and laccase isolated from Clitocybe maxima [5]. An acidic protein bound polysaccharide isolated from Ganoderma lucidium [6] and a protein from Grifola frondosa [7] inhibited the replication of the herpes simplex virus (HSV). Influenza viruses have been inhibited by ganomycins A and B from Ganoderma pfeifferi [8] and polysaccharides isolated from Agaricus brasiliensis showed antiviral activity against polioviruses [9].
In this study, five culinary and medicinal mushrooms that are commercially grown in Malaysia, Lignosus rhinocerotis (Cooke) Ryvarden, Pleurotus giganteus (Berk) Karunarathna & K.D.Hyde, Hericium erinaceus (Bull) Persoon, Schizophyllum commune (Fr.) and Ganoderma lucidium (Curtis) P. Karst were selected for in-vitro screening for their anti-dengue serotype 2 (DENV-2) activity. Two types of extraction protocols were used to isolate chemical components from selected mushrooms. Initially, hot aqueous extracts and ethanol extracts were prepared from the dry powdered mushroom fruiting body. Hot aqueous extraction was employed to obtain the polar components such as polysaccharides and proteins. The non-polar components in the ethanol extracts were isolated through solvent extraction, using hexane and ethyl acetate as solvents. Before evaluating the anti-dengue effect of the extracts, the cytotoxic properties of the extracts were identified with the 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl tetrazolium bromide (MTT) assay. The non-cytotoxic concentrations of each extract were screened for their inhibitory effects on in-vitro dengue infection. To our knowledge, this is the first report on the anti-DENV2 activities of culinary and medicinal mushrooms.
Methods
Culinary and medicinal mushrooms
Five mushrooms that are known for their culinary and medicinal value were selected for this study. Four of the mushrooms were authenticated by mycologists from the Mushroom Research Centre, University of Malaya and voucher specimens were deposited in the Herbarium of University of Malaya (KLU-M). The fruiting bodies of H. erinaceus (KLU-M 1232) were purchased from Highland Mushroom Farm (Genting Highlands, Pahang). The fruiting bodies of P. giganteus (KLU-M 1227) were obtained from Nas Agro Farm (Sepang, Selangor). Fruiting bodies of S. commune (KLU-M 1389) were purchased from Glami Lemi Biotechnology research centre (Jelebu, Negeri Sembilan). Ganoderma lucidium (KLU-M 1233) was purchased in dried form from Vita Agrotech Sdn. Bhd. (Tanjung Sepat, Selangor). The fruiting bodies were sliced, freeze-dried (Christ, Germany) for 1-2 days and powdered. The L. rhinocerotis was purchased in freeze dried form from Ligno Biotek Sdn. Bhd. (Balakong Jaya, Selangor).
Cells and viruses
African green monkey kidney cells (Vero, ATCC® CCL-81™) and Aedes albopictus clone (C6/36, ATCC® CRL-1660™) were obtained from National Public Health Laboratory, Sungai Buloh, Malaysia. Vero cells were propagated in Eagle’s minimum essential medium (Sigma aldrich, St. Louis, MO) containing 2.5% sodium bicarbonate, 1% HEPES 1 M, 1% penicillin & streptomycin and 10% heat-inactivated foetal bovine serum (FBS) (Gibco, USA). The C6/36 mosquito cell line was cultured in RPMI 1640 (Gibco, USA) supplemented with 1% sodium bicarbonate and 10% FBS. The cell growth was maintained in medium containing 2% serum concentration. The DENV-2 strain New Guinea C (GeneBank Accession No. M29095) was obtained from the Institute of Medical Research, Kuala Lumpur, Malaysia. The viruses were cultured and propagated in the C6/36 cell line with RPMI 1640 medium containing 2% FBS at 30 °C. The supernatants were collected by centrifugation after two rounds of freeze-thawing and were stored at − 80 °C for further experiments.
Preparation of crude hot aqueous extract, ethanol extract and fractions
The hot aqueous extraction method was carried out as described previously [10]. The mushroom powder was soaked overnight in distilled water (1:20 ratio, w/v). The suspension was double boiled in a water bath for 30 min and then filtered and freeze-dried to collect the hot aqueous extract (HAE). For ethanol extraction, the mushroom powder was soaked in 80% ethanol (1:10 ratio, w/v) (Merck, Germany) for two days at room temperature. The suspension was vacuum filtered. The whole procedure was repeated twice. The pooled supernatant was evaporated under reduced pressure using a rotary evaporator (Eyela N-1000, US) to collect the ethanol extract (EE). Ten grams of EE were fractionated with 100 mL of hexane (Merck, Germany) to collect hexane soluble (HSE) and hexane insoluble extracts. One hundred millilitres of ethyl acetate (Merck, Germany) and water (1:2) mixture was added to the insoluble hexane extract to collect the ethyl acetate soluble (ESE) and aqueous soluble extract (ASE). This solvent extraction was repeated three times, the extracts were pooled, and the excess solvent was evaporated under reduced pressure using a rotary evaporator. The ASE was freeze dried. All the extracts were kept at 4 °C until further use.
Cytotoxicity assay
Preceding the screening of the mushroom extracts for their antiviral properties, a cytotoxicity assay was carried out to identify the cytotoxic effects of the extracts on Vero cells. The cytotoxicity assay was carried out using the colourimetric MTT method using a Cell Titre 96 Non-Radioactive Cell Proliferation assay kit (Promega, USA), according to the manufacturer’s instructions. The HAE and ASE stock solutions (10,000 μg/mL) were freshly prepared in a 2% maintenance medium and filter sterilized. The EE, HSE and ESE were diluted in dimethyl sulfoxide (Amresco, USA), filter sterilized and further diluted with distilled water to obtain a 5000 μg/mL stock solution. Serial dilutions of each mushroom extract were prepared in 2% maintenance medium.
Vero cells were grown in 96-well culture plates (TPP, Switzerland) at a density of 1 × 105 cells/mL. After overnight incubation, the growth medium was discarded and replaced with serially diluted HAE/ASE (250–10,000 μg/mL) or EE/HSE/ESE (12.5–500 μg/mL) in triplicate. Blank control wells with growth medium only and cell control wells containing cells with growth medium without extracts were also included in the assay. A known antiviral drug, ribavirin (Sigma Aldrich, St. Louis, MO) at concentrations ranging from 25 to 1000 μg/mL was included in the test. Microplates were incubated for 48 h at 37 °C with 5% CO2. The absorbance was measured at 570 nm using a 96-well plate reader (TECAN, Switzerland) which was directly proportional to the number of living cells in the wells. The 50% cytotoxic concentration (CC50) was estimated as the concentration of the extracts capable of decreasing the absorbance by 50% in comparison to the negative controls by probit analysis of the dose-response curve generated from the data. The maximum non-cytotoxic concentration (MNCC) was established from the concentration that showed the least cytotoxic effect towards Vero cells compared with the negative control. The concentrations below the MNCC were selected to evaluate the anti-dengue activity of the mushroom extract using a plaque reduction assay.
Evaluation of anti-dengue activity of mushroom extracts using a plaque reduction assay
Anti-dengue assays were evaluated in three different assays, simultaneous, attachment and penetration, using plaque reduction assay [11]. During the simultaneous assay, the Vero cell monolayer was infected with 80–100 plaque forming units (PFU) of DENV-2. The plates were incubated in 5% CO2 at 37 °C for l h and then overlaid with 1% carboxymethylcellulose overlay medium containing various concentrations of HAE, EE, ESE or ASE below the MNCC. For the attachment assay, Vero cells were infected with 500 PFU of DENV-2 in the absence or presence of mushroom extracts. After viral adsorption for 60 min at 4 °C, both the extract and unabsorbed viruses were removed and overlaid with carboxymethylcellulose [12]. In the penetration assay, Vero cells were adsorbed with 500 PFU of DENV-2 for 1 h at 4 °C. Unbound viruses were removed, and the plates were shifted to 37 °C to allow for penetration. Cells were treated with mushroom extracts and incubated for 1 h at 37 °C. The extracts were discarded, and cells were treated with 0.1 ml of citrate-buffer (40 mM citric acid, 10 mM potassium chloride, 135 mM sodium chloride, pH 3) for 1 min to inactivate the adsorbed but not internalized viruses. Cells were washed and overlaid with carboxymethylcellulose [12]. For all the treatments mentioned above, after the addition of carboxymethylcellulose, the plates were incubated for 7 days at 37 °C, the infected cells were stained with naphthalene blue black solution, and the number of plaques was counted. The concentration of extract required to inhibit up to 50% of viral growth (IC50) compared with the control group were calculated by probit analysis of the dose–response curves generated from the data. The selectivity index (SI) values of each extract were calculated as SI = CC50/IC50.
The effect of the addition time of the mushroom HAE and ASE on the replication of DENV2 was determined as described previously [9]. The overlay containing the MNCC of 2000 μg/ml was then added to the Vero cell monolayer either 2 h before viral adsorption or 1, 2, 3 or 5 h after viral adsorption (80-100PFU). Percentage of inhibitory activity of the extracts was determined.
To study the direct effect of the mushroom extract on DENV-2, assays were performed according to the previously described method [13]. Virus suspensions containing 500 PFU of the DENV-2 strain were incubated with or without mushroom extract for 2 h at 37 °C. A total of 100 μl of treated viral suspension was adsorbed onto confluent Vero cells for 1 h at 37 °C. Percentage of inhibitory activity of the mushroom extract was determined.
Effect of mushroom extract on the expression levels of dengue envelope (ENV) and non-structural protein 5 (NS5) genes
The inhibitory activities of the mushroom extracts in the simultaneous, attachment and penetration assays were further evaluated by RT-qPCR to study the expression levels of the dengue envelope (ENV) and non-structural protein 5 (NS5) genes. Vero cells were grown to approximately 90% confluency, infected with DENV-2 and cultured in the presence of 2000 μg/ml MNCC of the mushroom extracts. After 48 h post infection, the infected cells were collected by centrifugation at 1500 rpm for 10 min. Viral ribonucleic acid (RNA) was extracted from cell pellets according to the instructions provided by the Nucleospin RNA extraction kit (MACHEREY-NAGEL, Germany). The purity and concentration of the extracted RNA were assessed using a BioSpectrophotometer (EPPENDORF, Hamburg, Germany). The absorbance ratios were between 1.8–2.0 at 260/280 nm, indicating that the RNA samples were free from protein.
The extracted viral RNA was reverse transcribed into complementary DNA (cDNA) using the iScriptTM cDNA synthesis kit (Bio-Rad Laboratories, Hercules, CA, USA). Real-time PCR was carried out on CFX96 Real-Time PCR Detection System (Bio-Rad, Hercules, CA, USA). The reaction mixture contained 10 μL of SsoAdvanced SYBR Green Supermix (Bio-Rad Laboratories, Hercules, CA, USA), 2 μL of cDNA template, 7 μL of RNase/DNase free sterile water and 0.5 μL (0.25 μM final concentration) of ENV or NS5 forward and reverse primers (Bioneer Corp., South Korea) [14, 15]. The amplification was carried out with hot start activation for 5 min at 95 °C followed by 40 cycles of 10 s denaturation at 95 °C and 30 s annealing at 55 °C. Melting curve analysis was generated to verify the specificity of the PCR product. The experiments were performed in duplicate. Gene expression analysis was performed using Bio-Rad CFX Manager Software 1.6. The results were expressed as normalized fold expression compared to the virus infected cells and normalized to the reference gene of glyceraldehyde 3-phosphate dehydrogenase (GAPDH). The primer sequences of the dengue ENV, NS5 and GAPDH genes are shown in Table 1
Estimation of the chemical composition of the mushroom extracts
The chemical compositions of the mushroom extracts that exhibited anti-dengue activity were studied. Mushroom extracts were diluted in distilled water to prepare a 10 mg/mL solution. The composition of total glucan, α-glucan, β-glucan, protein and phenolic content were estimated. The amount of total and α-glucan in the mushroom extracts were evaluated using the Mushroom and Yeast β-glucan assay procedure K-YBGL 07/11 (Megazyme, Ireland). The β-glucan content was calculated by deducting the α-glucan content from the total glucan content. The Bradford assay was used to estimate the protein content and bovine serum albumin (Sigma Aldrich, St. Louis, MO) was used as a standard [16]. Folin-Ciocalteu’s reagent (Sigma Aldrich, St. Louis, MO) was utilized to determine the total phenolic content by using gallic acid (Sigma Aldrich, St. Louis, MO) as a standard [17].
Statistical analyses
Statistical analyses were conducted using SPSS version 20. All data are expressed as the mean ± standard deviation (SD). ANOVA with post hoc comparison was used to evaluate the statistically significant differences between a treated group and untreated group. The CC50 and IC50 values were calculated by probit analysis. P-values of less than 0.05 (*) or 0.01 (**) were defined as statistically significant.
Results
The yield of the mushroom extracts
To isolate as many active components from mushrooms as possible, a very extensive extraction procedure was carried out on mushroom powder. Initially, the HAE and EE were prepared from mushroom freeze-dried powder. The EE was further refined using ethyl acetate and hexane to separate the ESE and HSE, respectively. Finally, the insoluble substances were collected as the ASE. The extraction yields of the mushroom extracts are shown in Table 2. The extraction yield of the HAE was higher than that of the EE. Separation of EE produced a higher yield of ASE, followed by HSE and ESE.
Cytotoxic effect and anti-dengue activity of the mushroom extracts in Vero cells
The mushroom ASEs and HAEs were less cytotoxic compared to the EEs, HSEs and ESEs (Table 3). The ASE of P. giganteus, H. erinaceus and S. commune showed no alteration in cell viability at concentrations up to 10,000 μg/mL. Their CC50 values were considered greater than 10,000 μg/mL. The HAEs of P. giganteus, L. rhinocerotis, H. erinaceus and S. commune were moderately cytotoxic; their CC50 values were between 3599.2 and 5171.4 μg/mL. The greatest cytotoxic effects were noted in the EEs, ESEs and HSEs; the CC50 values were 175.3–1967.2 μg/mL, 150.7–500 μg/mL and 60.6–500 μg/mL, respectively.
The anti-dengue activity was prominent in the HAEs and ASEs during the simultaneous (s) and penetration (p) assays (Table 4). The EEs, HSEs and ESEs did not show anti-dengue activity (data not shown). The most prominent anti-dengue activities were detected in the ASE of L. rhinocerotis (IC50 S: 399.2 μg/ml; IC50 P: 226.3 μg/ml), followed by S. commune (IC50 S: 424.9 μg/ml; IC50 P: 279.3 μg/ml), H. erinaceus (IC50 S: 574.4 μg/ml; IC50 P: 278.7 μg/ml) and P. giganteus (IC50 S: 637.9 μg/ml; IC50 P: 315.4 μg/ml). Higher SI values were noted in the ASEs of S. commune (SIs: 24.1; SIP: 36), H erinaceus (SIs: 17.7; SIP: 38.2) and P. giganteus (SIs: 15.7; SIP: 32.3). Although L. rhinocerotis gave the highest IC50 value, due to its cytotoxic effects, L. rhinocerotis produced the lowest SI values during simultaneous (SIs:7.6) and penetration assays (SIp: 17.5). Weak inhibitory activity was observed from the G. lucidium HAE and activity was not detected in its ASE (data not shown). Figure 1 shows the dose dependent activity of S. commune HAE from the plaque reduction assay. We found that the SI values of the ASEs were greater than those of ribavirin during the simultaneous and penetration assays.
The antiviral mechanisms of the mushroom extracts were further assessed by the time of addition assay. We selected P. giganteus and S.commune HAE and ASE to study this effect. We found that the extracts showed the highest percentage of inhibitory activity against DENV-2 infection when the extract was added immediately after virus adsorption (Fig. 2). The percentage of plaque inhibition decreased when the extracts were added 2 h, 3 h or 5 h after viral adsorption. Pre-treating the Vero cells with extract for 2 h prior to dengue infection did not significantly inhibit dengue plaque formation. To investigate the direct inactivating effect of the active mushroom extracts against DENV2, the virus suspension was treated for 2 h at 37 °C with the mushroom extracts. From this study, we observed that none of the tested concentrations were capable of interfering with the infectivity of DENV2, and no significant differences were detected between the dengue virus treated with extract and dengue infected control wells.