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. 2023 Jul 31;14:1098972. doi: 10.3389/fphar.2023.1098972

TABLE 1.

Summary of previous investigations examining the antiviral effects of CEP and its mechanism of action.

Virus EC50/IC50 (µg/mL) TC50/CC50 (µg/mL) Pharmacologic action Mechanism of action References
HIV-1 0.016 2.2 Dampening the virus’s pathogenicity;Crossing the blood–brain barrier and inducing neural cell death Suppresses HIV-1 long-terminal repeat-driven gene expression by inhibiting the activation of NF-κB Baba (1997), Okamoto et al. (1998), Baba et al. (2001), Okamoto et al. (2001)
Suppresses the production of inflammatory cytokines and a chemokine, i.e., TNF-alpha, interleukin (IL)-1 beta, IL-6, and IL-8 Okamoto et al. (2001)
Inhibition of the HIV-1 entry process by reducing plasma membrane fluidity Matsuda et al. (2014)
HBV Inhibits viral replication and suppresses viral HBeAg antigen production Suppresses HBV via downregulation of host Hsc70 expression, thereby inhibiting viral replication and HBeAg production Rogosnitzky et al. (2020)
HSV-1 1.56 7.52 Liu et al. (2004)
0.835 5.4 for Vero cell; 9.0 for HeLa cell Reducing HSV-1 infection and subsequent reproduction Arrests the cell cycle in the G2/M phase and induces apoptosis in infected cells by inhibiting the PI3K/Akt and p38 MAPK signaling pathways Liu et al. (2021b)
To promote interferon-independent autophagy through the STING/TBK1/P62-mediated signaling pathways Liu et al. (2021a)
HTLV-1 Triggers apoptosis of HTLV-1-infected cells through the caspase-dependent pathway Inhibits NF-kB signaling pathway and suppresses viral replication and then reduces viral titer Toyama et al. (2012)
PRRSV Alleviation of PRRSV infection Inhibits the expression of integrins β1 and β3, integrin-linked kinase (ILK), RACK1, and PKCα, leading to NF-κB suppression Yang et al. (2021)
Inhibition of integrins/ILK/RACK1/PKCα/NF-κB, and therefore downregulation of inflammatory responses
PCV2 8.048 ± 0.614 CEP has a significant antiviral effect Inhibits mitochondrial apoptosis induced by PCV2 Xu et al. (2020)
SARS -CoV 6.0–9.5 Inhibits viral replication Inhibits viral RNA replication, blocks the expression of viral proteins, and suppresses production of pro-inflammatory molecules toward preventing an exacerbated cytokine response to the viral infection Zhang et al. (2005), Rogosnitzky et al. (2020), Wang and Yang (2020)
HCoV -OC43 0.443 6.395 Inhibits viral replication and infectivity Blocks the expression of the viral spike protein and nucleoprotein Kim et al. (2019)
Dampens virus-induced host response Inhibits the binding of the spike protein to membrane receptors (9-O-acetylated sialic acid glycan-based receptors)
Expression of the new spike protein and nucleoproteins

HIV-1: human immunodeficiency virus type 1; HBV: hepatitis B virus; HSV-1: herpes simplex virus type 1; HLTV-1: human T-lymphocytic virus type 1; PRRSV: porcine reproductive and respiratory syndrome virus; PCV2: porcine circovirus type 2; SARS-CoV: severe acute respiratory syndrome coronavirus; HCoV-OC43: human coronavirus type OC43.