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. 2022 May 20;42(5):1739–1780. doi: 10.1002/med.21891

Table 1.

Natural products shown to have anti‐ZIKV effects

S/N Compound name/Chemical structure/Source Proposed mode of inhibition IC50/EC50 ZIKV strain(s) tested In vitro cell lines/in vivo animal models studied
Viral entry inhibitors
Inhibitors with direct virucidal effects
1 Labyrinthopeptin A1 Binds to viral membrane lipid phosphatidylethanolamine and disrupts viral membrane envelope A1: 2.0 µM, 1.6 µM 976, H/PF/2013 In vitro: Huh‐7 1
graphic file with name MED-42-1739-g035.jpg A2: 9.6 µM, 3.3 µM In vivo: injected via i.v and i.p into 4‐week‐old male CD‐1 mice at 10 mg/kg1
Labyrinthopeptin A2
graphic file with name MED-42-1739-g047.jpg
*Differences in amino acid residues are highlighted in blue. Lab: labionin; Dhb: didehydrobutyrine.
Source: Actinomadura namibiensis DSM 6313
2 Delphinidin Virucidal effect on virus particles PA259459, MR766 In vitro: Vero  3
graphic file with name MED-42-1739-g009.jpg
Source: Various fruits  2
3 Epigallocatechin gallate (EGCG)Inline graphic Inhibits NS2B‐NS3 viral protease, NS3 helicase, and has virucidal effect on virus particles NS2B‐NS3pro: 0.73 ± 0.22 µM; 87 ± 1.2 µM PA259459, MR766, Brazilian strain, Z16006 In vitro: Vero, 3 , 4 Vero E6, 5 purified ZIKV NS3 helicase, 6 NS2B‐NS3pro 4 , 7
NS3 helicase: 295.7 nM In silico molecular docking 8
Source: Green tea 21.4 µM; 0.02 ± 0.003 µM
4 Baicalein Inhibits a post‐entry step and has virucidal effect on virus particles 0.004 µM PRVABC59 In vitro: Vero 9
graphic file with name MED-42-1739-g030.jpg In silico molecular docking 9
Source: Scutellaria baicalensis & Scutellaria lateriflora
5 Baicalin Inhibits viral entry and has virucidal effect on virus particles 14 µM PRVABC59 In vitro: Vero 9
graphic file with name MED-42-1739-g019.jpg In silico molecular docking 9
Source: Scutellaria baicalensis & Scutellaria lateriflora
6 Gossypol Virucidal effect on virus particles 0.21–4.31 µM PAN2016, R116265, PAN2015, FLR, R103451, In vitro: Vero, purified E protein 11
graphic file with name MED-42-1739-g015.jpg
Source: Plants of the Gossypium genus 10 E protein: 7.12 µM PRVABC59, PLCal_ZV, IbH 30656,
MEX 2–81, MR766
7 Ginkgolic acid Inhibits early stages of viral replication, possibly due to its virucidal activity 259249 In vitro: Vero 12
graphic file with name MED-42-1739-g039.jpg
Source: Ginkgo biloba
8 Emodin Inhibits viral entry and has virucidal effect on virus particles 3.2 µM Brazilian strain In vitro: Vero, 14 Vero E6 15
graphic file with name MED-42-1739-g041.jpg
Source: Various plant species 13
9 Resveratrol Inhibits a post‐entry step and has virucidal effect on virus particles 93% (1 log) reduction in foci P6740, MR766, PE243 In vitro: Vero, 14 Huh‐7, 17 HTR‐8/SVneo, 18 Vero E6 18
graphic file with name MED-42-1739-g031.jpg
Source: Various plant species 16
10 Berberine Virucidal effect on virus particles 39.06 µM Brazilian strain In vitro: Vero E6 15
graphic file with name MED-42-1739-g027.jpg
Source: Berberis vulgaris 19
11 Cephalotaxine Inhibits post‐entry step of viral replication, possibly interfering with viral RNA translation. Virucidal effect also observed. PRVABC59 In vitro: Vero, 20 A549 20
graphic file with name MED-42-1739-g014.jpg
Source: Cephalotaxus drupacea
Inhibitors targeting the viral entry process
12 Nanchangmycin Blocks clathrin‐mediated endocytosis, inhibiting viral entry 0.1 µM MR766, MEX 2‐81, FSS13025 In vitro: U2OS, 21 human brain microvascular endothelial cells, Vero, JEG‐3
graphic file with name MED-42-1739-g018.jpg
Source: Streptomyces nanchangensis
13 Quercetin Inhibits NS2B‐NS3 viral protease and viral entry, possibly by targeting the virus particle itself or host cell surface proteins NS2B‐NS3pro: 1.17 ± 0.22 µM; 2.4 ± 0.2 µM MR766, Z16006 In vitro: Vero, 4 , 14 , 23 purified ZIKV NS2B‐NS3pro 4 , 24
graphic file with name MED-42-1739-g036.jpg
Source: Various plant species 22 2.3 ± 0.50 µM; 19.5 ± 4.8 µg/ml In silico molecular docking 24
14 Kaempferide Inhibits viral entry and NS2B‐NS3 viral protease NS2B‐NS3pro: 7.18 ± 2.16 µM Z16006 In vitro: Vero, 4 purified ZIKV NS2B‐NS3pro 4
graphic file with name MED-42-1739-g044.jpg
Source: Kaempferia galanga 5.83 ± 1.92 µM
15 Galangin Inhibits viral entry and NS2B‐NS3 viral protease NS2B‐NS3pro: 25.68 ± 9.17 µM Z16006 In vitro: Vero, 4 purified ZIKV NS2B‐NS3pro 4
graphic file with name MED-42-1739-g008.jpg
Source: Alpinia officinarum Hance 25 14.36 ± 9.5 µM
16 Isoquercetin Inhibits viral entry 1.2–1.3 µmol/L; 9.7–15.5 µM PF‐25013‐18, MR766 In vitro: A549, 26 Huh‐7, 26 SH‐SY5Y, 26 Vero 27
graphic file with name MED-42-1739-g046.jpg PLCal_ZV, PRVABC59 In vivo: injected via i.p. into
Source: Various plant species 22 6–8‐week‐old male or female Ifnar1 −/− mice at 50 mg/kg 27
17 Ellagic acid Reduces cell susceptibility to the virus by binding to host cell surface 30.86 µM MR766, H/PF/2013 In vitro: Vero 28
graphic file with name MED-42-1739-g025.jpg
Source: Punica granatum
18 Curcumin Inhibits viral entry or binding and NS2B‐NS3 viral protease NS2B‐NS3pro: 3.5 ± 0.2 µM PAN2016, R116265, PAN2015, FLR, R103451, PRVABC59, PLCal_ZV, IbH 30656, MEX 2–81, MR766, HD78788 In vitro: Vero E6, 11 HeLa, 29 purified ZIKV E protein, 11 NS2B‐NS3pro 24
graphic file with name MED-42-1739-g032.jpg
Source: Curcuma longa (Turmeric) 1.90 µM; 5.62–16.57 µM In silico molecular docking 24
19 Digitonin Inhibits viral entry 3.19–6.52 µM PAN2016, R116265, PAN2015, FLR, R103451, PRVABC59, PLCal_ZV, IbH 30656, MEX 2–81, MR766 In vitro: Vero E6 11
graphic file with name MED-42-1739-g006.jpg
Source: Digitalis purpurea
20 Conessine Inhibits virus‐cell attachment or a postentry step 7.18–11.60 µM PAN2016, In vitro: Vero E6 11
graphic file with name MED-42-1739-g001.jpg R116265, PAN2015, FLR, R103451,
Source: Holarrhena antidysenterica 30 PRVABC59, PLCal_ZV, IbH 30656, mosquitostrain MEX 2–81, rhesus macaque strain MR766
Viral replication inhibitors
21 Cavinafungin Inhibits host endoplasmic reticulum signal peptidase, preventing viral replication 150 nM FSS13025 In vitro: A549 31
graphic file with name MED-42-1739-g038.jpg
Source: Colispora cavincola
22 Sinefungin Competitively binds to viral NS5 methyltransferase instead of S‐adenosylmethionine (SAM), prevents the methylation of the cap structure of viral RNA 1.18 ± 0.05 µM H/PF/2013, MR766 In vitro: purified ZIKV NS5 methyltransferase 32 , 33
graphic file with name MED-42-1739-g043.jpg
Source: Streptomyces griseoleus
23 FV13 Multiple targets, likely to target a postgenome replication step 1.65 ± 0.86 µM SV0010/15 In vitro: LLC/MK2 35
graphic file with name MED-42-1739-g011.jpg
Source: Chrysin‐derivative 34
24 FV14 1.39 ± 0.11 µM SV0010/15 In vitro: LLC/MK2 35
graphic file with name MED-42-1739-g021.jpg
Source: Chrysin‐derivative 34
25 Pinocembrin Inhibits viral RNA and envelope protein synthesis 17.4 µM PRVABC59 In vitro: JEG‐3, 36 Huh‐7 36
graphic file with name MED-42-1739-g034.jpg
Source: Various plant species 37
26 Sophoraflavenone G (SFG) Inhibits NS5 RdRp activity 22.61 µM FSS13025

In vitro: primary human trophoblasts, 38 A549 38

graphic file with name MED-42-1739-g024.jpg
Source: Sophora flavescens
27 Cephaeline Inhibits NS5 RdRp activity and disrupts host cell lysosomal function NS5 RdRp: 976 nM MR766, PRVABC59, FSS13025, Brazilian strain In vitro: HEK293, 39 SNB‐19, Vero E6, purified ZIKV NS5 RdRp
graphic file with name MED-42-1739-g045.jpg
Source: Carapichea ipecacuanha 7.60 nM In silico molecular docking 39
28 Emetine Inhibits NS5 RdRp activity and disrupts host cell lysosomal function NS5 RdRp: 121 nM MR766, PRVABC59, FSS13025, Brazilian strain In vitro: HEK293, 39 SNB‐19, Vero E6, purified ZIKV NS5 RdRp
graphic file with name MED-42-1739-g010.jpg
Source: Carapichea ipecacuanha 52.9 nM In vivo: injected via i.p. into 3‐month‐old SJL male mice at 1 mg/kg/day, injected via i.p. into 6–7‐week‐old Ifnar1 −/− mice at 1 mg/kg 39
In silico molecular docking 39
29 Lycorine Inhibits NS5 RdRp activity 0.22–0. 39 µM KU963796 In vitro: Vero, 40 A549, Huh‐7, purified ZIKV NS5 RdRp
graphic file with name MED-42-1739-g022.jpg In vivo: intragastric administration in 4–5‐week‐old AG6 mice at 1–10 mg/kg 40
Source: Various Amaryllidaceae species 41 In silico molecular docking 40
30 Silvestrol Inhibits host cell factor eIF4A 976, H/PF/2013 In vitro: A549, 42 primary human hepatocytes
graphic file with name MED-42-1739-g012.jpg
Source: Aglaia foveolata
Inhibitors targeting the viral protease
31 Novobiocin

Competitively binds to NS2B‐NS3 viral protease

42.63 µM PRVABC59

In vitro: Vero, 43 Huh‐7, purified ZIKV NS2B‐NS3pro

graphic file with name MED-42-1739-g023.jpg In vivo: injected subcutaneously into dexamethasone‐immunosuppressed BALB/c mice at 100 mg/kg 43
Source: Streptomyces niveus In silico molecular docking 43
32 Apigenin Noncompetitive inhibitor of NS2B‐NS3 viral protease 56.3 ± 0.9 µM In vitro: purified ZIKV NS2B‐NS3pro 24
graphic file with name MED-42-1739-g033.jpg
Source: Apiaceae family plants 44 In silico molecular docking 24
33 Astragalin Inhibits NS2B‐NS3 viral protease 112 ± 5.5 µM In vitro: purified ZIKV NS2B‐NS3pro 7
graphic file with name MED-42-1739-g002.jpg
Source: Various plant species 45
34 Epicatechin gallate (ECG) Inhibits NS2B‐NS3 viral protease 89 ± 1.6 µM In vitro: purified ZIKV NS2B‐NS3pro 7
graphic file with name MED-42-1739-g007.jpg
Source: Green tea
35 Gallocatechin gallate (GCG) Inhibits NS2B‐NS3 viral protease 99 ± 1.8 µM In vitro: purified ZIKV NS2B‐NS3pro 7
graphic file with name MED-42-1739-g042.jpg
Source: Green tea
36 Isorhamnetin Inhibits NS2B‐NS3 viral protease 15.5 ± 0.7 µM In vitro: purified ZIKV NS2B‐NS3pro 24
graphic file with name MED-42-1739-g037.jpg
Source: Various plant species 46 In silico molecular docking 24
37 Luteolin Noncompetitive (allosteric) inhibitor of NS2B‐NS3 viral protease 2.7 ± 0.3 µM; 53 ± 1.3 µM In vitro: purified ZIKV NS2B‐NS3pro 7 , 24
graphic file with name MED-42-1739-g013.jpg
Source: Various plant species 47 In silico molecular docking 24
38 Myricetin Inhibits NS2B‐NS3 viral protease via mixed inhibition NS2B‐NS3 protease: 1.10–22 µM Z16006 In vitro: Vero, 4 purified ZIKV NS2B‐NS3pro 4 , 7 , 24
graphic file with name MED-42-1739-g020.jpg
Source: Various plant species 22 0.58 ± 0.17 µM In silico molecular docking 4 , 24
39 Rutin Inhibits NS2B‐NS3 viral protease 104 ± 2.9 µM In vitro: purified ZIKV NS2B‐NS3pro 7
graphic file with name MED-42-1739-g017.jpg
Source: Various plant species 48
40 Naringenin Inhibits a postentry step, possible noncompetitive inhibitor of NS2B‐NS3 viral protease 58.79 µM BR 2015/15261, BR 2015/15098, BR 2016/16288, PE243 In vitro: A549 49 , 50
graphic file with name MED-42-1739-g016.jpg In silico molecular docking 50
Source: Various citrus fruits 51
Inhibitors with unknown targets
41 Marinopyrrole derivative (Compound 1) 5.95 ± 0.72 µM NR‐50210 In vitro: Vero 52
graphic file with name MED-42-1739-g028.jpg
Source: Actinomycete strain CNQ‐418 derivative
42 Kitasamycin 41.7 ± 10.1 µM PE243 In vitro: Huh‐7 53
graphic file with name MED-42-1739-g029.jpg
Source: Streptomyces narbonensis
43 Hippeastrine hydrobromide (HH) 1.95 µM MR766 In vitro: human pluripotent stem cell (hPSC)‐derived human cortical neural progenitor cells (hNPCs), human fetal‐like forebrain organoid model 54
graphic file with name MED-42-1739-g003.jpg
Source: Lycoris radiata In vivo: injected subcutaneously in 6–8‐week‐old in severe combined immunodeficiency beige (SCID‐beige) mice at 100 mg/kg/day 54
44 18‐oxoferruginol 2.60 ± 0.07 µM IMT17 In vitro: Vero 55
graphic file with name MED-42-1739-g005.jpg
Source: Sequoia sempervirens 56