Close banner

2022-09-10 03:09:39 By : Ms. Sophia Tong

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Scientific Reports volume  12, Article number: 8116 (2022 ) Cite this article

Norovirus is the most important cause of acute gastroenteritis, yet there are still no antivirals, vaccines, or treatments available. Several studies have shown that norovirus-specific monoclonal antibodies, Nanobodies, and natural extracts might function as inhibitors. Therefore, the objective of this study was to determine the antiviral potential of additional natural extracts, honeys, and propolis samples. Norovirus GII.4 and GII.10 virus-like particles (VLPs) were treated with different natural samples and analyzed for their ability to block VLP binding to histo-blood group antigens (HBGAs), which are important norovirus co-factors. Of the 21 natural samples screened, date syrup and one propolis sample showed promising blocking potential. Dynamic light scattering indicated that VLPs treated with the date syrup and propolis caused particle aggregation, which was confirmed using electron microscopy. Several honey samples also showed weaker HBGA blocking potential. Taken together, our results found that natural samples might function as norovirus inhibitors.

Human noroviruses typically cause an acute illness of fever, nausea, vomiting, cramping, malaise, and diarrhea that can typically persists for 2 to 5 days. Noroviruses are highly contagious and 10–100 viral particles may be sufficient to infect an individual. The US Centers for Disease Control and Prevention estimates that it is the most common cause of acute gastroenteritis in the United States with 21 million cases each year and an estimated 70,000 hospitalizations and 800 deaths per year. Worldwide, norovirus infections account for ~ 20% of diarrheal illnesses and as many as 200,000 child deaths each year1, however the actual numbers of unreported cases are presumably much higher. Norovirus infections can occur in all age groups and results in significant morbidity and mortality, particularly in the very old and very young patients. Preventive measures against norovirus include hand washing, isolation of those infected, meticulous cleaning and disinfection.

Noroviruses have a single-stranded, positive sense RNA genome of ~ 7.4 to 7.7 kbases. The genome contains three open reading frames (ORFs), where ORF1 encodes the non-structural proteins, which include the protease and RNA dependent RNA polymerase (RdRp), ORF2 encodes the capsid protein (VP1), and ORF3 encodes a minor structural protein. Based on the capsid amino acid sequences, noroviruses can be divided into at least ten genogroups (GI-GX), with GI, GII, and GIV mainly causing infections in human2. Each of these genogroups is further subdivided into numerous genotypes. Human noroviruses often evolve into genetically and antigenically variant strains, and frequent genetic recombination at the RdRp and capsid junction increases the genetic and antigenic diversity.

Expression of the capsid gene in insect cells leads to the self-assembly of virus-like particles (VLPs) that are antigenically similar to the native virions with a T = 3 icosahedral symmetry. However, recent structural studies have discovered the sizes of VLPs can vary among the genotypes, where GII.4 VLPs were discovered to mainly fold into particles with T = 4 icosahedral symmetry, but also native sized T = 3 and smaller T = 1 particles were observed3,4. Likewise, the GII.10 VLPs exhibited both T = 3 and T = 1 icosahedral symmetry5,6. The X-ray crystal structure of norovirus VLPs identified two domains, shell (S) and protruding (P) domain. The S domain surrounds the viral RNA, whereas the P domain, which can be further subdivided into P1 and P2 subdomains, and contains determinants for co-factor attachment and antigenicity.

Noroviruses bind histo-blood group antigen (HBGA) co-factors, which are polymorphic carbohydrate structures present as free antigens in saliva and found on the surface of various epithelia. HBGAs are typically grouped into either ABH or Lewis types and at least nine different HBGA co-factors have been recognized to bind to noroviruses7,8,9,10,11,12,13. The ABH types are characterized by an α-l -fucose-(1-2)-β-d -galactose connection, whereas the Lewis types contain an α-l -fucose-(1-3)/(1-4)-β-d -N-acetyl-glucosamine. The GII noroviruses primarily interact with the ABH-fucose, Lewis-fucose, or a combination of both. Earlier structural studies showed that noroviruses bind two HBGA molecules per P domain dimer, and the GI and GII noroviruses bind HBGAs in different regions on the capsid. We recently identified two additional fucose-binding pockets on the GII norovirus capsid, which suggested that HBGA binding interactions are likely more complex than previously recognized10,14,15. Moreover, both epidemic and rarely detected noroviruses bind multiple HBGA types10,11,16.

The HBGA- and fucose-binding pockets on the norovirus capsid are one conceivable target for antiviral compounds. Indeed, we found several compounds that bind at the HBGA pocket, i.e., human milk oligosaccharides (HMOs), citrate, and molecules that overlap the HBGA pocket, i.e., norovirus-specific Nanobodies and a norovirus-specific monoclonal antibody5,17,18,19,20. A number of other studies have also discovered norovirus-specific monoclonal antibodies that can inhibit HBGA binding21,22,23,24,25. The identification of such compounds blocking HBGA binding are potential treatments for norovirus infections. A number of studies have also examined the HBGA blocking potential of natural extracts, for example Chinese gall, pomegranate juice, and tannic acid26, cranberry juice27, grape seed extract28, persimmon extract and tannins29, and green tea extracts30. Many of these extracts were found to target the HBGA pocket and show great promise as natural therapies.

In this study, we screened seven different natural extracts (coconut blossom syrup, date syrup, agave nectar, apple sweetener, royal jelly, barley malt, maple syrup), ten different honey samples, and four propolis samples to identify inhibitors that block norovirus GII.4 and GII.10 VLPs from binding to HBGAs. Our data showed that several natural samples (date syrup, honey, and propolis) inhibited VLPs from binding to HBGAs. Treatment of VLPs with these samples indicated a disruption of VLP integrity and resulted in aggregation of particles. Overall, our results indicated that both epidemic and rarely detected genotypes could be blocked from binding to HBGAs with date syrup and propolis.

Seven natural extracts were examined for their ability to block the epidemic GII.4 and the rarely detected GII.10 norovirus VLPs from binding to HBGAs using ELISA (Fig. 1). Date syrup blocked both GII.4 and GII.10 VLPs from HBGA binding at low concentrations (IC50 = 0.06% and 0.11%, respectively). Coconut blossom syrup and apple sweetener only weakly inhibited GII.4 VLPs (IC50 = 5.84% and 14.96%, respectively), but not GII.10 VLPs. These three extracts showed a dose-dependent inhibition. Several natural extracts exhibited unusual binding properties with the GII.4 VLPs, i.e., barley malt, royal jelly, and agave nectar showed negative-inhibition effects at low concentrations. At concentrations above 0.78%, barley malt inhibited GII.4 VLPs (IC50 = 0.90%). This unusual GII.4 inhibition event with barley malt was also observed with 2’FL inhibition assays (unpublished data).

Natural extracts blocking GII.4 and GII.10 VLPs attachment to HBGAs. VLPs were mixed with serially diluted natural extracts and the HBGA attachment inhibition level was measured using ELISA. The final concentration of the natural extracts ranged between 12.5 and 0.01%. All experiments were performed in triplicates and the standard deviation is shown as error bars and the IC50 cutoff is indicated by a dashed line. (A) For GII.4 VLPs, date syrup showed the strongest inhibition (IC50 = 0.06%) followed by barley malt (IC50 = 0.9%). All other natural extracts showed little blocking potential at the concentrations tested. (B) For GII.10 VLPs, date syrup inhibited binding to HBGAs at a low concentration (IC50 = 0.11%), whereas other natural extracts were not effective at the concentrations tested.

In order to evaluate how the natural extracts alter the stability of intact norovirus VLPs, the diameters of natural extract treated VLPs were measured using DLS. The untreated GII.4 and GII.10 VLPs exhibited a single peak, indicating a homogenous sample with VLP diameters of approximately 40–46 nm (Fig. 2). For GII.4, incubation with apple sweetener, agave syrup, and maple syrup indicated that the size of the VLPs were comparable with untreated VLPs. Coconut blossom, date syrup, royal jelly, and barley malt dramatically amplified the heterogeneity of GII.4 VLPs and led to an increased peak shift, indicating particle aggregation. Similarly for GII.10, apple sweetener, agave syrup, and maple syrup treatments were comparable to the untreated VLPs. Coconut blossom caused a slight increase in VLP heterogeneity, whereas date syrup, royal jelly, and barley malt amplified the heterogeneity of GII.10 VLPs and lead to an increased peak shift.

Natural extracts and DLS measurements of GII.4 and GII.10 VLPs. DLS was used to evaluate the hydrodynamic size of the VLPs (measured in intensity) after natural extract treatment (final concentration of extracts 12.5%) at 10 min, 60 min, and 120 min (represented by light, medium, dark colored lines, respectively). Untreated VLPs (black line) showed a single peak at all time points. (A) For GII.4, treatment with apple sweetener, agave syrup, and maple syrup there was little effect on the diameters. For coconut blossom syrup and date syrup GII.4 VLPs diameters were larger than the untreated VLPs. For royal jelly and barley malt two new GII.4 VLP peaks with increased diameters were detected. (B) For GII.10, apple sweetener and agave syrup treatment of VLPs did not result in increased diameters. Date syrup, coconut blossom syrup, and royal jelly increased the GII.10 VLP diameters, whereas for barley malt two peaks representing increased VLP diameters were observed. Each experiment was performed in triplicate and representative measurements were presented.

To directly observe the effects and compare with DLS measurements, the natural extracts were incubated with VLPs and examined using EM (Fig. 3). The morphology of the untreated GII.4 VLPs were mainly T = 4 particles, whereas the untreated GII.10 VLPs were a mixture of T = 3 and T = 1 icosahedral particles. The morphology of the GII.4 VLPs treated with apple sweetener, agave syrup and maple syrup were comparable to untreated VLPs. With coconut blossom, date syrup, and barley malt, the GII.4 VLPs were found in small and large clumps. For royal jelly, single VLPs were observed, but a large part of the EM grid contained long thin rods, which originated from the natural extract sample. Taken together, the EM results matched the DLS measurements and confirmed that several natural extracts caused VLP aggregation and clumping.

Natural extracts and EM analysis of GII.4 and GII.10 VLPs. Negative stain EM was used to evaluate the integrity of VLPs after natural extract treatment (final concentration of extracts 12.5%). With royal jelly, long rod-like shapes (from the jelly sample) obscured visualizing the treated VLPs. (A) Untreated GII.4 VLPs showed the typical T = 4 structure of VLPs. Agave syrup and maple syrup treated GII.4 VLPs closely resembled untreated VLPs. Treatment with apple sweetener and barley malt resulted in the formation of small aggregates. Treatment with coconut blossom syrup and date syrup led to the formation of larger GII.4 VLP aggregates. (B) Untreated GII.10 VLPs showed a mixture of T = 1 and T = 3 VLPs. Apple sweetener treated GII.10 VLPs closely resembled untreated VLPs. Maple syrup, coconut blossom syrup, and barley malt treated GII.10 VLPs resulted in the formation of small aggregates. GII.10 VLPs treated with agave syrup and date syrup led to formation of larger aggregates. Scale bar = 100 nm. EM analysis was performed in triplicate and different grid squares were imaged. Representative images of the samples were presented.

Ten different honey samples were examined for their ability to block norovirus GII.4 and GII.10 VLPs from binding to HBGAs (Fig. 4). The honey samples inhibited GII.4 and GII.10 VLPs at IC50 values ranging between 4.72–24.77% and 3.38–15.26%, respectively. For GII.4 VLPs, the honey samples with the lowest IC50 concentrations were raspberry honey (IC50 = 4.72%), Alpine forest honey (IC50 = 4.78%), Oak tree honey (IC50 = 5.85%), and eucalyptus honey (IC50 = 6.22%). For GII.10 VLPs, a similar finding was observed, i.e., Alpine forest honey (IC50 = 3.38%), raspberry honey (IC50 = 5.60%), eucalyptus honey (IC50 = 5.96%), and Oak tree honey (IC50 = 6.11%). Experiments with only solvent produced results similar to the PBS controls (no treatment), which indicated the solvents did not affect the inhibition. Overall, these findings showed that honey samples from different herbal and regional origins could block norovirus VLPs at varied concentrations and similarly between the two genotypes. We also evaluated the treatment with honey on the stability of VLPs using DLS (Fig. 5). All honey samples caused noticeable changes to the GII.4 and GII.10 VLP diameters, where an increase in the heterogeneity and a peak shift was observed. Treatment with Robinia honey was slightly different between the GII.4 and GII.10 VLPs, where the GII.10 had a greater increase in heterogeneity compared to GII.4 VLPs. To directly observe these effects, the honey-treated VLPs were examined using EM (Fig. 6). Most of the honey samples caused the GII.4 and GII.10 VLPs to clump into small aggregates, although single particles were also observed. This result suggested that VLPs were prone to sticking together and remaining for the most part intact.

Honey samples blocking GII.4 and GII.10 VLP attachment to HBGAs. VLPs were mixed with serially diluted honey samples (fir I, fir II, coriander, Robinia, Alpine forest, Oak tree, Mexico, raspberry, Orange blossom, and eucalyptus). HBGA attachment inhibition was measured using ELISA. The final concentration of the honey samples ranged between 25 and 0.05%. All experiments were performed in triplicates and standard deviation is shown by the error bars. The IC50 cutoff is shown by the dashed line. (A) For GII.4 VLPs, raspberry honey and alpine forest honey blocked at the lowest concentrations (IC50 = 4.72% and 4.78%, respectively) followed by Oak tree honey (IC50 = 5.85%) and eucalyptus honey (IC50 = 6.22%). (B) For GII.10 VLPs, Alpine forest honey blocked at the lowest concentration (IC50 = 3.38%), followed by raspberry honey (IC50 = 5.60%), eucalyptus honey (IC50 = 5.96%), and Oak tree honey (IC50 = 6.11%).

Honey samples and DLS measurements of GII.4 and GII.10 VLPs. DLS was used to evaluate the hydrodynamic size of VLPs (final concentration of honey 12.5%) at 10, 60, and 120 min (represented by light, medium and dark colored lines, respectively). For all honey samples, there was an increase in VLP diameters. (A) For treatment of GII.4 VLPs with fir I, fir II, coriander, Robinia, Alpine forest, Oak tree, Mexico, and orange blossom similar peak shifts were observed. Eucalyptus and raspberry treatment resulted in a flattened peak and a greater range of differently sized GII.4 VLPs aggregates. (B) For treatment of GII.10 VLPs, a similar pattern was observed as GII.4 VLPs, except that raspberry and eucalyptus treated GII.10 VLPs produced two peaks of increased sizes. Each experiment was performed in triplicate and representative measurements were presented.

Honey samples and EM analysis of GII.4 and GII.10 VLPs. The integrity of the VLPs upon treatment with different honey samples (final concentration of honey 12.5%) was observed using EM. (A) For GII.4, most honey samples caused the VLPs to form small aggregates, in particular Fir II, Oak tree, and raspberry. However, single particles were also observed. (B) For GII.10, the VLPs treated with honey samples tended to aggregate, especially for fir I, coriander, Mexico and eucalyptus, although single particles were also found. Scale bar = 100 nm. EM analysis was performed in triplicate and different grid squares were imaged. Representative images of the samples were presented.

Four different propolis samples were examined for their ability to block norovirus VLPs from binding to HBGAs (Fig. 7). The propolis samples showed a dose-dependent inhibition and the GII.4 and GII.10 VLPs were blocked at low concentrations with IC50 values ranging between 0.44–5.38%. The highest inhibition was observed with the 96% ethanol propolis, i.e., GII.4 (IC50 = 0.44%) and GII.10 (IC50 = 0.57%). A small difference in inhibition levels was observed with DMSO propolis i.e., GII.4 (IC50 = 1.74%) and GII.10 (IC50 = 5.38%). We also evaluated propolis treatment on the stability of GII.4 and GII.10 VLPs using DLS (Fig. 8). Almost all propolis samples increased the heterogeneity and led to a peak shifts ranging between 100—1000 nm, even at short (10 min) incubation times. One propolis sample, 20% PEG200 propolis had little effect on the GII.10 VLPs, whereas for the GII.4 VLPs a shift in diameter and heterogeneity was observed. To directly observe the effects, the propolis-treated GII.4 and GII.10 VLPs were examined using EM (Fig. 9). Three of the propolis samples (DMSO, PEG200, and 70% EtOH) caused the VLPs to aggregate into clumps, although intact particles were also observed. For the 96% ethanol propolis sample, large aggregates of disassembled VLPs and very few intact particles were observed.

Propolis samples blocking GII.4 and GII.10 VLP attachment to HBGAs. VLPs were mixed with serially diluted propolis samples (100% DMSO propolis, 20% PEG200 propolis, 70% ethanol propolis, and 96% ethanol propolis) and HBGA attachment inhibition was measured using ELISA. The final concentration of the propolis extracts ranged between 25 and 0.02% (final concentration of solvents: DMSO 25–0.02%, PEG200 5–0.004%, 70%-ethanol 17.5–0.014%, and 90%-ethanol 24–0.0192%). All experiments were performed in triplicates and standard deviation is shown by the error bars. The IC50 cutoff is shown by the dashed line. Overall, all propolis samples showed a dose-dependent inhibition. (A) For GII.4 VLPs, the lowest concentration of inhibition was observed with 96% ethanol propolis (IC50 = 0.44%). (B) For GII.10 VLPs, the lowest concentration of inhibition was observed with 96% ethanol propolis (IC50 = 0.57%).

Propolis and DLS measurements of GII.4 and GII.10 VLPs. DLS was used to evaluate the hydrodynamic size of VLPs (final concentration of propolis 12.5%, final concentration of solvents: DMSO 12.5%, PEG200 2.5%, 70%-ethanol 8.75%, and 90%-ethanol 12%) at 10, 60, and 120 min (represented by light, medium and dark colored lines, respectively). Untreated VLPs showed a single peak (black lines). VLPs treated with 100% DMSO propolis, 70% ethanol propolis, and 96% ethanol propolis showed similar peak shifts for (A) GII.4 and (B) GII.10. The 20% PEG200 propolis treatment also showed a peak shift for GII.4 VLPs, although was less pronounced than with the other propolis samples, while for GII.10 VLPs, the 20% PEG200 propolis showed only a minor peak shift. Each experiment was performed in triplicate and representative measurements were presented.

Propolis and EM analysis of GII.4 and GII.10 VLPs. Negative stain EM was used to directly determine the integrity of the VLPs. For both (A) GII.4 and (B) GII.10 VLPs, treatment with 100% DMSO propolis, 96% ethanol propolis, and 20% PEG200 propolis (final concentration of propolis 12.5%, final concentration of solvents DMSO 12.5%, PEG200 2.5%, 70%-ethanol 8.75%, and 90%-ethanol 12%) resulted in VLP aggregates, whereas mainly single VLPs were observed with 70% ethanol propolis. Scale bar = 100 nm. EM analysis was performed in triplicate and representative images of the samples were presented.

A recent study using a norovirus cell culture system, where human enteroids are used to propagate the virus, showed a norovirus-specific monoclonal antibody inhibited norovirus virions in cell culture31. They also observed norovirus VLP aggregation (measured using DLS) occurred when treated with the monoclonal antibody and suggested that the VLPs might cross-link which in turn sterically blocked the HBGA binding site. However, the monoclonal antibody did not bind directly to the HBGA pocket and the footprint was located on the side of the P domain. A similar observation was made with several norovirus-specific Nanobodies5,6. Inhibition studies using natural extracts, such as pomegranate juice, cranberry juice, and green tea extracts have indicated varied levels of HBGA inhibition, although the precise binding site on the capsid remains unknown26,27,28,29,30. The structural basis other natural samples, i.e., citrate and HMOs showed that these molecules bound precisely at the HBGA pocket on the capsid, which in turn blocked VLP attachment to HBGAs16,17,18,19.

Presently, there is little available for treating a norovirus infection, while vaccines and antivirals are still at the clinical trial phase and development stage, respectively. From a therapeutic point of view, most infected individuals would favor the possibility of reducing the severe symptoms, which can include profuse vomiting, nausea, fever, and diarrhea. In an outbreak setting, norovirus is highly contagious, and virions are stable in the environment for long periods. Disinfection methods include chlorine bleach and hydrogen peroxide. Alcohol based disinfectants were found to have mixed conclusions but are generally regarded as a last line for defense. For practical purposes, chlorine bleach and hydrogen peroxide generally require the closure of the contaminated areas, and this can include hospital wards, schools, cruise ships, and aged-care homes. Another important area of norovirus infections is related to food contamination, which can include oysters, clams, ice, and fruit. Contaminated food is becoming an increasing problem worldwide and decontaminating food is a high priority for the agriculture and seafood sectors. The discovery of an inhibiting, safe, and natural treatment would be of great interest and benefit. So far, decontamination methods have included UV radiation, chemical disinfectants, and high pressure32,33,34,35,36,37,38,39,40.

In the current study, we showed date syrup was the strongest inhibitor of GII.4 (IC50 = 0.06%) and GII.10 (IC50 = 0.11%) norovirus VLPs using ELISA, which was also confirmed using DLS and EM. Barley malt showed a weaker inhibition potential with GII.4 norovirus VLPs (IC50 = 0.90%), which was confirmed using DLS and EM, whereas for GII.10 norovirus barely malt had little effect at the tested concentrations. Honey samples were less effective at blocking GII.4 and GII.10 VLP attachment to HBGAs compared to date syrup, although treatment caused VLP aggregation. All propolis samples showed inhibition potential for GII.4 and GII.10 VLPs, especially 96% EtOH propolis (IC50 = 0.44% and IC50 = 0.57%, respectively), which was confirmed using DLS and EM. Our results were comparable to citrate and Nanobody treatments that showed the integrity of norovirus VLPs were compromised and changes in morphology included particle disassembly and aggregation6,18. Likewise, treatments with other natural extracts observed similar findings. For example, grape seed extract treatment resulted in particle deformation and enlargement28. Several studies using surrogate noroviruses (feline calicivirus and murine norovirus) also found that natural fruits or their components could inhibit or reduce infectivity41,42,43,44,45.

In summary, the data developed in this study have produced some promising findings. The idea of natural therapy against viral infections is not entirely new and is just becoming an interesting topic of noroviruses inhibition. Further studies that examine norovirus inhibition in cell culture are expected as well as testing other natural extracts are planned.

Seven natural extracts (date syrup, barely malt, apple sweetener, agave nectar, coconut blossom syrup, royal jelly and maple syrup), ten different honey samples (Alpine forest, coriander, eucalyptus, fir I, fFir II, Mexico, Oak tree, Orange blossom, and Robinia), and two propolis samples (MF and tincture) were purchased from various sources (Table 1). Natural extracts and honey samples were diluted in PBS (pH 7.4), filtered (0.45 µm), and then stored at 4 °C. Propolis MF was mashed and then incubated in three different solvents, i.e., either 20% PEG200, 100% DMSO, or 70% ethanol. These propolis samples were left for 30 days at room temperature and then clarified by centrifugation and filtering (pore size 0.45 µm), and the final solution was stored at 4 °C. Propolis tincture was purchased ready to use in 96% ethanol. Controls with solvents (i.e., PEG200, DMSO, and ethanol) at concentrations comparable with the diluted propolis samples were performed, to ensure that inhibition or aggregation effects were not caused by solvents.

Norovirus VP1 of two different GII genotypes, GII.4 (JX459908, Sydney2012) and GII.10 (AF504671, Vietnam 026), were expressed in insect cells as described previously46. Briefly, VLPs were clarified from insect cell medium, pelleted by ultracentrifugation, and then further purified using CsCl gradient ultracentrifugation.

Blocking assays were performed using a method as descried earlier for HMOs16,17. Briefly, 96-well plates were coated with pig gastric mucin type III (PGM), washed three times with PBS containing 0.1% Tween 20 (PBS-T), and subsequently blocked with 5% skimmed milk in PBS. The concentration of untreated GII.4 and GII.10 VLPs were optimized for binding to PGM as previously described17,47. The GII.4 VLPs (1 μg/ml) or GII.10 VLPs (10 μg/ml) were mixed (1:1) with serially diluted extracts (starting at a concentration from 25%) for 3 h at room temperature. Plates were washed three times with PBS-T, then 100 µl of each VLP/ natural extract mixture was added to triplicate wells for 2 h at room temperature. After washing, 100 µl of GII.4 or GII.10 genotype-specific polyclonal rabbit antibody was added as a primary detection antibody for 1 h at room temperature. Following a wash step, horseradish peroxidase (HRP) conjugated polyclonal anti-rabbit antibody or HRP-conjugated streptavidin was added to the wells and incubated for 1 h at room temperature. All plates were washed and developed with o-phenylenediamine dihydrochloride (OPD) and H2O2 in the dark for 30 min at room temperature. The reaction was stopped with 3 N HCl and absorbance was measured at 490 nm (OD490). Negative controls, i.e., VLPs without inhibitor and no VLPs were used for all plates. The OD490 value of the untreated VLPs was set as the reference value corresponding to 100% binding. The concentrations of the different extracts were defined as 100% pre-dilution. The percentage of inhibition was calculated as [1-(treated VLP mean OD490/mean reference OD490)] × 100. The half-maximal inhibitory concentration (IC50) was determined using Prism software (version 8.0). All experiments were performed with three replicates and the mean and standard deviation calculated.

The hydrodynamic diameter of VLPs was analyzed using dynamic light scattering (DLS) with a Zetasizer Nano S (Malvern). The VLPs (1 mg/ml) and natural extracts (25% from original stock) were mixed (1:1) and incubated for 10, 60, and 120 min at room temperature, diluted in 1 ml of distilled water, and then measured. For propolis samples, a 25% working solution was left for 48 h at 4 °C and then briefly centrifuged to remove precipitated beeswax. Intensity measurements were performed at 25 °C in three runs with 15 measurement cycles.

The VLPs (treated and untreated) were analyzed using negative stain electron microscopy (EM) as described6. A 25% stock of natural extracts or honey were mixed (1:1) with 1 mg/ml VLPs and incubated for 1 h at room temperature (final concentration of natural extract and honey = 12.5%). Propolis samples were prepared as described for DLS. Samples were diluted 1:40 in distilled water and immediately loaded on carbon coated EM grids. Grids were washed with distilled water, stained with 0.75% uranyl acetate, and then examined on a Zeiss 900 electron microscope. Numerous EM images were analyzed for each sample and one representative was shown.

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

Patel, M. M., Hall, A. J., Vinje, J. & Parashar, U. D. Noroviruses: A comprehensive review. J. Clin. Virol. 44, 1–8. https://doi.org/10.1016/j.jcv.2008.10.009 (2009).

CAS  Article  PubMed  Google Scholar 

Chhabra, P. et al. Updated classification of norovirus genogroups and genotypes. J. Gen. Virol. 100, 1393–1406. https://doi.org/10.1099/jgv.0.001318 (2019).

Article  PubMed  PubMed Central  Google Scholar 

Jung, J. et al. High-resolution cryo-EM structures of outbreak strain human norovirus shells reveal size variations. Proc. Natl. Acad. Sci. USA 116, 12828–12832. https://doi.org/10.1073/pnas.1903562116 (2019).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Devant, J. M., Hofhaus, G., Bhella, D. & Hansman, G. S. Heterologous expression of human norovirus GII.4 VP1 leads to assembly of T=4 virus-like particles. Antivir. Res. 168, 175–182. https://doi.org/10.1016/j.antiviral.2019.05.010 (2019).

CAS  Article  PubMed  Google Scholar 

Koromyslova, A. D. & Hansman, G. S. Nanobodies targeting norovirus capsid reveal functional epitopes and potential mechanisms of neutralization. PLoS Pathog. 13, e1006636. https://doi.org/10.1371/journal.ppat.1006636 (2017).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Koromyslova, A. D. & Hansman, G. S. Nanobody binding to a conserved epitope promotes norovirus particle disassembly. J. Virol. 89, 2718–2730. https://doi.org/10.1128/JVI.03176-14 (2015).

CAS  Article  PubMed  Google Scholar 

Liu, W. et al. A unique human norovirus lineage with a distinct HBGA binding interface. PLoS Pathog. 11, e1005025. https://doi.org/10.1371/journal.ppat.1005025 (2015).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Hao, N. et al. Crystal structures of GI.8 Boxer virus P dimers in complex with HBGAs, a novel evolutionary path selected by the Lewis epitope. Protein Cell 6, 101–116. https://doi.org/10.1007/s13238-014-0126-0 (2015).

CAS  Article  PubMed  Google Scholar 

Singh, B. K., Leuthold, M. M. & Hansman, G. S. Structural constraints on human norovirus binding to histo-blood group antigens. mSphere 1, e00049-00016. https://doi.org/10.1128/mSphere.00049-16 (2016).

Singh, B. K., Leuthold, M. M. & Hansman, G. S. Human noroviruses’ fondness for histo-blood group antigens. J. Virol. 89, 2024–2040. https://doi.org/10.1128/JVI.02968-14 (2015).

CAS  Article  PubMed  Google Scholar 

Hansman, G. S. et al. Crystal structures of GII.10 and GII.12 norovirus protruding domains in complex with histo-blood group antigens reveal details for a potential site of vulnerability. J. Virol. 85, 6687–6701. https://doi.org/10.1128/JVI.00246-11 (2011).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Choi, J. M., Hutson, A. M., Estes, M. K. & Prasad, B. V. Atomic resolution structural characterization of recognition of histo-blood group antigens by Norwalk virus. Proc. Natl. Acad. Sci. USA. 105, 9175–9180. https://doi.org/10.1073/pnas.0803275105 (2008).

ADS  Article  PubMed  PubMed Central  Google Scholar 

Cao, S. et al. Structural basis for the recognition of blood group trisaccharides by norovirus. J. Virol. 81, 5949–5957. https://doi.org/10.1128/JVI.00219-07 (2007).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Mallagaray, A., Lockhauserbaumer, J., Hansman, G., Uetrecht, C. & Peters, T. Attachment of norovirus to histo blood group antigens: A cooperative multistep process. Angew. Chem. 54, 12014–12019. https://doi.org/10.1002/anie.201505672 (2015).

Koromyslova, A. D., Leuthold, M. M., Bowler, M. W. & Hansman, G. S. The sweet quartet: Binding of fucose to the norovirus capsid. Virology 483, 203–208. https://doi.org/10.1016/j.virol.2015.04.006 (2015).

CAS  Article  PubMed  Google Scholar 

Koromyslova, A., Tripathi, S., Morozov, V., Schroten, H. & Hansman, G. S. Human norovirus inhibition by a human milk oligosaccharide. Virology 508, 81–89. https://doi.org/10.1016/j.virol.2017.04.032 (2017).

CAS  Article  PubMed  Google Scholar 

Weichert, S. et al. Structural basis for norovirus inhibition by human milk oligosaccharides. J. Virol. 90, 4843–4848. https://doi.org/10.1128/JVI.03223-15 (2016).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Koromyslova, A. D., White, P. A. & Hansman, G. S. Treatment of norovirus particles with citrate. Virology 485, 199–204. https://doi.org/10.1016/j.virol.2015.07.009 (2015).

CAS  Article  PubMed  Google Scholar 

Hansman, G. S. et al. Structural basis for norovirus inhibition and fucose mimicry by citrate. J. Virol. 86, 284–292. https://doi.org/10.1128/JVI.05909-11 (2012).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Koromyslova, A. D. et al. Nanobody-mediated neutralization reveals an achilles heel for norovirus. J. Virol. 94, e00660-20. https://doi.org/10.1128/jvi.00660-20 (2020).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Lindesmith, L. C. et al. Broad blockade antibody responses in human volunteers after immunization with a multivalent norovirus VLP candidate vaccine: Immunological analyses from a phase I clinical trial. PLoS Med. 12, e1001807. https://doi.org/10.1371/journal.pmed.1001807 (2015).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Shanker, S. et al. Structural basis for norovirus neutralization by an HBGA blocking human IgA antibody. Proc. Natl. Acad. Sci. USA. 113, E5830–E5837. https://doi.org/10.1073/pnas.1609990113 (2016).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Atmar, R. L. et al. Norovirus vaccine against experimental human Norwalk Virus illness. N. Engl. J. Med. 365, 2178–2187. https://doi.org/10.1056/NEJMoa1101245 (2011).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Czako, R. et al. Serum hemagglutination inhibition activity correlates with protection from gastroenteritis in persons infected with Norwalk virus. Clin. Vaccine Immunol. 19, 284–287. https://doi.org/10.1128/CVI.05592-11 (2012).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Chen, Z. et al. Development of norwalk virus-specific monoclonal antibodies with therapeutic potential for the treatment of norwalk virus gastroenteritis. J. Virol. 87, 9547–9557. https://doi.org/10.1128/JVI.01376-13 (2013).

CAS  Article  PubMed  PubMed Central  Google Scholar 

Zhang, X.-F. et al. Tannic acid inhibited norovirus binding to HBGA receptors, a study of 50 Chinese medicinal herbs. Bioorg. Med. Chem. 20, 1616–1623 (2012).

Li, D. et al. Effects of a variety of food extracts and juices on the specific binding ability of norovirus GII.4 P particles. J. Food Protect. 75, 1350–1354 (2012).

Li, D. et al. Effect of grape seed extract on human norovirus GII.4 and murine norovirus 1 in viral suspensions, on stainless steel discs, and in lettuce wash water. Appl. Environ. Microbiol. 78, 7572–7578 (2012).

ADS  CAS  Article  Google Scholar 

Kamimoto, M., Nakai, Y., Tsuji, T., Shimamoto, T. & Shimamoto, T. Antiviral effects of persimmon extract on human norovirus and its surrogate, bacteriophage MS2. J. Food Sci. 79, M941–M946 (2014).

Randazzo, W., Costantini, V., Morantz, E. K. & Vinjé, J. Human intestinal enteroids to evaluate human norovirus GII.4 inactivation by aged-green tea. Front. Microbiol. 11, 1917 (2020).

Alvarado, G. et al. Broadly cross-reactive human antibodies that inhibit genogroup I and II noroviruses. Nat. Commun. 12, 4320. https://doi.org/10.1038/s41467-021-24649-w (2021).

ADS  CAS  Article  PubMed  PubMed Central  Google Scholar 

Huang, R. et al. Evaluation of high hydrostatic pressure inactivation of human norovirus on strawberries, blueberries, raspberries and in their purees. Int. J. Food Microbiol. 223, 17–24. https://doi.org/10.1016/j.ijfoodmicro.2016.02.002 (2016).

Ibrahim, C., Hammami, S., Khelifi, N., Pothier, P. & Hassen, A. The effectiveness of activated sludge procedure and UV-C(254) in norovirus inactivation in a Tunisian industrial wastewater treatment plant. Food Environ. Virol. 12, 250–259. https://doi.org/10.1007/s12560-020-09434-0 (2020).

CAS  Article  PubMed  Google Scholar 

Imamura, S. et al. Effect of high pressure processing on a wide variety of human noroviruses naturally present in aqua-cultured Japanese oysters. Foodborne Pathog. Dis. https://doi.org/10.1089/fpd.2018.2444 (2018).

Lee, J. E. & Ko, G. Norovirus and MS2 inactivation kinetics of UV-A and UV-B with and without TiO2. Water Res. 47, 5607–5613. https://doi.org/10.1016/j.watres.2013.06.035 (2013).

CAS  Article  PubMed  Google Scholar 

Ortiz-Solà, J. et al. Evaluation of a sanitizing washing step with different chemical disinfectants for the strawberry processing industry. Int. J. Food Microbiol. 334, 108810. https://doi.org/10.1016/j.ijfoodmicro.2020.108810 (2020).

CAS  Article  PubMed  Google Scholar 

Park, D. et al. Inactivation efficiency and mechanism of UV-TiO2 photocatalysis against murine norovirus using a solidified agar matrix. Int. J. Food Microbiol. 238, 256–264. https://doi.org/10.1016/j.ijfoodmicro.2016.09.025 (2016).

CAS  Article  PubMed  Google Scholar 

Park, S. Y. et al. Application of high hydrostatic pressure for the inactivation of norovirus and quality stability in fresh sea squirt (Halocynthia roretzi). Food Sci. Technol. Int. 25, 573–578. https://doi.org/10.1177/1082013219842439 (2019).

Rockey, N. et al. UV disinfection of human norovirus: Evaluating Infectivity using a genome-wide PCR-based approach. Environ. Sci. Technol. 54, 2851–2858. https://doi.org/10.1021/acs.est.9b05747 (2020).

ADS  CAS  Article  PubMed  Google Scholar 

Wallace, R. L., Ouellette, M. & Jean, J. Effect of UV-C light or hydrogen peroxide wipes on the inactivation of methicillin-resistant Staphylococcus aureus, Clostridium difficile spores and norovirus surrogate. J. Appl. Microbiol. 127, 586–597. https://doi.org/10.1111/jam.14308 (2019).

CAS  Article  PubMed  Google Scholar 

Horm, K. M. & D’Souza, D. H. Survival of human norovirus surrogates in milk, orange, and pomegranate juice, and juice blends at refrigeration (4 degrees C). Food Microbiol. 28, 1054–1061. https://doi.org/10.1016/j.fm.2011.02.012 (2011).

Su, X., Sangster, M. Y. & D’Souza, D. H. In vitro effects of pomegranate juice and pomegranate polyphenols on foodborne viral surrogates. Foodborne Pathog. Dis. https://doi.org/10.1089/fpd.2010.0583 (2010).

Su, X., Howell, A. B. & D’Souza, D. H. Antiviral effects of cranberry juice and cranberry proanthocyanidins on foodborne viral surrogates—A time dependence study in vitro. Food Microbiol. 27, 985–991. https://doi.org/10.1016/j.fm.2010.05.027 (2010).

CAS  Article  PubMed  Google Scholar 

Su, X., Howell, A. B. & D’Souza, D. H. The effect of cranberry juice and cranberry proanthocyanidins on the infectivity of human enteric viral surrogates. Food Microbiol. 27, 535–540. https://doi.org/10.1016/j.fm.2010.01.001 (2010).

CAS  Article  PubMed  Google Scholar 

Whitehead, K. & McCue, K. A. Virucidal efficacy of disinfectant actives against feline calicivirus, a surrogate for norovirus, in a short contact time. Am. J. Infect. Control 38, 26–30. https://doi.org/10.1016/j.ajic.2009.03.015 (2010).

CAS  Article  PubMed  Google Scholar 

Hansman, G. S. et al. Detection of norovirus and sapovirus infection among children with gastroenteritis in Ho Chi Minh City, Vietnam. Arch. Virol. 149, 1673–1688 (2004).

Koromyslova, A. D., Morozov, V. A., Hefele, L. & Hansman, G. S. Human norovirus neutralized by a monoclonal antibody targeting the histo-blood group antigen pocket. J. Virol. 93, e02174-18. https://doi.org/10.1128/jvi.02174-18 (2019).

CAS  Article  PubMed  PubMed Central  Google Scholar 

We acknowledge the EM core facility at the German Cancer Research Center. Funding for this study was provided by the CHS foundation, the Baden-Württemberg Stiftung (GLYCAN-BASED ANTIVIRAL AGENTS), and the Deutsche Forschungsgemeinschaft (DFG, FOR2327).

Present address: Institute for Glycomics, Griffith University, Gold Coast Campus, Gold Coast, QLD, Australia

Schaller Research Group at the University of Heidelberg and the DKFZ, Heidelberg, Germany

Kerstin Ruoff, Jessica Michelle Devant & Grant Hansman

Department of Infectious Diseases, Virology, University of Heidelberg, Heidelberg, Germany

Kerstin Ruoff, Jessica Michelle Devant & Grant Hansman

You can also search for this author in PubMed  Google Scholar

You can also search for this author in PubMed  Google Scholar

You can also search for this author in PubMed  Google Scholar

K.R., J.D, and G.H. wrote the main manuscript text and K.R. and G.H. prepared figures 1-9. All authors reviewed the manuscript.

The authors declare no competing interests.

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Ruoff, K., Devant, J.M. & Hansman, G. Natural extracts, honey, and propolis as human norovirus inhibitors. Sci Rep 12, 8116 (2022). https://doi.org/10.1038/s41598-022-11643-5

DOI: https://doi.org/10.1038/s41598-022-11643-5

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

By submitting a comment you agree to abide by our Terms and Community Guidelines. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate.

Scientific Reports (Sci Rep) ISSN 2045-2322 (online)

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.