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UNIVERSITI PUTRA MALAYSIA ANTI-VIRAL ACTIVITIES OF CENTELLA ASIATICA L., CURCUMA LONGA L. AND STROBILANTHES CRISPUS L. AGAINST PSEUDORABIES VIRUS IN ANIMAL CELL LINES HANISA BINTI HOSNI FPV 2006 6

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Page 1: ANTI-VIRAL ACTIVITIES OF CENTELLA ASIATICA Lpsasir.upm.edu.my/6523/1/FPV_2006_6_ABSTRACT.pdfActivities of Centella Asiatica L., Strobilanthes Crispus L. And Curcuma Longa L. Against

UNIVERSITI PUTRA MALAYSIA

ANTI-VIRAL ACTIVITIES OF CENTELLA ASIATICA L., CURCUMA LONGA L. AND STROBILANTHES CRISPUS L. AGAINST

PSEUDORABIES VIRUS IN ANIMAL CELL LINES

HANISA BINTI HOSNI

FPV 2006 6

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ANTI-VIRAL ACTIVITIES OF CENTELLA ASIATICA L., CURCUMA LONGA L. AND STROBILANTHES CRISPUS L. AGAINST PSEUDORABIES VIRUS IN

ANIMAL CELL LINES

By

HANISA BINTI HOSNI

Thesis Submitted to the School of Graduate Studies, Universiti Putra Malaysia, in Fulfilment of the Requirement for the Degree of Master of Science

July 2006

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DECLARATION

I hereby declare that the thesis is based on my original work except for quotations and citations which have been duly acknowledged. I also declare that it has not been previously or concurrently submitted for any other degree at UPM or other institutions.

_____________________

HANISA BINTI HOSNI

Date: 28 November 2006

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To my husband, Mohd Azhar,

For encouraging and sustaining To my children, Athirah and Azeem, For making it all worthwhile To my parents, Hosni and Patimah, For making it possible

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Abstract of thesis presented to the Senate of Universiti Putra Malaysia in fulfilment of the requirement for the degree of Master of Science

ANTI-VIRAL ACTIVITIES OF CENTELLA ASIATICA L., CURCUMA LONGA L. AND STROBILANTHES CRISPUS L. AGAINST PSEUDORABIES VIRUS IN

ANIMAL CELL LINES

By

HANISA BINTI HOSNI

July 2006

Chairman : Professor Mohd Azmi Mohd Lila, PhD

Faculty : Veterinary Medicine

Herpes simplex virus (HSV) is a major opportunistic pathogen in immunosuppressed

patients and a serious disease in high human immunodeficiency virus (HIV)/ acquired

immunodeficiency syndrome (AIDS) prevalence areas. The existence of resistant strains

to the available drug is therefore an urgent need to identify new alternative agents for

HSV. The aim of this study is to investigate anti-viral activities of the plants. Assays

were developed to determine the characteristics of anti-viral activities, as anti-viral

attachment, anti-prophylactic and virucidal. The pseudorabies virus (PrV) has been used

as representative of HSV. Three medicinal plants have been used, which is Centella

asiatica L. (C. asiatica), Strobilanthes crispus L. (S. crispus) and Curcuma longa L. (C.

longa). The plants are reputed in traditional medicine for many treatments of diseases.

Firstly, the potential cytotoxicity was evaluated for plant methanol extracts (ME) and

aqueous extracts (AE) in cell line by using MTT assay. All three plant extracts were

3

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found significantly (P < 0.05) non cytotoxic towards African Green Monkey Kidney

(Vero) cells, Baby Hamster Kidney (BHK) cells and Rabbit Kidney (RK) cells. The

plant ME was generally more cytotoxic than AE, showed lower (76 µg/ml) non-toxic

limit concentration (NTLC50) than plant AE (82 µg/ml). The least cytotoxic was the

extract of S. crispus followed by C. asiatica and C. longa. The resistance of three

different cell lines was also compared and it showed the BHK cells were the most

toughest and resistant to the plant extracts. In anti-viral analysis, it was discovered that

all plant extracts showed marked prophylactic activity, considerable anti-attachment and

virucidal abilities up to 75% inhibition of cytopathic effect (CPE) formation. The C.

longa extract was found as a potent anti-viral agent followed by S. crispus and C.

asiatica. It exerted better prophylactic activity against PrV compared to the other two

plants. Whereas S. crispus was found very effective as virucidal agent while C. asiatica

as anti-viral attachment agent. Based on the results, it was also found that plant ME

possessed better anti-viral activity than plant AE. These results also showed each of

three plants possessed different anti-viral activities. The anti-viral activities were also

varies in different cell lines tested. All three plants were analysed by liquid

chromatography-electrospray ionisation-mass spectrometry (LC-ESI-MS) to identify

plant compounds. The analysis revealed several compounds in C. asiatica, S. crispus and

C. longa ME. This study discovered the promising anti-viral activities of C. asiatica, S.

crispus and C. longa but not any identified plant compound against PrV in vitro. These

results suggest that all three plant extracts have potent anti-viral agents against PrV as

representative of HSV that can be exploited for development of an alternative medicine

to prevent HSV infections.

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Abstrak tesis yang dikemukakan kepada Senat Universiti Putra Malaysia sebagai memenuhi keperluan untuk ijazah Master Sains

ANTIVITI ANTI-VIRUS OLEH CENTELLA ASIATICA L., CURCUMA LONGA L. DAN STROBILANTHES CRISPUS L. TERHADAP VIRUS PSEUDORABIES DI

DALAM BARISAN SEL

Oleh

HANISA BINTI HOSNI

Julai 2006

Pengerusi : Profesor Mohd Azmi Mohd Lila, PhD

Fakulti : Perubatan Veterinar

Herpes simplex virus (HSV) adalah patogen oportunis utama kepada pesakit-pesakit yang

sistem imunnya ditekan dan adalah satu penyakit serius di kawasan yang lazimnya

mempunyai perebakan Virus Kurang Daya Tahan Penyakit (HIV) atau Sindrom Kurang

Daya Tahan Penyakit (AIDS) yang tinggi. Kewujudan strain virus yang rintang kepada

ubatan anti-virus menyebabkan keperluan mendesak untuk mencari agen alternatif bagi

merawat HSV. Tujuan kajian ini adalah untuk mengkaji aktiviti anti-virus oleh

tumbuhan. Kaedah-kaedah untuk menentukan sifat dan ciri aktiviti anti-virus

pseudorabies (PrV) iaitu anti-perlekatan, anti-pre-rawatan dan membunuh virus telah

dijalankan. PrV telah digunakan sebagai mewakili HSV. Tiga tumbuhan ubatan telah

digunakan iaitu Centella asiatica L. (C. asiatica), Strobilanthes crispus L. (S. crispus)

dan Curcuma longa L. (C. longa). Tumbuhan-tumbuhan ini mempunyai reputasi yang

baik dalam merawat pelbagai penyakit di dalam perubatan tradisional. Pertama, potensi

toksik ekstrak methanol (EM) and ekstrak akuas (EA) tumbuhan telah dianalisa ke atas

5

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barisan sel dengan menggunakan kaedah MTT. Kesemua ekstrak tumbuhan dijumpai

signifikan (p < 0.05) tidak menyebabkan toksik kepada sel Buah Pinggang Monyet Hijau

(Vero), sel Buah Pinggang Anak Hamster (BHK) dan sel Buah Pinggang Arnab (RK).

Secara amnya, EM tumbuhan lebih toksik ke atas sel berbanding AE tumbuhan,

menunjukkan kepekatan tidak toksik pada 50% yang lebih rendah (76 µg/ml) daripada

AE tumbuhan (85 µg/ml). Kerintangan ketiga-tiga barisan sel terhadap ekstrak tumbuhan

juga dibandingkan dan menunjukkan sel BHK adalah paling kuat dan rintang kepada

ekstrak tumbuhan. Kesemua ekstrak tumbuhan menunjukkan kebolehan yang jelas

aktiviti pre-rawatan manakala anti-perlekatan dan kebolehan membunuh virus yang boleh

dipertimbangkan sehingga 75% penekanan ke atas pembentukan Kesan Saitopatik (CPE).

Ekstrak C. longa telah dijumpai sebagai agen anti-viral yang sangat berpotensi, diikuti

ekstrak S. crispus dan C. asiatica. Ia menunjukkan aktiviti pre-rawatan yang lebih baik

ke atas PrV berbanding dua tumbuhan tersebut. Manakala ekstrak S. crispus telah

dijumpai menunjukkan kesan efektif sebagai agen membunuh virus dan ekstrak C.

asiatica sebagai agen anti-perlekatan. Berdasarkan kepada keputusan, ia menunjukkan

ME tumbuhan memberikan aktiviti anti-virus yang lebih baik berbanding AE tumbuhan.

Keputusan juga menunjukkan bahawa setiap tumbuhan memberikan aktiviti anti-virus

yang berbeza. Aktiviti anti-virus juga berbeza di dalam barisan sel yang berbeza.

Ketiga-tiga tumbuhan telah dianalisa dengan menggunakan kromatografi cecair-ionisasi

elektrospray-spektrometer jisim (LC-ESI-MS) untuk mengenalpasti bahan tumbuhan.

Analisa tersebut mendedahkan bahan-bahan yang terkandung di dalam C. asiatica, S.

crispus dan C. longa EM. Kajian ini menemui aktiviti anti-virus bagi C. asiatica, S.

crispus dan C. longa tetapi bukan daripada mana-mana bahan tumbuhan yang

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dikenalpasti terhadap PrV secara in vitro. Keputusan kajian juga mencadangkan bahawa

ketiga-tiga tumbuhan mempunyai potensi sebagai agen anti-virus ke atas PrV sebagai

mewakili HSV yang boleh dieksploitasikan bagi pembangunan ubatan alternatif bagi

menghalang jangkitan HSV.

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ACKNOWLEDGEMENTS

In The Name Of Allah, The Beneficent, The Merciful

All gratifications are referred to ‘Allah’, the Omnipotent and Omnipresent. Without His

Permission and Gifts for every strength, I just think that I could not be able to complete

this thesis.

Especially supervisors, Prof. Dr. Mohd Azmi Mohd Lila, Prof. Madya Dr Mohd Nazrul

Hakim bin Abdullah and Prof. Dr. Suhaila Mohamed for unrelenting guidance, and wise

suggestions. My thankful also for providing me with a very fine place and satisfactory

laboratory facilities. Not to forget to Prof Madya Dr Saidi Abdul Moin for his

supervision for the statistical analysis.

I would also like to express my unforgettable appreciation to Mr. Kamarudin Awang Isa,

all staffs of Bacteriology Laboratory, my friends, Suria, Radhiah, Mat Lip and Kak Sam,

who have truly made this thesis possible.

Last but not least, the foremost, profound and heart-felt gratitude is to my extraordinary

husband, Mr. Mohd Azhar Abdul Rahman for his unremitting love and constantly

supports which motivated me to accomplish this worthwhile thesis. I express my sincere

to my beloved parents, Hj Hosni Jalaludin and Hajjah Patimah Baharudin for their

everlasting support and encouragement.

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I certify that an Examination Committee has met on 6th July 2006 to conduct the final examination of Hanisa Binti Hosni on her Master of Science thesis entitled Anti-viral Activities of Centella Asiatica L., Strobilanthes Crispus L. And Curcuma Longa L. Against Pseudorabies Virus in accordance with Universiti Pertanian Malaysia (Higher Degree) Act 1980 and Universiti Pertanian Malaysia (Higher Degree) Regulations 1981. The Committee recommends that the candidate be awarded the relevant degree. Members of the Examination Committee are as follows:

Dato’ Sheikh Omar Abdul Rahman, PhD Professor, Department of Veterinary Pathology and Microbiology Faculty of Veterinary Medicine Universiti Putra Malaysia (Chairman)

Noordin Mohamed Mustapha, PhD Associate Professor, Head, Department of Veterinary Pathology and Microbiology Faculty of Veterinary Medicine Universiti Putra Malaysia (Internal Examiner)

Zamberi bin Sekawi, MPath Head, Department of Medical Microbiology and Parasitology Faculty of Medicine and Science Health Universiti Putra Malaysia (Internal Examiner)

Mustafa Ali Mohd, PhD Deputy Dean, Infrastructure and Development, Faculty of Medicine Universiti of Malaya (External Examiner)

_________________________________

HASANAH MOHD GHAZALI, PhD Professor/ Deputy Dean School of Graduate Studies Universiti Putra Malaysia

Date:

9

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This thesis submitted to the Senate of Universiti Putra Malaysia and has been accepted as fulfilment of the requirement for the degree of Master of Science. The members of the Supervisory Committee are as follows:

Mohd Azmi Mohd Lila, PhD Professor Faculty of Veterinary Medicine Universiti Putra Malaysia (Chairman)

Suhaila Mohamed, PhD Professor Faculty of Food Science and Biotechnology Universiti Putra Malaysia (Member)

Mohd Nazrul Hakim Abdullah, PhD Associate Professor Faculty of Medicine and Health Sciences Universiti Putra Malaysia (Member)

________________________

AINI IDERIS, PhD Professor/ Dean School of Graduate Studies Universiti Putra Malaysia.

Date: 16 January 2007

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TABLE OF CONTENTS Page

DEDICATION 2 ABSTRACT 3 ABSTRAK 5 AKNOWLEDGEMENTS 8 APPROVAL 9 DECLARATION 11 LIST OF TABLES 15 LIST OF FIGURES 18 LIST OF ABBREVIATIONS 20 CHAPTER I INTRODUCTION 24 Viral Infections 24 Herpes Virus Infection 25 Anti-Viral Drugs 26 The Effects of Antiviral on Viruses 26 II LITERATURE REVIEW

The Virus 30 Herpes Virus 30 Viral Pathogenesis 32 Molecular Consideration of Anti-herpes Drugs 33 Medicinal Plants 38 Traditional Medicine 39 C. asiatica Plant Description 42 Active Constituents 44 Traditional Medicine 46 Modern Medicine 48 S. crispus Plant Description 50 Active Constituents 52 Traditional Medicine 52 Modern Medicine 53 C. longa. syn: C. domestica Plant Description 54 Active Constituents 57 Traditional Medicine 57 Modern Medicine 59

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Liquid Chromatography-Electrospray Ionisation

-Mass Spectrometry 60

III POTENTIAL CYTOTOXICITY OF PLANT EXTRACTS Introduction 62

Materials and Methods 64 Preparation of Plant Extracts 64 Plant Extractions Aqueous Extract 65 Methanol Extract 65 Cell Lines Preparation 66 Cell Lines Media Preparation 66 Haemocytometer Cell Counting 70 Plating Out Cells 71 Plant Extract Addition 71 MTT Solution Preparation 74 Estimation of Cell Viability 74 Statistical Analysis 75

Results General 76 Plant Extracts in BHK cells 78 Plant Extracts in Vero cells 83 Plant Extracts in RK cells 88 Discussion and Conclusion 92 IV ANTI-HERPES ACTIVITY OF PLANT EXTRACTS Introduction 97 Material and Methods 99

Preparation of Plant Extracts 99 Plant Extractions Aqueous Extract 100 Methanol Extract 100 Cell Lines Preparation 101

Cell Lines Media Preparation 101 Virus 103 Cell Culture Inoculation 103 Harvesting of Virus 104 Virus Titration by TCID50 104 Antigen Detection-Immunoperoxidase 105 Anti-viral Assays 107 Prophylaxis Study 107 Attachment Assay 108 Virucidal Assay 108 Estimation of Cell Viability 109

Statistical Analysis 109

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Results 110 Antigen Detection-Immunoperoxidase 110 Anti-viral Activity of C. asiatica in BHK, Vero

and RK Cells 112 Anti-viral Activity of S. crispus in BHK, Vero

and RK Cells 119 Anti-viral Activity of C. longa in BHK, Vero

and RK Cells 127 Discussion and Conclusion 133 V LC-ESI-MS ANALYSIS OF PLANT EXTRACTS Introduction 140 Material and Methods 141 Preparation of Methanol Plant Extracts 141 Solvents and Chemicals 142 LC-MS Instrumentation 142 LC Conditions 142 Results 144 C. asiatica Leaf Extracts 144 S. crispus Leaf Extracts 148

C. longa Rhizome Extracts 150 Discussion and Conclusion 154 VI GENERAL DISCUSSION AND CONCLUSION 165 BIBLIOGRAPHY 171 APPENDICES 187 BIODATA OF THE AUTHOR 191

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LIST OF ABBREVIATIONS

ACV Acyclovir

ADV Adenovirus

ADV-3 Adenovirus type 3

AE Aqueous Extract

AIDS Acquired Immunodeficiency Syndrome

ATCC American Type Cell Culture

ATV Antibiotic Trypsin-Versine

BDMC Bisdemethoxycurcumin

BHK Baby Hamster Kidney cells

BSA Bovine Serum Albumin

BVdU E-5-(2-bromovinyl)-2’-deoxyuridine+

BVdU-TP Brivudin-5’-triphosphate

CMV Cytomegalovirus

CPE Cytopathic effect

ddI Dideoxyinosine

DAB 3,3’-diaminobenzidine

DLA Dalton’s Lymphoma Ascites

DMC Demethoxycurcumin

DMSO Dimethylsulphoxide

DNA Deoxyribonucleic Acid

EAC Ehrlich Ascites Cells

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EBV Epstein Barr Virus

EMEM Eagle’s Minimal Essential Medium

ESI Electrospray Ionisation

FCS Fetal Calf Serum

GCV Ganciclovir

GLM General Linear Model

HBB 2-(hydroxybenzyl)-benzimidazole

HeLa Human Epithelioid Cervical Carcinoma

HHV Human Herpes Virus

HHV-1 Human Herpes Virus Type 1

HIV Human Immunodeficiency Virus

HIV-1 Human Immunodeficiency Virus Type-1

HPLC High Performance Liquid Chromatography

HSV Herpes Simplex Virus

HSV-1 Herpes Simplex Virus Type 1

HSV-2 Herpes Simplex Virus Type 2

HZV Herpes Zoster Virus

IUdR Iododeoxyuridine

LC-MS Liquid Chromatography-Mass Spectrometry

LTR Long Terminal Repeat

ME Methanol Extract

MG Maximum Growth; Cell treated with media only

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MTT 3-(4, 5-dimethylthiazol-2-yl)-2, 5

diphenyltetrazolium bromide

MW Molecular weight

NMR Nuclear Magnetic Resonance

NTLC Non-Toxic Limit Concentration

NTLC50 Non-Toxic Limit Concentration at 50 percent

PAA Polyacrylic acid

PBS Phosphate Buffer Saline

PI Post Infection

PrV Pseudorabies Virus

PVAS Polyvinylalcohol sulphate

PVS Polyvinyl sulphonate

RK Rabbit Kidney cells

RNA Ribonucleic Acid

RRV Ross River Virus

RSV Respiratory Syncytial Virus

SAH S- adenosylhomocysteine

SI Selective Index

TE Tris-EDTA

TECA Titrated extract of C. asiatica

TCID50 Tissue Culture Infective Dose at 50

TK Thymidine kinase

TLC Thin Layer Chromatography

22

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TNF Tumor Necrosis Factor

TSP Thermospray

USA United States of America

UV Ultraviolet

VCV Vanciclovir

VERO African Green Monkey Kidney cells

VSV Vesicular Stomatitis Virus

WHO World Health Organization

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LIST OF FIGURES

Figure Page

2.1 Herpes virus replication cycle. 33

2.2 Medicinal plant used in this study, C. asiatica leaves. 43

2.3 Medicinal plant used in this study, S.crispus leaves. 51

2.4 C. longa leaves. 55

2.5 Medicinal plant used in this study, C. longa rhizome 56

3.1 Cell culture used in this study, Vero cells. 67

3.2 Cell culture used in this study, BHK cells. 68

3.3 Cell culture used in this study, RK cells 68

3.4 The 96-well plate for cytotoxicity assay 73

4.1 Infected vero cells with PrV 110

4.2 Infected vero cells with PrV treated with immunoperoxidase stain 111

5.1 a) Chemical structures of asiatic acid. 145

5.1 b) Chemical structures of asiaticoside. 145

5.1 c) Chemical structures of madecassic acid. 146

5.1 d) Chemical structures of madecassoside. 146

5.2 LC-ESI-MS chromatogram of C. asiatica ME 147

5.3 Chromatographic peak of compound 1 147

5.4 Chemical structure of verbascoside 148

5.5 LC-ESI-MS chromatogram of S. crispus ME 149

5.6 Chromatographic peak of compound 2 149

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5.7 a) Chemical structures of curcumin. 151

5.7 b) Chemical structures of demethoxycurcumin 151

5.7 c) Chemical structures of bisdemethoxycurcumin. 151

5.7 d) Chemical structures of dihydrocurcumin 151

5.8 LC-ESI-MS chromatogram of C. longa ME 152

5.9 Chromatographic peak of compound 3, 4 and 5. 153

5.10 Positive-ion ESI-MS of compound 1 155

5.11 Proposed positive-ion ESI dissociation of compound 1 157

5.12 Positive-ion ESI-MS of compound 2 159

5.13 Proposed positive-ion ESI dissociation of compound 2 160

5.14 Proposed positive-ion ESI dissociation of compound 3, 4 and 5 162

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LIST OF TABLES

Table Page

2.1 Folk uses of C. asiatica around the world. 47

2.2 Folk uses of C. longa around the world. 58 3.1 Means ± SD of cell viability of BHK cells treated with

plant ME. 78 3.2 The NTLC50 of plant ME and controls in BHK cells. 79 3.3 Means ± SD of cell viability of BHK cells treated with

plant AE. 80 3.4 The NTLC50 of plant AE and controls in BHK cells. 81 3.5 Means ± SD of cell viability of Vero cells treated with

plant ME. 83 3.6 The NTLC50 of plant ME and controls in Vero cells. 84 3.7 Means ± SD of cell viability of Vero cells treated with

plant AE. 85 3.8 The NTLC50 of plant AE and controls in Vero cells. 86 3.9 Means ± SD of cell viability of RK cells treated with

plant ME. 88 3.10 The NTLC50 of plant ME and controls in RK cells. 89 3.11 Means ± SD of cell viability of RK cells treated with

plant AE. 90 3.12 The NTLC50 of plant AE and controls in RK cells. 91 4.1 Percent inhibition of virus-induced CPE in BHK cells

treated with C. asiatica in different anti-viral assays. 112 4.2 The assessment of anti-viral activity of ME and AE of

C. asiatica in BHK cells. 113

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4.3 Percent inhibition of virus-induced CPE in Vero cells treated with C. asiatica in different anti-viral assays. 114

4.4 The assessment of anti-viral activity of ME and AE of

C. asiatica in Vero cells. 115 4.5 Percent inhibition of virus-induced CPE in RK cells

treated with C. asiatica in different anti-viral assays. 116 4.6 The assessment of anti-viral activity of ME and AE of

C. asiatica in RK cells. 117 4.7 Percent inhibition of virus-induced CPE in BHK cells

treated with S. crispus in different anti-viral assays. 119 4.8 The assessment of anti-viral activity of ME and AE of

S. crispus in BHK cells. 120

4.9 Percent inhibition of virus-induced CPE in Vero cells treated with S. crispus in different anti-viral assays. 121

4.10 The assessment of anti-viral activity of ME and AE of

S. crispus in Vero cells. 123 4.11 Percent inhibition of virus-induced CPE in RK cells

treated with S. crispus in different anti-viral assays. 124 4.12 The assessment of anti-viral activity of ME and AE of

S. crispus in RK cells. 125 4.13 Percent inhibition of virus-induced CPE in BHK cells

treated with C. longa in different anti-viral assays. 127

4.14 The assessment of anti-viral activity of ME and AE of C. longa in BHK cells. 128

4.15 Percent inhibition of virus-induced CPE in Vero cells treated with C. longa in different anti-viral assays. 129

4.16 The assessment of anti-viral activity of ME and AE of

C. longa in Vero cells. 130 4.17 Percent inhibition of virus-induced CPE in RK cells

treated with C. longa in different anti-viral assays. 131

16

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17

4.18 The assessment of anti-viral activity of ME and AE of S. crispus in RK cells. 132

5.1 LC-MS gradient program for C. asiatica, S. crispus and

C. longa analysis. 143 5.2 Relative abundance of compound 1 and fragment ions 158 5.3 Relative abundance of compound 2 and fragment ions 161 5.4 tR, MS data and peak assignments for the analysis

of C. longa ME. 163 5.5 Relative abundance of compound 3, 4 and 5 and

fragment ions 163

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CHAPTER I

INTRODUCTION

Viral Infections

Viral infections are major health problem all over the world due to their morbidity and

mortality. There are many types of transmissions of viral infections in man. They are

respiratory or salivary spread, which is not readily controllable; faecal-oral spread that is

controllable by public health measures and venereal spread, which is socially difficult to

control. An example is HSV (Dawn and Robert, 1997).

The immune system appears as the controlling factor within the host that maintains

beneficial microbes at harmless levels and prevents infections by dangerous agents. It is

able to combat a variety of infections from birth on. Evolutionary pressure has forced

most viruses to develop many strategies to subvert the immune system. Some of them

are production of antigenic variants; adopted by influenza virus and HIV, avoiding

recognition by lymphocytes; for example adenovirus, manipulate cytokine pathways to

avoid destruction by the host immune response, the production of materials that interfere

with the production of pro-inflammatory cytokines; for example vaccinia and cowpox

viruses, and interfering with the alternate pathways of complement activation; for

example HSV (Hans et al., 2000; Bruce, 2002).