Photodynamic Inactivation of Human Coronaviruses

Photodynamic inactivation (PDI) employs a photosensitizer, light, and oxygen to create a local burst of reactive oxygen species (ROS) that can inactivate microorganisms. The botanical extract PhytoQuinTM is a powerful photosensitizer with antimicrobial properties. We previously demonstrated that photoactivated PhytoQuin also has antiviral properties against herpes simplex viruses and adenoviruses in a dose-dependent manner across a broad range of sub-cytotoxic concentrations. Here, we report that human coronaviruses (HCoVs) are also susceptible to photodynamic inactivation. Photoactivated-PhytoQuin inhibited the replication of the alphacoronavirus HCoV-229E and the betacoronavirus HCoV-OC43 in cultured cells across a range of sub-cytotoxic doses. This antiviral effect was light-dependent, as we observed minimal antiviral effect of PhytoQuin in the absence of photoactivation. Using RNase protection assays, we observed that PDI disrupted HCoV particle integrity allowing for the digestion of viral RNA by exogenous ribonucleases. Using lentiviruses pseudotyped with the SARS-CoV-2 Spike (S) protein, we once again observed a strong, light-dependent antiviral effect of PhytoQuin, which prevented S-mediated entry into human cells. We also observed that PhytoQuin PDI altered S protein electrophoretic mobility. The PhytoQuin constituent emodin displayed equivalent light-dependent antiviral activity to PhytoQuin in matched-dose experiments, indicating that it plays a central role in PhytoQuin PDI against CoVs. Together, these findings demonstrate that HCoV lipid envelopes and proteins are damaged by PhytoQuin PDI and expands the list of susceptible viruses.


Introduction
Coronaviruses (CoVs) are enveloped viruses with large positive-sense, single-stranded RNA genomes. Human CoVs occupy two genera, the alphacoronaviruses (HCoV-NL63 and HCoV-229E) and betacoronaviruses (HCoV-OC43, HCoV-HKU1, Middle East respiratory syndrome-related coronavirus (MERS-CoV), severe acute respiratory syndrome-related coronavirus (SARS-CoV and SARS-CoV-2). CoV Spike (S) proteins enable attachment to diverse cell surface receptors and entry via receptor-mediated endocytosis [1]. Following uncoating in the cytoplasm, the CoV (+)ssRNA genome is translated into long polyproteins that are processed by viral proteases to yield non-structural proteins, including the viral RNA-dependent RNA polymerase (RdRp) and associated RNA modifying enzymes [2], as well as an RNA exonuclease enzyme that provides essential proofreading activity to ensure high-fidelity replication of the viral genome [3]. These viral enzymes assemble to form the replicase-transcriptase complex that orchestrates viral transcription and genome replication in discrete cytoplasmic compartments [4]. The RdRp uses the template (+)ssRNA genome
Stocks of human coronavirus OC43 (HCoV-OC43; VR-1558, ATCC) were propagated in Vero cells. Cells were infected at a MOI of 0.05 for 1 h at 33 • C in serum-free DMEM. After 1 h, the infected cells were maintained in DMEM supplemented with 1% FBS and Pen/Strep/Gln for five days at 33 • C. Upon harvest, the culture supernatant was centrifuged at 1000× g for 5 min at 4 • C, the supernatant aliquoted, and then stored at −80 • C. Stocks of human coronavirus 229E (HCoV-229E; VR-740, ATCC) were prepared using a similar protocol, using Huh7.5 cells and DMEM supplemented with 2.5% FBS and Pen/Strep/Gln. The preparation of PhytoQuin™ from an ethanolic extract of Polygonum cuspidatum has been previously described [20]. PhytoQuin (provided by PhotoDynamic Inc., Lot# SMKW115, Halifax, NS, Canada) and emodin (13109, Cayman Chemical, Ann Arbor, MI, USA) were solubilized in DMSO. All oligonucleotides were synthesized by Thermo Fisher Scientific (Pleasanton, CA, USA).

Photodynamic Inactivation of Viral Inocula
HCoV and lentiviral inocula diluted in serum-free DMEM supplemented with Phyto-Quin, emodin, or DMSO were incubated 20 cm beneath a 30 W LED lamp in LiteSafe ® black 1.5 mL microtubes (06333-80, Cole-Parmer; Montreal, QC, Canada) for "Dark" treatments or in clear 1.5 mL microtubes (82050-504, VWR, Mississauga, ON, Canada) microcentrifuge tubes for "Light" treatments for the indicated times. After light or dark treatments, the viral inocula were used as indicated in Sections 2.4-2.8

HCoV-229E and HCoV-OC43 TCID50 Assays
BHK-21 cells and Huh7.5 cells were seeded in 96-well plates at a density of 1 × 10 4 cells/well, respectively. The following day, the media were removed, and the cells were inoculated with 50 µL of serially diluted PhytoQuin-, emodin-, or DMSO-treated HCoV (OC43 on BHK-21 cells; 229E on Huh7.5 cells) as indicated in Section 2.3 and incubated for 1 h with shaking every 15 min. After infection, inocula were removed and replaced with low-serum media (see Section 2.2), and cells were incubated for 5 days to allow for the accumulation of cytopathic effect (CPE). To visualize CPE for TCID 50 calculations, the media were removed, and the cells were washed once with phosphate-buffered saline (PBS) and agitated to dislodge infected cells. The cells were then fixed with methanol for 15 min and stained with 0.5% crystal violet (C0775, Sigma-Aldrich, Oakville, ON, Canada; diluted in a 1:1 solution of methanol and water) for 1 h. After staining, the crystal violet was rinsed off with water, and the plates were dried. The median tissue culture infectious dose (TCID 50 ) was determined using the Spearman-Kärber method [22].

Transmission Electron Microscopy
Cell supernatants containing HCoV-OC43 particles were concentrated by centrifugation at 39,000 rpm in an SW-41 rotor with an Optima™ L-90K Ultracentrifuge (Beckman Coulter) for 2 h. Pelleted virus was resuspended in 100 µL of PBS. A volume of 80 uL of the preparation was diluted to 400 uL with serum-free DMEM, divided equally into clear or black microtubes and treated with Phytoquin or DMSO vehicle control as described in Section 2.3 above. Small drops (~30 µL) were placed onto Formvar/Carbon coated grids and left to settle for 10 min before rinsing the grid with distilled water. The grids were quickly rinsed with a small drop (~30 µL) of 2% uranyl acetate then stained for 30 s in a second drop. The stain was then wicked off on filter paper and left to dry completely. Grids were imaged with a JEM 1230 transmission electron microscope (JEOL) running at 80 kV and an ORCA-HR camera (Hamamatsu). Sample preparation, fixation, and TEM imaging were performed twice with representative images from one independent experiment shown.

Data Management and Statistics
All data management was performed with Microsoft ® Excel ® for Microsoft 365. Graphing and statistical calculations were performed using GraphPad Prism v9.2.0. The final figures were prepared using Affinity Designer v1.10.1.1142.

Measurement of Phototoxic Threshold of PhytoQuin in Huh7.5 Cells and BHK-21 Cells
Photodynamic inactivation (PDI) employs a photosensitizer (PS), light, and oxygen to create a local burst of reactive oxygen species (ROS) that inactivate microbes. For our experiments to investigate the PDI of human coronaviruses, we employed a PS, PhytoQuin, which is an extract from Polygonum cuspidatum (common name: Japanese Knotweed) prepared by PhotoDynamic, Inc. We began by evaluating cell viability with and without light exposure following treatment with PhytoQuin or the solvent, dimethyl sulfoxide (DMSO). We chose Huh7.5 (human hepatocellular carcinoma) cells and baby hamster kidney-21 (BHK-21) cells for these analyses because they are susceptible to infection by HCoV-229E and HCoV-OC43, respectively.
To establish the phototoxic threshold concentrations of PhytoQuin, Huh7.5 cells were treated with PhytoQuin or vehicle control at room temperature with exposure to LED light (49 J/cm 2 or 98 J/cm 2 ) or protected from light followed by culture at 37 • C for 48 h. DMSO concentrations above 2% were toxic to Huh7.5 cells where no additional toxicity was observed with either light treatment ( Figure 1A). The 50% cytotoxic concentration (CC 50 ) of PhytoQuin in Huh7.5 cells was 10 µg/mL at 49 J/cm 2 of photoactivation and 4 µg/mL after 98 J/cm 2 of photoactivation ( Figure 1A). PhytoQuin was less toxic in the absence of photoactivation ("Dark"), with a CC 50 of 17 µg/mL. BHK-21 cells behaved similarly with DMSO treatment, with no cytotoxicity up to the highest concentration tested (0.8%; Figure 1B). While only 49 J/cm 2 of light exposure was tested using BHK-21 cells, cytotoxicity was only observed with PhytoQuin concentrations of 78 µg/mL, suggesting that the BHK-21 cells are more resistant to transient ROS-mediated damage than Huh7.5 cells ( Figure 1B). Altogether, these experiments demonstrate the low cytotoxicity of PhytoQuin in these human cell lines. A concentration of 4 µg/mL PhytoQuin (equivalent to 0.5% DMSO, indicated by the vertical dashed lines in Figure 1) was selected as the maximal dose used in all subsequent infection experiments, which falls well below the CC 50 value for both cell lines.

PhytoQuin Exhibits Light-Dependent Antiviral Activity against HCoV-229E and HCoV-OC43
Having established the baseline phototoxic threshold of PhytoQuin in Huh7.5 and BHK-21 cells, we next measured the antiviral activity of PhytoQuin against HCoV-229E and HCoV-OC43. HCoV-229E inocula were mixed with the indicated concentrations of DMSO or PhytoQuin and exposed to light at 49 J/cm 2 , or kept in the dark, before being serially diluted for infecting Huh7.5 cells. The remaining viral infectivity after each treatment was determined using median tissue culture infectious dose (TCID50) assays. By exposing the HCoV-229E viral inoculum to DMSO and light, we observed that HCoV-229E is mildly photosensitive to 49 J/cm 2 LED exposure, displaying <3-fold decrease in viral titers compared to DMSO/Dark treated virus ( Figure 2A). PhytoQuin incubated with HCoV-229E in the dark had little effect (<3-fold decrease relative to DMSO/Dark) across the full range of concentrations tested ( Figure 2A). By contrast, a clear, dose-dependent reduction in viral titers was observed between 0.5 µg/mL and 4 µg/mL doses of photoactivated PhytoQuin; with all samples at the 4 µg/mL dose reducing viral titers to the limit of detection (LOD, 1500 TCID50/mL) of the assay ( Figure 2A). These data demonstrate that HCoV-229E is susceptible to PDI, with ~1000-fold reductions in viral titers after a brief light treatment.

PhytoQuin Exhibits Light-Dependent Antiviral Activity against HCoV-229E and HCoV-OC43
Having established the baseline phototoxic threshold of PhytoQuin in Huh7.5 and BHK-21 cells, we next measured the antiviral activity of PhytoQuin against HCoV-229E and HCoV-OC43. HCoV-229E inocula were mixed with the indicated concentrations of DMSO or PhytoQuin and exposed to light at 49 J/cm 2 , or kept in the dark, before being serially diluted for infecting Huh7.5 cells. The remaining viral infectivity after each treatment was determined using median tissue culture infectious dose (TCID 50 ) assays. By exposing the HCoV-229E viral inoculum to DMSO and light, we observed that HCoV-229E is mildly photosensitive to 49 J/cm 2 LED exposure, displaying <3-fold decrease in viral titers compared to DMSO/Dark treated virus (Figure 2A). PhytoQuin incubated with HCoV-229E in the dark had little effect (<3-fold decrease relative to DMSO/Dark) across the full range of concentrations tested (Figure 2A). By contrast, a clear, dose-dependent reduction in viral titers was observed between 0.5 µg/mL and 4 µg/mL doses of photoactivated PhytoQuin; with all samples at the 4 µg/mL dose reducing viral titers to the limit of detection (LOD, 1500 TCID 50 /mL) of the assay (Figure 2A). These data demonstrate that HCoV-229E is susceptible to PDI, with~1000-fold reductions in viral titers after a brief light treatment.  To determine whether the antiviral effects of PhytoQuin PDI were specific for the alphacoronavirus HCoV-229E or generalizable across diverse HCoVs, we next tested its activity on the distantly related betacoronavirus, HCoV-OC43. The viral inocula were exposed to sub-cytotoxic doses of 0.5-4 µg/mL PhytoQuin, either with or without 49 J/cm 2 LED light exposure, and then used to infect BHK-21 cells for TCID50 assays. Compared to HCoV-229E, similar amounts of HCoV-OC43 were inactivated by PhytoQuin in a dosedependent and light-dependent manner ( Figure 2B). PhytoQuin (4 µg/mL) and light treatment led to an approximately 4 log10 reduction in viral titer relative to DMSO-treated HCoV-OC43. Together, these data show that various HCoVs are highly susceptible to PhytoQuin PDI.

PhytoQuin Treatment Does Not Cause Visible Damage to HCoV Particles
Photoactivation of PhytoQuin generates ROS that can damage nearby macromolecules, which is thought to be the primary antimicrobial mechanism of PhytoQuin PDI. The treated inocula were serially diluted and used to infect Huh7.5 cells and titered using TCID 50 assays. (B) HCoV-OC43 was combined with 0.5% DMSO or PhytoQuin (0.5, 1, 2, or 4 µg/mL) prior to exposure to light as indicated for panel A. The treated inocula were serially diluted and used to infect BHK-21 cells and titered using TCID 50 assays. The resulting TCID 50 /mL values are plotted showing the individual data points with each bar graph (DMSO, grey; PhytoQuin, white) representing the average ± SEM from four or six independent experiments. The LOD for the TCID50 assays is indicated by the horizontal dotted line. * p = 0.01-0.05, ** p = 0.001-0.01, using unpaired t-tests comparing to DMSO/+Light. Abbreviations: DMSO, dimethyl sulfoxide; LED, light-emitting diode; LOD, limit of detection; SEM, standard error of the mean; TCID 50 , median tissue culture infectious dose.
To determine whether the antiviral effects of PhytoQuin PDI were specific for the alphacoronavirus HCoV-229E or generalizable across diverse HCoVs, we next tested its activity on the distantly related betacoronavirus, HCoV-OC43. The viral inocula were exposed to sub-cytotoxic doses of 0.5-4 µg/mL PhytoQuin, either with or without 49 J/cm 2 LED light exposure, and then used to infect BHK-21 cells for TCID 50 assays. Compared to HCoV-229E, similar amounts of HCoV-OC43 were inactivated by PhytoQuin in a dosedependent and light-dependent manner ( Figure 2B). PhytoQuin (4 µg/mL) and light treatment led to an approximately 4 log 10 reduction in viral titer relative to DMSO-treated HCoV-OC43. Together, these data show that various HCoVs are highly susceptible to PhytoQuin PDI.

PhytoQuin Treatment Does Not Cause Visible Damage to HCoV Particles
Photoactivation of PhytoQuin generates ROS that can damage nearby macromolecules, which is thought to be the primary antimicrobial mechanism of PhytoQuin PDI. HCoVs have a lipid envelope studded with viral glycoproteins required for key steps in cellular entry. We previously observed that PhytoQuin PDI did not damage herpesvirus DNA genomes [20] that are well protected by a strong icosahedral capsid [23]; we reasoned that the HCoV RNA genome, which is only lightly protected by viral nucleocapsid (N) proteins, may be more susceptible to PDI. Specifically, we hypothesized that PhytoQuin PDI may damage HCoV lipid envelopes and render the RNA genome more susceptible to damage or degradation.
We first examined PhytoQuin-treated HCoV virions by transmission electron microscopy (TEM) to determine whether treatment caused any gross alterations in virion morphology that could represent virion damage. HCoV-OC43 virions were treated with 4 µg/mL of PhytoQuin in the presence of light at 49 J/cm 2 , which we previously demonstrated was sufficient to inhibit viral replication ( Figure 2B). In parallel, virus preparations were treated with PhytoQuin in the dark or treated with DMSO vehicle control. Following treatment, samples were fixed, negative-stained, and mounted on grids for TEM. We observed that viral particles treated with DMSO or PhytoQuin, irrespective of exposure to light, were consistent in size and shape across all conditions tested ( Figure 3). Using our staining procedure, glycoprotein spikes were visible on the surface of some but not all virions, with these being most evident in the DMSO-treated samples ( Figure 3). However, our limited sample size made it difficult to quantify these subtle morphological changes following PDI, and no causal relationship could be established between these morphological changes and loss of infectivity. Based on these observations, we concluded that even though PhytoQuin PDI caused a~4-log drop in infectivity, it did not cause any gross structural damage to CoV virions.
Viruses 2022, 14, x FOR PEER REVIEW HCoVs have a lipid envelope studded with viral glycoproteins required for key ste cellular entry. We previously observed that PhytoQuin PDI did not damage herpes DNA genomes [20] that are well protected by a strong icosahedral capsid [23]; w soned that the HCoV RNA genome, which is only lightly protected by viral nucleoc (N) proteins, may be more susceptible to PDI. Specifically, we hypothesized that toQuin PDI may damage HCoV lipid envelopes and render the RNA genome mor ceptible to damage or degradation.
We first examined PhytoQuin-treated HCoV virions by transmission electron m copy (TEM) to determine whether treatment caused any gross alterations in virion phology that could represent virion damage. HCoV-OC43 virions were treated w µg/mL of PhytoQuin in the presence of light at 49 J/cm 2 , which we previously de strated was sufficient to inhibit viral replication ( Figure 2B). In parallel, virus prepara were treated with PhytoQuin in the dark or treated with DMSO vehicle control. Follo treatment, samples were fixed, negative-stained, and mounted on grids for TEM. W served that viral particles treated with DMSO or PhytoQuin, irrespective of exposu light, were consistent in size and shape across all conditions tested ( Figure 3). Usin staining procedure, glycoprotein spikes were visible on the surface of some but n virions, with these being most evident in the DMSO-treated samples (Figure 3). How our limited sample size made it difficult to quantify these subtle morphological ch following PDI, and no causal relationship could be established between these morph ical changes and loss of infectivity. Based on these observations, we concluded that though PhytoQuin PDI caused a ~4-log drop in infectivity, it did not cause any gross tural damage to CoV virions.

PhytoQuin PDI of HCoV Virions Damages the Viral Lipid Envelope
Even though PhytoQuin PDI did not cause gross morphological changes in H particles, we reasoned that PDI could nevertheless breach the lipid envelope and r the genome susceptible to degradation by ribonucleases (RNases). We develope

PhytoQuin PDI of HCoV Virions Damages the Viral Lipid Envelope
Even though PhytoQuin PDI did not cause gross morphological changes in HCoV particles, we reasoned that PDI could nevertheless breach the lipid envelope and render the genome susceptible to degradation by ribonucleases (RNases). We developed an RNase protection assay for measuring vRNA levels in virions to monitor for PDI-mediated disruption of the CoV lipid envelope. To establish the parameters for the assay, HCoV-229E virions in infected cell supernatants were incubated in the presence or absence of RNase at 37 • C for 20 min or incubated with RNase in the presence of Triton X-100, a non-ionic detergent that disrupts lipid bilayers like the viral envelope. After a 20 min incubation, RNase activity was inhibited using TRIzol, and viral RNA was isolated and reverse transcribed. As a positive control, a synthetic GFP RNA was included prior to the RNase treatments as an unprotected RNA species susceptible to RNase activity. A synthetic Luc RNA was added post-TRIzol extraction to confirm RNase inhibition by monitoring for undesired RNA degradation following TRIzol disassociation of the virions/viral ribonucleoprotein (vRNP) complexes. qPCR was performed using oligonucleotide primers that amplify portions of the HCoV-229E N, HCoV-229E ORF1, GFP, or Luc genes. Our pilot experiments validated that vRNA was protected from exogenous RNase activity by the viral lipid envelope and was only susceptible to RNase activity after the viral lipid envelope was disrupted ( Figure 4A); as indicated by the increase in Cq values after Triton X-100 addition. GFP RNA was immediately susceptible to degradation by RNase whereas little effect was observed on Luc RNA which was added after RNase inhibition ( Figure 4A). The higher abundance (earlier amplification) of HCoV-229E N relative to ORF1 may be due to the presence of viral subgenomic RNA (sgRNA) in exosomes, as this has also been observed in SARS-CoV-2 qPCR experiments [24].
This assay was subsequently used to determine whether damage induced by Phy-toQuin PDI breaches the HCoV lipid envelope. HCoV-229E stocks were incubated with 4 µg/mL of PhytoQuin in the presence of LED light at 49 J/cm 2 , which we previously demonstrated was sufficient to inactivate HCoV-229E (Figure 2A). In parallel, virion preparations were treated with PhytoQuin in the dark or treated with DMSO vehicle control with and without light exposure. All samples were then treated with RNase +/− Triton X-100 for 20 min at 37 • C or left untreated. This analysis revealed that PhytoQuin treatment alone, in the absence of light treatment, did not render the viral genome more susceptible to RNase digestion ( Figure 4B). However, when light treatment was coupled with PhytoQuin treatment, significant reductions in N and ORF1 RNA copies were observed ( Figure 4B). Strikingly, the loss of N or ORF1 RNA occurred irrespective of the addition of exogenous RNase ( Figure 4B), suggesting that either there was a low level of RNase contamination in the PhytoQuin extract or that PhytoQuin, or the ROS generated from it, can directly damage the vRNA. As we observed an equivalent decrease in GFP levels following PhytoQuin addition with or without photoactivation ( Figure 4B), this suggests that some component of the extract can damage RNA directly in a light-independent manner. Overall, it is clear from these data that PhytoQuin PDI damages enveloped particles in a manner that renders HCoV RNA susceptible to degradation.

PhytoQuin PDI Prevents Infection of ACE2/TMPRSS2-Expressing Cells by SARS-CoV-2 S-Pseudotyped Lentiviruses by Altering S Glycoproteins
Having established that PhytoQuin PDI damages the viral lipid envelope, we next sought to determine whether viral glycoproteins could also be affected by PDI. As we lacked antibodies to visualize HCoV-229E or OC43 Spike (S), we created lentiviruses pseudotyped with SARS-CoV-2 S for which Western blotting reagents were readily available. These lentiviruses also carried a firefly luciferase gene to measure infection. Lentiviruses were incubated with 2-4 µg/mL of PhytoQuin (or equivalent DMSO) in the presence or absence of LED light at 49 J/cm 2 . Following treatment, the lentiviruses were used to infect human HEK 293A cells co-expressing angiotensin-converting enzyme 2 (ACE2) and transmembrane serine protease 2 (TMPRSS2), which act as a key receptor and accessory factor, respectively, for SARS-CoV-2 S-mediated entry [25][26][27]. Light treatment in the presence of DMSO led to <1.5-fold decrease in luciferase expression, demonstrating that lentiviruses also have a small degree of light sensitivity ( Figure 5A), similar to HCoVs (Figures 2A and 3B). Importantly, we observed that PhytoQuin PDI strongly inhibited luciferase gene expression in a light-dependent and dose-dependent manner ( Figure 5A). This suggests that either PDI interferes with S interactions with the cell surface or that the lentiviral lipid envelope is disrupted in such a way as to prevent proper delivery of the luciferase reporter gene to the cell nucleus. Regardless, these data provide further evidence for the antiviral potency of PhytoQuin PDI and support our use of this model to study the effects of PhytoQuin on viral glycoproteins.
Since viral glycoproteins stud the surface of enveloped viruses like HCoVs, they are particularly susceptible to damage initiated from the extracellular environment. This would include any oxidative damage to viral glycoproteins caused by PhytoQuin PDI. We used our pseudotyped lentiviruses to investigate any changes in protein integrity potentially caused by PhytoQuin using Western blotting. Using wild-type, S (D614)-pseudotyped lentiviruses, we demonstrated that treating samples with PhytoQuin and light caused alterations in S protein electrophoretic mobility, with the emergence of slow-migrating forms of S with abnormally high predicted molecular weights ( Figure 5B). SARS-CoV-2 S, like other CoV S proteins, is processed by host proteases into distinct molecules, namely, S1 and S2, with S0 being the full-length precursor [25]. We next generated additional lentiviruses pseudotyped with a mutant S that lacks the furin cleavage site (S(∆furin)), to better visualize differences in S by concentrating the detected protein into a single species, the precursor S0. Using the same experimental set-up, we again observed that photoactivated PhytoQuin caused the emergence of S protein isoforms with reduced electrophoretic mobility ( Figure 5C). These observations, together with our data showing PhytoQuin-mediated effects on HCoV lipid envelopes and vRNA, demonstrate that PhytoQuin PDI can damage multiple components of HCoV particles. Since viral glycoproteins stud the surface of enveloped viruses like HCoVs, they are particularly susceptible to damage initiated from the extracellular environment. This would include any oxidative damage to viral glycoproteins caused by PhytoQuin PDI. We used our pseudotyped lentiviruses to investigate any changes in protein integrity potentially caused by PhytoQuin using Western blotting. Using wild-type, S (D614)-pseudotyped lentiviruses, we demonstrated that treating samples with PhytoQuin and light caused alterations in S protein electrophoretic mobility, with the emergence of slow-migrating forms of S with abnormally high predicted molecular weights ( Figure 5B). SARS-CoV-2 S, like other CoV S proteins, is processed by host proteases into distinct molecules, showing the individual data points with each bar graph (DMSO, grey; PhytoQuin, white) representing the average ± SEM from four independent experiments. * p = 0.01-0.05, *** p = 0.0001-0.001 using unpaired t-tests comparing to DMSO/+Light. Two independent batches of SARS-CoV-2 S (D614)pseudotyped lentiviruses (B) or SARS-CoV-2 S (∆furin)-pseudotyped lentiviruses (C) were purified via ultracentrifugation and then combined with 0.5% DMSO or 4 µg/mL PhytoQuin prior to exposure to light in black tubes (Light: −/black font) or clear tubes (Light: +/blue font) at 49 J/cm 2 . After treatment, lentiviral particles were solubilized in 2X Laemmli buffer and subjected to SDS-PAGE followed by immunoblotting to visualize SARS-CoV-2 S protein (α-S-RBD) and HIV-1 p24 (α-p24). Abbreviations: DMSO, dimethyl sulfoxide; kDa, kilodalton; LED, light-emitting diode; Phyto., PhytoQuin; RBD, receptor binding domain; Rep, replicate; SEM, standard error of the mean; S, spike.

Emodin Is a Significant Contributor to the Antiviral Activity of PhytoQuin
PhytoQuin is a complex botanical extract with multiple constituents that could, individually or synergistically, contribute to its antiviral activity. HPLC analysis of the current lot of PhytoQuin identified five principal constituents, in order of abundance as follows: polydatin, anthraglycoside B, emodin, resveratrol, and physcion ( Figure 6A). Emodin is an anthraquinone and PS that when photoactivated can generate ROS [28] and is abundant in Polygonum cuspidatum extracts. After observing that PhytoQuin PDI damaged HCoV lipid envelopes and considering that emodin affects membrane fluidity and integrity [29], we investigated whether emodin alone could recapitulate the PhytoQuin PDI antiviral effect against CoVs.
PhytoQuin is a complex botanical extract with multiple constituents that could, individually or synergistically, contribute to its antiviral activity. HPLC analysis of the current lot of PhytoQuin identified five principal constituents, in order of abundance as follows: polydatin, anthraglycoside B, emodin, resveratrol, and physcion ( Figure 6A). Emodin is an anthraquinone and PS that when photoactivated can generate ROS [28] and is abundant in Polygonum cuspidatum extracts. After observing that PhytoQuin PDI damaged HCoV lipid envelopes and considering that emodin affects membrane fluidity and integrity [29], we investigated whether emodin alone could recapitulate the PhytoQuin PDI antiviral effect against CoVs. From our HPLC analysis, we observed that the amount of emodin, as compared to a commercial emodin standard, equaled 29.3 mg per gram of extract (~3% w/w). To investigate whether emodin is a key PS required for PhytoQuin PDI against HCoVs, we treated HCoV-OC43 inoculum with a dose of photoactivated emodin (117 ng/mL) that matched its concentration in a 4 µg/mL PhytoQuin extract. In these experiments we observed a three-fold inhibition of HCoV-OC43 infectivity due to LED light treatment alone ( Figure  6B), similar to the inhibition observed for HCoV-229E when exposed to LED light (Figure From our HPLC analysis, we observed that the amount of emodin, as compared to a commercial emodin standard, equaled 29.3 mg per gram of extract (~3% w/w). To investigate whether emodin is a key PS required for PhytoQuin PDI against HCoVs, we treated HCoV-OC43 inoculum with a dose of photoactivated emodin (117 ng/mL) that matched its concentration in a 4 µg/mL PhytoQuin extract. In these experiments we observed a three-fold inhibition of HCoV-OC43 infectivity due to LED light treatment alone ( Figure 6B), similar to the inhibition observed for HCoV-229E when exposed to LED light (Figure 2A). While emodin treatment in the absence of light had no impact on HCoV-OC43 titers, PhytoQuin treatment without photoactivation did have a small impact on HCoV-OC43 infectivity ( Figure 6B). Photoactivated PhytoQuin resulted in 99.8% reduction in HCoV-OC43 titre compared to DMSO-treated virus exposed to light ( Figure 6B). When treated with LED light, emodin caused a similar 98.5% reduction in HCoV-OC43 titer compared to the DMSO + Light control, where the inhibitory effect of emodin was indistinguishable from that of PhytoQuin ( Figure 6B). Therefore, these data indicate that emodin is a significant contributor to the antiviral activity of PhytoQuin against human coronaviruses.

Discussion
The COVID-19 pandemic has provided new motivation to discover and develop antivirals against coronaviruses. We demonstrated that PhytoQuin, a photosensitizing botanical extract, inactivated distantly related human coronaviruses HCoV-229E and HCoV-OC43, as well as pseudotyped lentiviruses bearing SARS-CoV-2 S protein. PhytoQuin acts in a light-dependent manner to damage nearby macromolecules, which is consistent with a ROS-mediated mechanism of action as observed for other photosensitizers. Our study provides strong support for the addition of PhytoQuin and the PhytoQuin constituent emodin to the growing list of PSs with antiviral activity against CoVs [30][31][32][33][34][35][36][37].
We observed that while PhytoQuin PDI did not cause gross structural changes in viral particles (Figure 3), it did disrupt the viral lipid envelope to expose the viral genome to ribonucleases ( Figure 4) and altered the electrophoretic mobility of S proteins ( Figure 5). These changes strongly correlated with diminished infectivity of CoVs and S-pseudotyped lentiviruses following PhytoQuin PDI (Figures 2 and 5A). Unlike within the cell where quenching by antioxidants can occur, free radicals generated in the extracellular milieu have unfettered access to damage viral structural proteins and inactivate viruses. Certain surface-exposed amino acid side chains are sensitive to oxidative damage, which can result in peptide bond cleavage, amino acid modifications, and intra-and inter-protein crosslinking [38]. Our observation of reduced electrophoretic mobility of SARS-CoV-2 S from purified lentiviruses following exposure to photoactivated PhytoQuin is suggestive of aggregation or cross-linking of these viral glycoproteins ( Figure 5B,C). CoV S proteins contain numerous cysteine residues in their ectodomains, where the majority form disulfide bonds to support protein structure and function [39][40][41][42][43][44]. Cysteines of S proteins may be oxidized via photoactivation to form inter-protein linkages similar to heterodimeric protein crosslinking observed in vitro with the PS rose bengal [45]. Furthermore, multi-step oxidation reactions particularly of Tyr, Trp, Met, and His residues can generate reactive peroxyl or carbonyl derivatives that react with nucleophilic protein side chains to crosslink proteins [46]. Spurious crosslinking of proximal S proteins may reduce protein flexibility and interfere with conformational changes required for receptor interactions and membrane fusion [47]. The appearance of new S protein species with reduced electrophoretic mobility under reducing conditions suggests that changes in S due to PhytoQuin treatment are likely linked to irreversible protein cross-linking. The precise covalent modifications of S following exposure to photoactivated PhytoQuin remain unknown, but ongoing experiments will investigate whether PDI increases protein carbonylation, a hallmark of protein oxidative damage, using 2,4-dinitrophenylhydrazine-based assays.
Multiple mechanisms exist to mitigate ROS-induced changes in membrane integrity [48], which could alleviate any negative impacts of brief PhytoQuin treatments on living cells. Conversely, viral particles cannot repair oxidative damage. The most striking impact of PhytoQuin treatment on HCoV particles was the loss of vRNA after light treatment ( Figure 4B), which is likely a direct result of ROS damage to the viral lipid envelope, which would expose the vRNP complexes to damaging RNases. While oxidation is known to directly damage nucleic acids [16], our current experiments did not measure whether the ROS produced during PhytoQuin-mediated PDI result in direct damage to nucleic acids. However, disruptive effects on cellular and liposomal membranes due to light-activated PSs have been previously documented [49][50][51][52]. In our previous work, we did not observe any effect of PhytoQuin on herpesvirus DNA when analyzing viral DNA copy number by qPCR following sequential PhytoQuin and deoxyribonuclease treatment [20]. This may be due to the presence of a more robust icosahedral capsid surrounding the DNA genome of herpesviruses compared to the more flexible, N-associated vRNPs of HCoVs. However, PhytoQuin likely also damages herpesvirus envelopes as earlier work demonstrated the ability of anthraquinones to disrupt HSV-1 virions [53]. Evidence of physical damage to viral particles due to PhytoQuin treatment was further supported by the appearance of high molecular weight forms of SARS-CoV-2 S on purified, pseudotyped lentiviruses following light exposure ( Figure 5). Taken together, our data provide strong evidence for a light-dependent mechanism of action that involves damage to the virion exterior, to lipids and proteins alike, resulting in the inhibition of viral infection.
While seemingly complex, PhytoQuin is primarily composed of emodin and resveratrol and their naturally occurring derivatives ( Figure 6A). Polydatin is the precursor of resveratrol, and anthraglycoside B or physcion are glucopyranoside or methyl ether derivatives of emodin, respectively. Emodin and resveratrol are known antiviral polyphenolic compounds which inhibit the replication of a number of respiratory viruses, including influenza A virus [54,55], rhinovirus [56], and respiratory syncytial virus [57][58][59], as well as several HCoVs including MERS-CoV, HCoV-229E and SARS-CoV-2 [60][61][62][63][64]. Despite this, there is no clear consensus on antiviral mechanism of action of resveratrol or emodin. Resveratrol and aloe-emodin, an isomer of emodin, were recently shown to be antimicrobial PSs [65][66][67]. These studies used blue LED photoactivation with comparable fluence to the white light LED source used herein; however, the concentrations for antimicrobial activity of photoactivated emodin (≥27 µg/mL) or resveratrol (2 mg/mL) were significantly higher than those in 4 µg/mL of PhytoQuin. Our current study provides strong evidence that emodin is a photoactivatable antiviral that can be added to a growing list of antiviral PSs [68]. The near-complete inactivation of HCoV-OC43 by emodin ( Figure 6B) suggests that, while a predominant factor, other constituents of the extract such as resveratrol may have minor contributions to PhytoQuin PDI. Interestingly, our previous work demonstrated similar antiviral effects against herpesviruses and adenoviruses by Phyto-Quin [20], but at doses four to ten-fold lower than those used herein for HCoVs. The HPLC trace of the original lot of PhytoQuin demonstrated a significantly higher concentration of emodin compared to the lot employed for our current CoV experiments. It is not yet known if emodin is also the primary bioactive component of PhytoQuin for neutralizing herpesviruses, adenoviruses, rhabdoviruses, or bacteria. Future experiments are needed to evaluate this possibility. It would be interesting to screen various lots or differentially extracted PhytoQuin extracts to help determine if emodin content positively correlates with antiviral or antibacterial activity.
Many of the above-mentioned studies investigated the pleiotropic antiviral activities of emodin, resveratrol, and other polyphenolics following addition to infected cells. In this study, we show that the PhytoQuin extract can directly inactivate viruses in the extracellular environment through oxidative damage catalyzed by light treatment. Since the PhytoQuin or emodin were not removed from the treated inocula prior to infection, we cannot exclude the possibility that these compounds may have some impact on the cells as well. However, our characterization of viral particles after treatment with photoactivated PhytoQuin via qPCR and Western blotting clearly shows deleterious physical changes to the virions. PhytoQuin or emodin treatment in the absence of light exposure showed little to no effect on HCoV infectivity or integrity, nor was PhytoQuin cytotoxic in the presence or absence of light at a final concentration of 4 µg/mL. Therefore, it is possible that the working concentrations of emodin or resveratrol present in 4 µg/mL of PhytoQuin may be low enough to avoid the cell-intrinsic effects previously attributed to these two constituents. Exploiting their photoreactive properties can help to lower the effective working antimicrobial concentrations of emodin and resveratrol. Controlling light exposure will be an important consideration in future studies into the antiviral effects of polyphenols and anthraquinones.
Our observation that PhytoQuin-mediated PDI is effective at neutralizing bacteria [18], herpesviruses, adenoviruses, rhabdoviruses [20], and now HCoVs and lentiviruses highlights the broad photodynamic activity of this botanical extract. Indeed, by demonstrating broad antiviral activity against distantly related HCoVs, 229E and OC43, as well as the formation of higher molecular weight isoforms of S that correlate with the disruption of S-pseudovirus interactions with ACE2 receptors, our work suggests that PhytoQuin PDI may be effective against future emerging CoVs with similar physical properties. In the meantime, ongoing work will focus on further elucidation of the mechanism of action of PhytoQuin PDI against known CoVs, while optimizing the formulation to improve antiviral specificity, efficacy, and duration of effect.