Evidence map›Paper›PMID 32907596›Full record

ArticleVirology journal2020

In vitro virucidal activity of Echinaforce®, an Echinacea purpurea preparation, against coronaviruses, including common cold coronavirus 229E and SARS-CoV-2.

Johanna Signer, Hulda R Jonsdottir, Werner C Albrich, Marc Strasser, Roland Züst, Sarah Ryter, Rahel Ackermann-Gäumann, Nicole Lenz, Denise Siegrist, Andreas Suter and 2 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Virology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
18.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Prophylaxis for COVID-19: a systematic review.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2021
    Pooled it
  2. Trial
  3. Therapeutic Potential of a Natural Blend ofInternational journal of molecular sciences · 2024
    Trial
  4. Trial
  5. Review
  6. Potency ofThe Kobe journal of medical sciences · 2026
    Article
  7. Article
  8. Article
  9. Critical analysis of Echinacea preparations marketed in Germany.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Article
  10. Article
  11. Review
  12. Ethanolic Extract fromPreventive nutrition and food science · 2024
    Article
  13. Improvement ofMolecules (Basel, Switzerland) · 2024
    Article
  14. Article
  15. Latin American Plants against Microorganisms.Plants (Basel, Switzerland) · 2023
    Review
  16. Review
  17. Article
  18. Article
  19. COVID-19 Therapeutic Potential of Natural Products.International journal of molecular sciences · 2023
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Johanna SignerSPIEZ LABORATORY, Austrasse, 3700, Spiez, Switzerland.
Hulda R JonsdottirSPIEZ LABORATORY, Austrasse, 3700, Spiez, Switzerland. hulda-run.jonsdottir@babs.admin.ch.ORCID http://orcid.org/0000-0001-7509-5970
Werner C AlbrichDivision of Infectious Diseases and Hospital Epidemiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Marc StrasserSPIEZ LABORATORY, Austrasse, 3700, Spiez, Switzerland.
Roland ZüstSPIEZ LABORATORY, Austrasse, 3700, Spiez, Switzerland.
Sarah RyterSPIEZ LABORATORY, Austrasse, 3700, Spiez, Switzerland.
Rahel Ackermann-GäumannSPIEZ LABORATORY, Austrasse, 3700, Spiez, Switzerland.
Nicole LenzSPIEZ LABORATORY, Austrasse, 3700, Spiez, Switzerland.
Denise SiegristSPIEZ LABORATORY, Austrasse, 3700, Spiez, Switzerland.
Andreas SuterA.Vogel AG, Roggwil, Switzerland.
Roland SchoopA.Vogel AG, Roggwil, Switzerland.
Olivier B EnglerSPIEZ LABORATORY, Austrasse, 3700, Spiez, Switzerland. olivier.engler@babs.admin.ch.
Spiez Laboratory · CHKantonsspital St. Gallen · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronaviruses (CoVs) were long thought to only cause mild respiratory and gastrointestinal symptoms in humans but outbreaks of Middle East Respiratory Syndrome (MERS)-CoV, Severe Acute Respiratory Syndrome (SARS)-CoV-1, and the recently identified SARS-CoV-2 have cemented their zoonotic potential and their capacity to cause serious morbidity and mortality, with case fatality rates ranging from 4 to 35%. Currently, no specific prophylaxis or treatment is available for CoV infections. Therefore we investigated the virucidal and antiviral potential of Echinacea purpurea (Echinaforce®) against human coronavirus (HCoV) 229E, highly pathogenic MERS- and SARS-CoVs, as well as the newly identified SARS-CoV-2, in vitro.

methodsTo evaluate the antiviral potential of the extract, we pre-treated virus particles and cells and evaluated remaining infectivity by limited dilution. Furthermore, we exposed cells to the extract after infection to further evaluate its potential as a prophylaxis and treatment against coronaviruses. We also determined the protective effect of Echinaforce® in re-constituted nasal epithelium.

resultsIn the current study, we found that HCoV-229E was irreversibly inactivated when exposed to Echinaforce® at 3.2 μg/ml IC

conclusionsThese results show that Echinaforce® is virucidal against HCoV-229E, upon direct contact and in an organotypic cell culture model. Furthermore, MERS-CoV and both SARS-CoV-1 and SARS-CoV-2 were inactivated at similar concentrations of the extract. Therefore we hypothesize that Echinacea purpurea preparations, such as Echinaforce®, could be effective as prophylactic treatment for all CoVs due to their structural similarities.

Indexed as

AnimalsAntiviral AgentsBetacoronavirusCell LineChlorocebus aethiopsCommon ColdCoronavirusCoronavirus 229E, HumanCoronavirus InfectionsCOVID-19HumansMiddle East Respiratory Syndrome CoronavirusPandemicsPlant ExtractsPneumonia, ViralRandomized Controlled Trials as TopicAntiviral AgentsEchinaforcePlant ExtractsAntiviralsCommon coldCoronavirusEchinaceaHCoV-229EMERS-CoVPreventionSARS-CoV-1SARS-CoV-2

Identifiers

PMID32907596
PMCPMC7479405
OpenAlexW3085069628

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.