Carrageenan is a potent inhibitor of papillomavirus infection

PLoS Pathog. 2006 Jul;2(7):e69. doi: 10.1371/journal.ppat.0020069.

Abstract

Certain sexually transmitted human papillomavirus (HPV) types are causally associated with the development of cervical cancer. Our recent development of high-titer HPV pseudoviruses has made it possible to perform high-throughput in vitro screens to identify HPV infection inhibitors. Comparison of a variety of compounds revealed that carrageenan, a type of sulfated polysaccharide extracted from red algae, is an extremely potent infection inhibitor for a broad range of sexually transmitted HPVs. Although carrageenan can inhibit herpes simplex viruses and some strains of HIV in vitro, genital HPVs are about a thousand-fold more susceptible, with 50% inhibitory doses in the low ng/ml range. Carrageenan acts primarily by preventing the binding of HPV virions to cells. This finding is consistent with the fact that carrageenan resembles heparan sulfate, an HPV cell-attachment factor. However, carrageenan is three orders of magnitude more potent than heparin, a form of cell-free heparan sulfate that has been regarded as a highly effective model HPV inhibitor. Carrageenan can also block HPV infection through a second, postattachment heparan sulfate-independent effect. Carrageenan is in widespread commercial use as a thickener in a variety of cosmetic and food products, ranging from sexual lubricants to infant feeding formulas. Some of these products block HPV infectivity in vitro, even when diluted a million-fold. Clinical trials are needed to determine whether carrageenan-based products are effective as topical microbicides against genital HPVs.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Administration, Topical
  • Animals
  • Anti-Infective Agents, Local / administration & dosage
  • Anti-Infective Agents, Local / chemistry
  • Anti-Infective Agents, Local / pharmacology
  • Anti-Infective Agents, Local / therapeutic use
  • CHO Cells
  • Capsid / physiology
  • Carrageenan / chemistry
  • Carrageenan / pharmacology*
  • Carrageenan / therapeutic use*
  • Cell Line
  • Cricetinae
  • Dose-Response Relationship, Drug
  • Female
  • HeLa Cells
  • Heparin / chemistry
  • Heparin / physiology
  • Heparitin Sulfate / chemistry
  • Heparitin Sulfate / physiology
  • Humans
  • Hydrogen-Ion Concentration
  • Mice
  • Papillomaviridae / drug effects
  • Papillomaviridae / pathogenicity*
  • Papillomaviridae / physiology
  • Papillomavirus Infections / drug therapy*
  • Papillomavirus Infections / physiopathology
  • Papillomavirus Infections / prevention & control*
  • Polysaccharides / analysis
  • Polysaccharides / chemistry
  • Sexually Transmitted Diseases, Viral / drug therapy
  • Sexually Transmitted Diseases, Viral / prevention & control
  • Virion / drug effects
  • Virion / pathogenicity
  • Virion / physiology

Substances

  • Anti-Infective Agents, Local
  • Polysaccharides
  • Carrageenan
  • Heparin
  • Heparitin Sulfate