Abstract
Human noroviruses, which belong to the enterovirus family, are one of the most common etiological agents of food-borne diseases. In recent years, intensive research has been carried out regarding the antiviral activity of plant metabolites that could be used for the preservation of fresh food, because they are safer for consumption when compared to synthetic chemicals. Plant preparations with proven antimicrobial activity differ in their chemical compositions, which significantly affects their biological activity. Our review aimed to present the results of research related to the characteristics, applicability, and mechanisms of the action of various plant-based preparations and metabolites against norovirus. New strategies to combat intestinal viruses are necessary, not only to ensure food safety and reduce infections in humans but also to lower the direct health costs associated with them.
1. Introduction
Knowledge of food viruses is not as extensive as our understanding of bacteria or fungi, the main reason for this being the difficulties in isolating, growing, and labeling the former regarding food products. Unlike many other groups of microorganisms, food-borne viruses cannot multiply in food. However, they can apparently survive food processing and storage [1]. Food contaminated with viruses can be a source of infection in consumers. Noroviruses have been associated with many recorded major food-borne viral outbreaks worldwide, while other intestinal viruses, such as the human astrovirus (HAstV), human rotavirus (HRV), sapovirus (SaV), enterovirus (EV), or Aichi virus (AiV) have been responsible for sporadic outbreaks all over the world [2].
Human noroviruses are a major cause of epidemics and periodic acute gastroenteritis worldwide. These viruses are the most common cause of food-borne diseases in the United States and Europe, entailing the societal burden of tens of billions of dollars in estimated costs of illness [3,4,5]. Globally, the incidence of food-borne norovirus infections reaches 120 million cases and 35,000 deaths per year [6]. Official reports published in 2017 and 2018 list human norovirus among the most frequently reported triggers of food-borne outbreaks. These reports show that the virus was responsible for 140 outbreaks (35% of all outbreaks) in the United States, and 211 outbreaks (7.8%) in Europe [7,8,9,10,11]. According to the RASFF report (2019), 145 outbreaks were caused by noroviruses and other caliciviruses that were found in fish and seafood, and a further 14 outbreaks relating to non-animal products were detected in the European Union [12]. According to the CDC, norovirus was the identified etiological factor of gastrointestinal complaints in 2 outbreaks out of 4 in 2020, in 8 out of 10 in 2019, and in 5 out of 11 in 2018 [13].
The transmission of the virus to humans through the consumption of contaminated food depends on various parameters, such as virus stability, food processing methods, infectious dose, and host susceptibility [14]. It is worth noting that food ingredients can protect the virus during processing and human consumption. The infectious dose of a food-borne virus is generally low, and a small number of virus particles can cause infection. Moreover, noroviruses, as food contaminants, persist in food for a long time without loss of infectivity [2]. Many control strategies that rely on the internal and external properties of the food, e.g., pH and water activity, are ineffective against these pathogens. Heat treatment is an effective way of deactivating foodborne viruses, but it can alter the organoleptic properties (e.g., color and texture) and reduce the nutrient content (e.g., protein and vitamins) of foods [15]. Currently, consumers show an increasing demand for high-quality natural food products. One of the issues is changes to the way we eat, while another is introducing raw or mildly-heat-treated foods to everyday menus: sushi, blue beef, seafood, and insects. Shellfish, fruit, and vegetables pose a serious threat to humans because they are eaten raw [16]. These foods are prone to contamination, due to the use of fecal-contaminated water for irrigation or the lack of proper personal hygiene in the people who come into contact with food [17,18].
Noroviruses belong to a group of viruses resistant to external factors. They are not sensitive to freezing, short-term heating, ionizing radiation, organic acids, preservatives and chlorine compounds, alcohols, and other detergents. At a temperature of 60 °C, their deactivation takes place only after 30 min. In their natural environment, they can remain active for several weeks or even years [19,20]. Viral infections in which the etiological factors are viruses that contaminate food can be prevented primarily by neutralizing the source of contamination during the food sanitation processes. In the context of public health, this is a significant challenge for the food industry [21,22,23]. For this reason, both deactivating the virus and maintaining high standards risk lowering the food quality characteristics, presenting a challenge for food processors. Innovative non-thermal food processing technologies, including high-pressure processing (HPP), cold plasma (CP), ultraviolet (UV) light, radiation, and pulsed electric field (PEF) treatments have been tested for food-borne virus deactivation, sensory properties, and the retained nutritional value of processed foods [14].
In recent years, intensive research has been carried out on the properties of phytochemicals with antiviral activity. Unlike chemicals, these metabolites are a safe option if used as fresh food preservatives. New strategies to combat intestinal viruses are necessary, not only to ensure food safety and reduce the number of infections in humans but also to reduce the direct health costs associated with them [5].
The aim of our study is to review the results of the latest literature describing the applicability and efficacy of various metabolites of plant origin that could be used as modern and environmentally safe agents against human food-borne noroviruses.
2. Characteristics of Human Norovirus
Human Norovirus (HuNoV), formerly known as the Norwalk virus, is a non-segmented, non-enveloped RNA virus belonging to the Caliciviridae family. Caliciviruses are small viruses of 30–35 nm in size, which are visible in the microscopic image as spherical particles, devoid of envelopes and spikes [24]. Noroviruses do not multiply in vitro in cell cultures. HuNoV, as well as its surrogates that are commonly used in laboratory tests, i.e., murine norovirus (MNV) or feline calicivirus (FCV), are devoid of an envelope, contain ssRNA, and show high resistance to both antimicrobial preparations and environmental conditions [14,25].
According to the latest systematics, noroviruses are divided into seven gene groups (from GI to GVII) with 30 genotypes detected globally. GI, GII and GIV are the most common causes of human infections. Many international epidemic surveillance systems (CaliciNet and NoroNet) record the transmission of norovirus infections and provide important information about the spread of different human norovirus strains. According to Hoa Tran et al. [26], the strains with the GII.4 genotype accounted for 70–80% of all the outbreaks reported over the past decade. The frequency of genotypes varied according to the population level and the route of transmission [27]. The GII.4 genotype is more commonly associated with dissemination via interpersonal contact, while non-GII.4 genotypes, such as GI.3, GI.6, GI.7, GII.3, GII.6 and GII.12, are most commonly transmitted by food [28]. Water transmissions occur more frequently among GI gene group strains than GII7 strains. This may be related to the fact that GI strains have higher water stability than GII strains [29]. Between 2009 and 2013, the GII.4 genotype was the cause of 2853 (72%) outbreaks in the USA, of which, 94% were GII.4 New Orleans or GII.4 Sydney [30].
Viruses do not multiply on the surfaces of raw food. Viral particles will not increase in number when introduced into raw food as their site of primary contamination. On the contrary, their numbers may drop over an extended period of storage, or change, subject to the conditions of their storage. Cold storage of raw produce, often at temperatures below 0°C, preserves the viruses present on them, leaving food still contaminated and therefore potentially infectious [31].
6. Practical Application of Metabolites of Plant Origin in the Food Industry
One of the most effective strategies being developed in modern methods of food preservation is the application of active packaging containing essential oils. Biologically active phytochemicals are an integral component of the packaging material [122]. The active packaging interacts with the food, limits the growth of microorganisms, and deactivates viruses. In this way, active packaging largely eliminates the risk to public health and extends the shelf life of food products [123].
In recent years, intensive work has been carried out on the use of edible films and coatings with the addition of essential oils for food preservation. The advantage of this method has been demonstrated in experimental studies of contaminated fruit, vegetable, cheese, meat, and fish, where both naturally occurring microbial contaminants and artificially introduced strains were included.
Fabra et al. [124] developed antiviral active edible membranes by adding lipids to alginate membranes. The polymer matrix prepared in this way was enriched with two natural extracts with a high phenolic compound content, green tea extract (GTE) and grape seed extract (GSE). All of these are biologically active plant metabolites and, as such, showed antiviral activity against mouse norovirus (MNV). Edible antiviral coatings benefiting from the synergistic effect of carrageenan and GTE are also an innovative strategy used to eliminate or reduce the viral contamination of berries without significantly changing their physicochemical properties [125]. In addition, it was observed that GTE solutions significantly increased their antiviral activity against MNV if left in different pH conditions for 24 h. This may be related to the formation of catechin derivatives during the storage of this preparation [52]. Additionally, it was observed that GTE solutions significantly increased their antiviral activity against MNV if left in different pH conditions for 24 h, which was associated with the formation of catechin derivatives during the storage of this preparation [98].
It was also found that the addition of aging GTE to mildly heat-treated juices increased the deactivation of MNV-1 by over 4 logs. The synergistic action of both antiviral agents reduced the infectivity of MNV-1, which confirms the hypothesis that GTE can be used as an additional control agent that improves food safety [99].
The antiviral effect of Lindera obtusiloba leaf extract (LOLE) on MNV-1, stemming from the synergistic action of several compounds with pinene as the key molecule, was tested on fresh lettuce, cabbage, and oysters. An hour-long incubation at 25 °C with LOLE at a concentration of 12 mg/mL resulted in a significant reduction of the viral plaques (plaque formation) of MNV-1 in lettuce (76.4%), cabbage (60.0%), and oysters (38.2%). The results of these studies suggest that LOLE can deactivate norovirus and can be used as a natural disinfectant and preservative in fresh food products [23].
Antiviral activity was also found by analyzing the effects of natural Aloe vera and Eriobotryae folium extracts. Aloin and emodin, the main active phytochemicals in the extracts of these plants, showed a preservative effect. This was confirmed, based on the results of studies in which fresh cabbage was inoculated with MNV-1 on its surface [110].
Chitosan films supplemented with green tea extract (GTE) can also be applied as active packaging materials. Chitosan is a non-toxic polysaccharide polymer that is used as an ingredient in edible packaging films, where its antimicrobial activity is used to increase the shelf life of food products. Natural plant metabolites with antimicrobial activity, e.g., essential oils and plant extracts, may be considered as possible components of edible films. It is important that all the above phytochemicals have GRAS (Generally Recognized as Safe) status. It was found that, after 24 h of incubation with the addition of 5 and 10% GTE, there was a significant reduction in the MNV-1 titer by 1.6 and 4.5 logs, respectively. Films containing 15% GTE reduced MNV-1 to undetectable levels [21].
The encapsulation of essential oils (capsules with a size of 1–1000 μm (microcapsules) or 1–100 nm (nanocapsules) offers another opportunity to preserve food using essential oils [122]. Polyethylene, carbohydrates (starch, cellulose, chitosan), proteins (casein, albumin, gelatin), fats (fatty acids, waxes, paraffin), and gums (alginates, carrageenan, acacia) are the materials most often used in this technology. Essential oils enclosed in capsules maintain greater stability, and this determines their optimal antimicrobial properties [126].
7. Summary
Noroviruses are highly resistant to environmental factors, so they can be efficiently transmitted through food, water, or surfaces contaminated with them, and pose a potential threat to public health. Antiviral metabolites of plant origin have important advantages over synthetic preservatives used as fresh food disinfectants because they are effective at safe dosages, are generally available, and use the inability of microorganisms to become resistant to plant-based viroids. As secondary metabolites of plants, essential oils, and plant extracts are part of their defense system against pathogens. Therefore, they often exhibit antimicrobial, including antiviral, activities. The activity spectrum of plant metabolites is diverse. The effectiveness of plant preparations and the possibility of their use in fighting intestinal viruses such as noroviruses is primarily dependents on the qualitative and quantitative composition of biologically active phytochemicals, and their concentration in food.
Author Contributions
Conceptualization, J.S. and D.W.; writing-original draft preparation, J.S., D.W., A.J.-K. and M.F.-M.; writing-review and editing, J.S. and D.W.; supervision, project administration, funding acquisition, J.S., D.W. and I.C.-K. All authors have read and agreed to the published version of the manuscript.
Funding
This research received no external funding.
Institutional Review Board Statement
Not applicable.
Informed Consent Statement
Not applicable.
Data Availability Statement
Not applicable.
Conflicts of Interest
The authors declare no conflict of interest.
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