Urolithin A Inhibits Enterovirus 71 Replication and Promotes Autophagy and Apoptosis of Infected Cells in Vitro

Abstract Hand, foot and mouth disease (HFMD) is a serious threat to the health of infants, which can be caused by enterovirus 71 (EV71). The clinical symptoms are mostly self-limited, but some of them develop into aseptic meningitis with poor prognosis and even death. In this study, we screened Urolithin A (UroA), an intestinal metabolite of ellagic acid, significantly inhibited the replication of EV71 in cells. Further evaluation showed that UroA was better than ribavirin in CC50, IC50 and selection index (SI). Moreover, we found that UroA inhibits the proliferation of EV71 by promoting autophagy and apoptosis of infected cells. Therefore, UroA is a candidate drug for the treatment of EV71 infection.