Review
12 June 2023
DOI 10.3389/fpls.2023.1163270
TYPE
PUBLISHED
OPEN ACCESS
Plant protection from virus: a
review of different approaches
EDITED BY
Chellappan Padmanabhan,
USDA APHIS PPQ Science and Technology,
United States
REVIEWED BY
Kathleen L Hefferon,
Cornell University, United States
Zishan Ahmad Wani,
Baba Ghulam Shah Badshah University,
India
Zahid Ullah,
China University of Geosciences Wuhan,
China
Klára Kosová,
Crop Research Institute (CRI), Czechia
*CORRESPONDENCE
Shujaul Mulk Khan
shuja60@gmail.com
Linda Heejung Lho
heeelho@gmail.com
Heesup Han
heesup.han@gmail.com
10 February 2023
25 May 2023
PUBLISHED 12 June 2023
RECEIVED
ACCEPTED
CITATION
Anikina I, Kamarova A, Issayeva K,
Issakhanova S, Mustafayeva N,
Insebayeva M, Mukhamedzhanova A,
Khan SM, Ahmad Z, Lho LH, Han H and
Raposo A (2023) Plant protection from
virus: a review of different approaches.
Front. Plant Sci. 14:1163270.
doi: 10.3389/fpls.2023.1163270
COPYRIGHT
© 2023 Anikina, Kamarova, Issayeva,
Issakhanova, Mustafayeva, Insebayeva,
Mukhamedzhanova, Khan, Ahmad, Lho, Han
and Raposo. This is an open-access article
distributed under the terms of the Creative
Commons Attribution License (CC BY). The
use, distribution or reproduction in other
forums is permitted, provided the original
author(s) and the copyright owner(s) are
credited and that the original publication in
this journal is cited, in accordance with
accepted academic practice. No use,
distribution or reproduction is permitted
which does not comply with these terms.
Irina Anikina 1, Aidana Kamarova 2, Kuralay Issayeva 1,
Saltanat Issakhanova 1, Nazymgul Mustafayeva 3,
Madina Insebayeva 1, Akmaral Mukhamedzhanova 1,
Shujaul Mulk Khan 4*, Zeeshan Ahmad 4, Linda Heejung Lho 5*,
Heesup Han 6* and António Raposo 7
1
Biotechnology Department, Toraighyrov University, Pavlodar, Kazakhstan, 2 Biology and Ecology
Department, Toraighyrov University, Pavlodar, Kazakhstan, 3 Agrotechnology Department, Toraighyrov
University, Pavlodar, Kazakhstan, 4 Department of Plant Sciences, Quaid-i-Azam University,
Islamabad, Pakistan, 5 College of Business, Division of Tourism and Hotel Management, Cheongju
University, Cheongju-si, Chungcheongbuk-do, Republic of Korea, 6 College of Hospitality and
Tourism Management, Sejong University, Seoul, Republic of Korea, 7 CBIOS (Research Center for
Biosciences and Health Technologies), Universidade Lusófona de Humanidades e Tecnologias,
Lisboa, Portugal
This review analyzes methods for controlling plant viral infection. The high
harmfulness of viral diseases and the peculiarities of viral pathogenesis impose
special requirements regarding developing methods to prevent phytoviruses.
The control of viral infection is complicated by the rapid evolution, variability of
viruses, and the peculiarities of their pathogenesis. Viral infection in plants is a
complex interdependent process. The creation of transgenic varieties has caused
much hope in the fight against viral pathogens. The disadvantages of genetically
engineered approaches include the fact that the resistance gained is often highly
specific and short-lived, and there are bans in many countries on the use of
transgenic varieties. Modern prevention methods, diagnosis, and recovery of
planting material are at the forefront of the fight against viral infection. The main
techniques used for the healing of virus-infected plants include the apical
meristem method, which is combined with thermotherapy and chemotherapy.
These methods represent a single biotechnological complex method of plant
recovery from viruses in vitro culture. It widely uses this method for obtaining
non-virus planting material for various crops. The disadvantages of the tissue
culture-based method of health improvement include the possibility of selfclonal variations resulting from the long-term cultivation of plants under in vitro
conditions. The possibilities of increasing plant resistance by stimulating their
immune system have expanded, which results from the in-depth study of the
molecular and genetic bases of plant resistance toward viruses and the
investigation of the mechanisms of induction of protective reactions in
the plant organism. The existing methods of phytovirus control are ambiguous
and require additional research. Further study of the genetic, biochemical, and
physiological features of viral pathogenesis and the development of a strategy to
increase plant resistance to viruses will allow a new level of phytovirus infection
control to be reached.
KEYWORDS
plant virus, resistance genes, PR-proteins, elicitors, method of apical meristems
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1 Introduction
characteristics, the host plant, and the environmental conditions
(Table 2) (Chen et al., 2019; Akbar et al., 2021).
Almost all viral diseases are characterized by a decreased total
carbohydrate content (Handford and Carr, 2007). This occurs due
to the destruction of chlorophyll in the mosaic and jaundice lesions.
The disruption of the transport of photosynthetic products from the
leaves to other plant organs is also affected by viral infections
(Akbar et al., 2021). The outflow of starch is disrupted when the
phloem is affected, which overloads the parenchyma cells. As a
result, the leaves become thicker, leathery, and brittle (Yu, 2015).
Changes in the permeability of the parenchyma cell cytoplasm or
the carbohydrase activity may also cause delayed starch outflow
from the leaves. The study of the histological structure of plants
revealed hypertrophy and hyperplasia, which resulted in the
formation of tumors and enations. Many viruses affect the
vascular system xylem and phloem, which causes the formation
of tillers and cell death (Hull, 2014). As a result, the wilting of
plants, the delayed outflow of the assimilates from the leaves, and
the appearance of necroses on the vegetative plant in tubers and
fruits are observed (Gupta N. et al., 2021). The phenomena of
hypoplasia and metaplasia accompany the dwarfism of plants and
the color changes in the case of virus infection. Many viruses cause
changes in the fine structure of infected cells. Vesicles are formed at
the periphery of the chloroplasts when they are under the influence
of thymoviruses. Chloroplasts in tobacco mosaic virus (TMV)infected tobacco cells become deformed and often degenerate.
The formation of new chloroplasts is also inhibited in these types
of cells (Bhattacharyya et al., 2015). These changes are responsible
for the chlorosis and mosaic coloration of the affected leaves.
Viral infection causes metabolic abnormalities in the cells of the
diseased plant. For example, the water regime is disturbed when it is
infected with phytoviruses, which are accompanied by changes in
Viruses cause various pathological changes, which affect all
aspects of plant life. Most viral diseases are characterized by
systemic damage, in which the virus moves from the primary site
of inoculation to other parts of the plant organism (Ershova et al.,
2022; Wang et al., 2022). A virus is usually present until it dies off
once the plant is infected, and it is passed to the offspring by
vegetative propagation. The viral infection manifests itself in the
appearance of plants.
The physiology and biochemistry of the host cells and tissues
have changed internally and as a result of the virus (Hull, 2014). The
properties of the host plant, the virulence and aggressiveness of the
virus strain, the length of the infection, and the environmental
factors all affect the disease’s diagnostic indications, which can vary
greatly (Jones, 2009). These factors also determine the duration of
the incubation period. The incubation period is usually a few days
or weeks, which can be more than a year for herbaceous plants.
Viral, viroid, and mycoplasma diseases are considered very harmful
due to their chronic nature. They damage plant species, which leads
to plant stress, death, and low crop yields (Table 1). They also
change the chemical composition and deteriorate the quality of
tubers (Adolf et al., 2020; Kreuze et al., 2020). Viral infection
significantly changes the metabolism of plants, which includes a
reduction in the photosynthetic activity of plants, which suppresses
carbohydrates and other types of metabolism (Anikina and
Seitzhanova, 2015). Chloroplasts are destroyed, changed, or
aggregated due to viral infection. This leads to the destruction of
chlorophyll or its non-participation in synthesis. The degree of
photosynthetic suppression depends mainly on the disease
development, the characteristics of the virus strain, the disease
development phase, the virus strain–disease development phase’s
TABLE 1 Reduction of crop yields under the influence of phytoviruses.
Crop
Sweet potato (Ipomoea batatas)
Tomatoes (Solanum lycopersicum)
Okra (Abelmoschus esculentus L. Moench)
Decrease in productivity
80%–98%
(Mwanga et al., 2001; Clark et al., 2012; Alam et al., 2013)
30%–50%
(Silva and Fontes, 2022)
(Hossain et al., 2011; Sevik and Arli-Sokmen, 2012; Farooq et al., 2021)
42.1%–95.5%
49%–84%
(Mishra et al., 2017)
94%
Potato (Solanum tuberosum)
Source
(Dhankhar, 2016)
10%–80%
(Mumford et al., 2016; Kreuze et al., 2020)
10%
(Moses et al., 2017)
10%–90%
(Salazar, 1996)
15%–75%
(Gong et al., 2019)
Pepper (Capsicum annuum)
70%–80%
(Tolkach et al., 2019)
Watermelon (Citrullus lanatus)
10%–75%
(Xu et al., 2004; Tolkach et al., 2019)
Melon (Cucumis melo L.)
80%
(Sá ez et al., 2022)
(Alonso-Prados et al., 1997)
30%–60
Wheat (Triticum)
Frontiers in Plant Science
80%
(Perry et al., 2000)
41%–63%
(Cisar et al., 1982)
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TABLE 2 Type of overwhelming action under the influence of phytoviruses.
Type of suppression
Source
Plant growth delay
(Fletcher et al., 1998; Jin et al., 2016; Mumford et al., 2016)
Deterioration in the chemical composition and commodity qualities of
the crop
(Alonso-Prados et al., 1997; Adolf et al., 2020; Kreuze et al., 2020)
Suppression of photosynthesis and carbohydrate metabolism
(Handford and Carr, 2007; Hull, 2014; Anikina and Seitzhanova, 2015; Chen et al., 2019; Akbar
et al., 2021)
Suppression of the hormonal system
(Bari and Jones, 2009; Islam et al., 2019)
Violation of the water balance
(Hull, 2014; Anikina and Seitzhanova, 2015; Gupta N. et al., 2021)
metabolism in plants under the influence of viral infection (Ma
et al., 2022; Wang et al., 2022). This review aims to analyze and
discuss contemporary methods for controlling viral infestation in
plants by comparing various methods and taking into account the
negative effects of viral diseases as well as the unique difficulties
associated with viral pathogenesis. It also aims to identify efficient
preventative measures to deal with phytoviruses by examining the
molecular and genetic principles underpinning viral pathogenicity.
As it focuses on creating strategies to control viral infections in
plants, which is crucial for guaranteeing good crop production and
addressing issues with food security, this evaluation helps to achieve
Sustainable Development Goal 2: Zero Hunger by addressing
these objectives.
the transpiration intensity and the water inflow due to changes in
the vascular system (Anikina and Seitzhanova, 2015). The
transpiration flow slows down, and the intensity of transpiration
decreases, resulting from changes in the conductive system. In
addition, there are changes in leaf transpiration surface due to the
development of necroses (stomata malfunction) and the death of a
part of the leaf apparatus. The metabolism of the affected plant
changes, which can lead to its death due to the water balance
disruption (Gupta N. et al., 2021). Almost all viral diseases are
characterized by the disruption of nitrogen metabolism. Viruses
have no enzymatic activity, but the essential role of the host plant’s
enzymes is observed with the changes in the nitrogen-containing
compounds (Hull, 2014). The proteolytic activity is significantly
increased in potato leaves that are affected by the wrinkle mosaic,
which can only be attributed to the proteinases of the potato itself.
An increased soluble and nitrate nitrogen content is observed in the
leaves and tubers of the potatoes that are affected by leaf curl, which
is associated with the disruption of the nitrate restoration and
protein synthesis processes. The total amount of nitrogen in the
plant does not change when tobacco is infected with a mosaic
pathogen. A significant portion of it still goes to virion building
since the viral protein is formed at the expense of the host plant’s
protein. The amount of non-protein nitrogen in infected tobacco is
greatly reduced under nitrogen deficiency conditions. In contrast,
the content of free amino acids increases with excess nitrogen
probably due to the increased hydrolysis of the plant proteins
(Dyakov et al., 2007).
Studies about the respiration of plants affected by viruses
showed that viral infection stimulates the activity of dehydrases,
which affect the initial phases of respiration, and the peroxidase
activity of the affected plants increases at the same time (Hull,
2014). An increase in the respiration activity in tobacco plants
during TMV infection was observed, whereas an increased
oxidative activity after the influence of the beets and potatoes’
viral infection was also revealed. The activation of respiration is
attributed to the protective reactions of the host plant. The peak of
the respiration activity and the oxidative enzymes inhibit the
reproduction of the virus at the beginning of the infection. The
respiration intensity of the infected plant decreases, and the virion
synthesis is activated. Many researchers show that viral diseases of
plants are accompanied by dwarfism; the appearance of tumors and
enations; changes in the shape of the leaves, flowers, and fruits; the
formation of excessive buds; and the imbalance of the hormonal
Frontiers in Plant Science
2 Biotechnological approaches to
countering phytoviruses
2.1 Creation of varieties resistant to
viruses based on the study of molecular
stability mechanisms
The fight against viral infection is complicated due to the rapid
evolution of viruses and the obligate parasitic nature of viruses.
They penetrate the nucleus of cells, where viruses use the internal
reserves of the plant for their reproduction (Tian and Valkonen,
2013; Jones and Naidu, 2019). Promising measures against plant
viruses include breeding programs in regard to creating virusresistant forms, which are in particular based on the markerassisted selection method to evaluate the genetic defenses of a
variety as well as the creation of transgenic varieties with high
resistances to viral diseases (Klimenko et al., 2019; Akhter et al.,
2021). It has become possible to insert certain genes into the
genome of a plant, which is based on genetic engineering, which
has resulted in new protective proteins that determine that the
resistance to viruses is synthesized in the plant cells. Plant varieties
with genes of extreme resistance to certain viruses have already been
obtained. For example, a variety of soybean L29 with exceptional
resistance to isolates of G5, G6, G7, and G5H strains has been
obtained (Tran et al., 2018). R-resistance genes are expressed in
plant cells during infection. More than 200 R genes with plant
resistance to viruses, bacteria, and fungi have been cloned
(Sharipova et al., 2013). Potato R genes are responsible for plant
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indicates their participation in plant defense mechanisms (Prasad
and Srivastava, 2017). Transgenic plants with increased RNase
expression are more resistant to pathogens than the original
plants (Kochetov and Shumny, 2017). The disadvantages of the
genetically engineered approaches include that the acquired
resistance is often specific and short-lived, and there is a gene
silencing problem (Li and Wang, 2022). The negative factors of
cultivating genetically modified plants resistant to certain viruses
include the possible redistribution of the virus species structure,
which can spread other harmful viral infections. There are
restrictions on using genetically modified organisms (GMOs),
such as genetically modified potato varieties not being used in
Kazakhstan. Modern methods of prevention, as well as the
diagnosis and recovery of planting material, are at the forefront of
potato virus infection control (Mumford et al., 2016; Kesiraju and
Sreevathsa, 2017; Wang et al., 2022).
resistance to the potato virus X (PVX). Tomato SW-5 gene resists
tomato spotted wilt virus, and tomato Tm and Tm2 genes resist
tomato mosaic virus. Mutational analysis showed that R genes
encode translation initiation factors that lead to overcoming the
RNA virus infection (Sharipova et al., 2013). Studies about the
molecular mechanisms of extreme resistance and their relationship
with hypersensitive response concluded that the same NLR genes
can trigger both extreme resistance and hypersensitive response.
Genes that generally provide the phenotype of extreme resistance
can be stimulated in order to induce a hypersensitive response by
experimentally increasing cellular levels of derived pathogen
proteins (Ross et al., 2021).
Most plant NLR proteins consist of three primary domains,
which include the N-terminal helix-helix domain, the Toll/
interleukin-1 receptor or divergent helix-helix domain, the central
nucleotide-binding domain, and the C-terminal domain rich in
leucine repeats (LRR). These proteins function as intracellular
immune receptors, and the nucleotide-binding state partially
controls their ability to induce an immune response. Inactive
NLR proteins are specifically bound to ADP, whereas the
recognition and binding of the effector pathogen protein allow
the NLR to switch to an active and ATP-bound state that can
initiate an immune response (Lolle et al., 2020). A total of 30 genes
that are responsible for the resistance of potato plants to viruses X,
T, A, and M have currently been identified. Genetic silencing is the
deactivation or reduction of one of the plant’s genes using RNA
interference, which involves the suppression of the gene expression
by double-stranded RNA and is also used in order to create
genetically modified virus-resistant plants. RNA silencing is an
essential antiviral mechanism (Li and Wang, 2022; Lu et al.,
2022). A DNA fragment is isolated from the genome and placed
in a genetic construct in an inverted (antisense) position to turn off
the target gene. Synthesized RNA does not encode anything in this
case, but it can bind to the target gene’s mRNA. Translation stops
and mRNA destruction occurs, and the expression of the target
gene is drastically reduced or even completely stopped (Calil and
Fontes, 2017; Kochetov and Shumny, 2017). There are currently
great expectations for studying the regulatory pathways of plant
resistance formation. Signal transduction from external factors
leads to the activation of serine/threonine protein kinases, which
phosphorylate the threonine or tyrosine residues of other regulatory
proteins in this group that is activated by phosphorylation. The
coordinated interaction of regulatory signaling pathways occurs
during the plant infection, which results in the expression of
resistance genes and increased plant defense against pathogens. A
study of plant antiviral defense mechanisms revealed that when
attacked by an infection, they activate the genes encoding PR
proteins, which are pathogenesis-related proteins.
The type and level of PR-protein accumulation depend on the
nature and level of the plant damage. Some PR proteins, such as
proteinases and b-1,3-glucanases, promote the virus infection of
plants. Other PR proteins, such as proteinase inhibitors,
ribonucleases, and peroxidases, effectively protect plants against
viruses. Signaling systems regulate their coordinated accumulation
in plants. Thus, it has been determined that the accumulation of
PR-10 proteins around the pathogen introduction or wounding site
Frontiers in Plant Science
2.2 Use of genome editing to combat
virus infection
Progress in the development of resistant varieties, including
those based on transgenic methods, is slow due to the lack of host
genes and the duration of the breeding process and the problems
associated with the limited use of transgenic plants in many
countries (Tiwari et al., 2022). Genome editing technology is a
promising approach to control viral pathologies. Breakthroughs in
genome editing technology have been made in functional genomics
and crop improvement (Zhang et al., 2018; Hofvander et al., 2022).
Zinc finger nucleases (ZFNs) and effector nucleases (TALEN) were
used as the first available genome-editing tools. These nucleases are
chimeric proteins created by fusing their respective DNA-binding
domains (DBDs) with the DNA cleavage domain of Fok I
restrictase. The method of genome editing based on ZFNs and
TALENS has been used for several plant species despite being laborintensive, and important achievements have been obtained (Shan
et al., 2013). However, nowadays, a new genome editing platform
has been successfully used, which has surpassed the efficiency of
ZFNs and TALEN in plants. According to scientists, CRISPR/Cas is
currently the most powerful biological tool for targeted genome
modification (Silva and Fontes, 2022; Tiwari et al., 2022). Many
researchers consider the CRISPR/Cas-mediated immunity
mechanism based on regularly spaced short palindromic repeats
(CRISPR) and CRISPR-associated (Cas) proteins crucial in the fight
against pathogens. This type of immunity has evolved as an
adaptive immune system in archaea and bacteria against an
invasion of foreign nucleic acids from viral or plasmid pathogens
(Nussenzweig and Marraffini, 2020; Nidhi et al., 2021).
In recent years, there has been growing interest in using various
aspects of CRISPR/Cas technologies to create plants resistant to
viral pathogens. There are two ways to use CRISPR/Cas systems: the
first involves direct targeting of viral genomes, and the second
involves introducing targeted mutations into specific host plant
genes that encode proteins used by the virus for successful
replication and spread in the plant. The first method is the most
widespread (Kavuri et al., 2022). Cas class 1 system include types I,
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et al., 2022). Like Cas13, FnCas9 has been reprogrammed to
target and inhibit RNA-containing human and plant viruses by
blocking viral RNA translation and replication (Price et al., 2015;
Zhang et al., 2018). Most research on the direct use of the CRISPR/
Cas system has been performed on viruses belonging to the family
Geminiviridae, which cause significant yield losses in economically
important crops. The first experiments on CRISPR-mediated
resistance to geminiviruses were carried out on the beet severe
curly top virus (BSCTV, genus Curtovirus) and the bean yellow
dwarf virus (BeYDV; genus Mastervirus) in Nicotiana benthamiana
and Arabidopsis thaliana plants (Baltes et al., 2014). CRISPR/Cas9
constructs (including kgRNA and Cas9) were targeted to cut coding
(such as the replication-related protein gene [Rep]) and non-coding
regions in viral genomes (such as Rep binding sites) and an
invariant non-coding sequence, the nanonucleotide
[TAATATTAC], common to all geminiviruses, contained in the
intergenic region [IR]. Plants were transfected with the obtained
constructs, and it was shown that the transgenic plants showed a
high level of resistance to the target virus, which is manifested by a
decrease (up to 87%) in virus accumulation and a reduction of
symptom manifestation (Baltes et al., 2014). Zhan et al. showed that
the CRISPR/Cas13a system effectively provides a wide range of
resistance in transgenic potato plants to potato virus Y (PVY)
strains (Zhan et al., 2019). Also, studies by Zhao showed that the
LshCas13a system can degrade viral RNA genomes and confer
resistance to the RNA virus in monocotyledonous grain plants
(Zhao et al., 2020). Transgenic rice plants carrying the CRISPR/
Cas13a system were created with three sgRNAs, each targeting the
RNA genomes of southern rice black-streaked dwarf virus
(SRBSDV) and rice stripe mosaic virus (RSMV). The study
confirmed the suppression of viral infection in transgenic rice
plants, indicating that CRISPR/Cas13a can also effectively target
viral RNA in monocotyledonous plants.
The advantages of this technology include that by working
precisely at the gene level, it is possible to bypass the problems of
“genetic modification” because genome editing occurs without
integrating foreign DNA or RNA into the host genome.
Moreover, this method is simple and versatile when compared to
other modern breeding technologies (Robertson et al., 2022). Unlike
genetically modified organisms, CRISPR/Cas changes the existing
genome without introducing foreign genes, particularly sitedirected nucleases (SDN1 and SDN2). Consequently, varieties
obtained using CRISPR/Cas are expected to be transgenic-free,
and biosafety issues will be eliminated. The creation of nextgeneration systems characterizes the current stage of development
of CRISPR methods such as CRISPR-MAD7 and CAS12A
nucleases, increasing accuracy, range of possibilities, and
applications. The efficiency of the CRISPR-MAD7 system has
been proven on mutant rice and wheat plants at 65.6% (Silva and
Fontes, 2022). Using MAD7 expands the CRISPR genome-editing
toolkit because of its highly efficient target for gene disruption and
insertion. According to (Silva and Fontes, 2022), using the new
CRISPR/CAS systems (CAS3, CAS12, CAS13, and CAS14) as
III, and IV with different variants and effector complexes, whereas
Cas class 2 systems comprise types II, V, and VI with an effector
module containing a single multifunctional protein (Kavuri et al.,
2022). Because of their simpler organization, class 2 Cas systems are
most widely used as genome-editing tools, with type II and V
systems using Cas9 and Cas12 enzymes to edit DNA. Notably, the
CRISPR/Cas9 type II class 2 protein is one of the first Cas proteins
to be studied, leading to its widespread use for DNA editing in
animals, plants, and bacteria (Kavuri et al., 2022). Since the
discovery of the CRISPR/Cas9 system in Streptococcus pyogenes,
related systems have been discovered in many bacterial and archaeal
species (Robertson et al., 2022). CRISPR/Cas9 has now produced
important advances in plant research because of its simplicity,
multiplexing, cost-effectiveness, high efficiency, and minimal
target bias. The practical application of the CRISPR/Cas
technology faces several bottlenecks whose solution is crucial for
plant gene editing, one of which, for example, is the method of
delivering components of the Cas9 RNA editing complex into
plants. Gene delivery using plasmid DNA and Agrobacterium
transformation (the main method used) leads to transgenic
plants, which is prohibited by the legislation of many countries.
The preferred methods are direct (free-associated) delivery of
kgRNA and Cas9 protein, which have been actively developed
recently (Tiwari et al., 2022). Knowledge of all aspects of
CRISPR/Cas systems is constantly expanding.
There are certain limitations in DNA editing using CRISPR,
such as the protospacer adjacent motif (PAM) site requirement,
non-targeted mutations, and low efficacy against viruses (Ahmad
et al., 2020). The recently identified CRISPR/Cas type VI systems
can overcome some of these limitations, which use the Cas13
protein to provide sequence-specific cleavage of single-stranded
RNA (ssRNA) molecules (Wolter and Puchta, 2018; Kavuri et al.,
2022). The discovery of Cas endonucleases targeting RNA
molecules marked a new turn in developing CRISPR/Cas
technologies. One of the best known is the Cas13 class 2, type VI
protein (including Cas13a and Cas13b). Unlike most CRISPR/Cas
systems, Cas13 lacks a DNAase motif but contains two RNAase
domains (HEPN). RNA manipulations are advantageous over DNA
editing because they prevent unwanted pleiotropic effects, and RNA
products can be precisely and spatially regulated (Robertson et al.,
2022; Sharma et al., 2022). According to the Abudayyeh et al.
research, Cas13 cleaves only target RNA molecules and can cleave
ssRNA molecules containing sites homologous to cRNA, while, like
Cas12a, Cas13 does not need tracrRNA and depends only on cRNA
(Abudayyeh et al., 2017). Since most plant viruses contain RNAi
genomes, this research opens up new technological possibilities for
combating plant viruses. Another widely used RNA editing nuclease
is FnCas9 from Francisella novicida (Price et al., 2015). This enzyme
also works with guide 23 RNA and targets endogenous RNA in vivo.
However, unlike Cas13, this protein does not contain HEPN
domains. It has been suggested that FnCas9 may either recruit
endogenous RNAases to cleave the target RNA or possess
alternative domains with endonucleolytic activity (Robertson
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the initial virus-free material. The peculiarities of the apical
meristem method consist of the complexity of the regeneration of
meristems that are 0.1 mm in size. Their engraftment and
regenerative ability increase when the size of the meristems
increases, but the risk of viruses being present also increases
(Moses et al., 2017). It is necessary at this stage to increase the
method’s effectiveness and suppress the viral pathogenesis in a
larger area of the meristem. According to some experts, it is also
advisable to use additional procedures, such as treatment with UHF
rays with a narrow-band laser as well as thermotherapy,
cryotherapy, and chemotherapy (Zhao et al., 2018; Wang et al.,
2021; Bettoni et al., 2022).
multiplexed SGRNAs by targeting them to different sites is a new
and more effective strategy for increasing resistance to a wide range
of viral infections and disease control in the field.
2.3 Culture of apical meristems to
eliminate the virus
One of the main methods used for recovering virus-infected
plants is the method of apical meristems. This method uses the
apical virus-free zone to obtain an initial healthy plant, which serves
as the progenitor of the starting material for primary potato seed
production. The effectiveness of this method has been repeatedly
confirmed for many plant crops (Bi et al., 2018; Zhang et al., 2019).
Many valuable potato varieties have been renewed and used in
production for a long time. Potato yields have increased by more
than 42% with the implementation of this method (Galeev et al.,
2018). An apical meristem is a group of meristematic (formative)
cells organized into a growth center, which occupy the terminal
position in a shoot or root and form all organs and primary tissues.
The upper part of the apical meristem is represented by initials,
which are a single cell in horsetails, many ferns, and a multicellular
structure in seed plants. The nearest derivatives of the initial cells
are often distinguished in the protomeristem zone. There are
currently several hypotheses about the reasons for the absence of
viral infection in the apical meristem, which are provided below.
2.4 Thermotherapy method
The thermotherapy method, which includes heating without
lighting, was conducted on the potato tubers and microplants.
Exposure modes may vary depending on the varietal
characteristics. The efficiency of rehabilitation during the thermal
treatment of the potato microplants is 2.4 times higher than for the
same method for tubers (Oves and Gaytova, 2016). According to the
research by Wang et al. (2021), in vitro cultured shallot shoots
infected with onion yellow dwarf virus (OYDV) and shallot latent
virus (SLV) were thermo-treated at a constant temperature of 36°C
for 0, 2, and 4 weeks. The meristems (0.5 mm) that contain one to
two leaf primordia were then excised and cultured for shoot
regrowth. The meristem culture with thermotherapy produced
much higher virus-free plants, which included 70% for OYDV,
80% for SLV, and 50% for both viruses (Wang et al., 2021). Bi et al.
(2018) described a droplet-vitrification cryotherapy method for
eradicating grapevine leafroll-associated virus-3 (GLRaV-3) from
Vitis plants’ diseased in vitro shoots. All the plants recovered after
cryotherapy and were free of GLRaV-3 in two wines, which
included one table and one rootstock cultivar Vitis spp (Bi
et al., 2018).
1. The absence of a conductive system in the apex slows the
spread of viruses from cell to cell. The growth of the apical
meristem is faster than viral propagation.
2. The high concentration of auxins in the apex excludes the
possibility of virus replication.
3. There are mechanical barriers to the viral infection
advancement into the meristematic zone due to the small
size of the plasmodesmata.
The apical meristems of the seedlings are isolated at 12–13
plastochrone, which is the time interval between the initiations of
two leaf tubercles. Isolated meristems are cultured under aseptic
conditions on nutrient media rich in macro-salts and micro-salts
with an increased concentration of cytokinins (6-BAP 2 mg/L). The
temperature was maintained at 25°C ± 2°C in an air-conditioned
culture room, which included 70% humidity, 5 klx illumination,
and a photoperiod of 16 h. A small part of the 0.15- to 0.5-mm
meristem is usually planted on the nutrient media. The general
pattern is provided next. The smaller the size of the meristem, the
more likely virus-free plants are obtained. It is isolated under sterile
conditions of a laminar box under the magnification of a binocular
microscope. On average, 30–45 days pass from planting the
meristem on a medium to forming seedlings with five to six
leaves, which sometimes takes 2 to 8 months. The media are
renewed as they are depleted, and the seedlings are periodically
transplanted to new media under sterile conditions. The
disadvantages of this method include the difficulty of obtaining
Frontiers in Plant Science
2.5 Method of chemotherapy
The chemotherapy method is based on adding broad-spectrum
antiviral drugs, such as virazole, to the nutrient medium where the
plant explants are cultivated. The experimental results showed the
effectiveness of virazole and amixin for inhibition (78.2%). The high
antiviral activity of this drug was found in different cultures, such as
against Odonotoglossum cymbidium ringspot virus and rose mosaic
viruses, but its pronounced toxic effect, which inhibits the
differentiation and proliferation processes in plant tissue culture
in vitro, was also revealed. Substances that are capable of
inactivating several viruses have been identified. Particular success
in this direction was obtained on potatoes, tobacco, tomatoes,
narcissus, and tulips (Sochacki and Podwyszyń ska, 2012; Bettoni
et al., 2022). Ryabtseva et al. (2015) discovered that for the recovery
of the potatoes’ in vitro culture, the following virus inhibitors
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Anikina et al.
10.3389/fpls.2023.1163270
method with the clonal selection or verifying the genetic identity of
the regenerated plants in vitro using random amplification of
polymorphic DNA (RAPD) (Evstratova et al., 2018). In addition,
the cured potatoes can quickly be reinfected in the field.
showed a high efficiency, which included chitosan with a dose
between 0.1% and 0.01%, interferon with a dose between 0.05% and
0.1%, and virazole with a dose of 0.01%. The percentage of the
plants that recovered from viruses was from 25% to 100%, which
depended on the variety (Ryabtseva et al., 2015).
The yield of healthy plant regenerants compared to the control
was higher by 14.3%–50.0% when antiviral medications, such as
interferon, Kagocel, and Arbidol, were used in the nutrient
medium in the amount of 50 mg/L. This was revealed in a study
on the effect of antiviral drugs in in vitro culture on the yield of
viable plant explants (Yalovik et al., 2019). Virus inhibitors
include chemical nature malonic, oxalic, ascorbic, nucleic acids,
antibiotics, gibberellin, heteroauxin, malachite green dye,
methylene blue dye, safronin dye, alkalis, formaldehyde, urea,
and the salts of heavy metals. The inhibitors of plant viruses were
also found in the leaves of currants, forest strawberries,
raspberries, pelargonium, parsley, wormwood, apples, cherries,
maple, linden, and beets (Anikina and Seitzhanova, 2015). Several
groups of synthetic antiviral compounds have also been identified.
Most of them are analogs of bases and nucleosides, and their
metabolites, such as the purine base derivative 8-azaguanine,
which inhibits TMV, PVX, PVY, and 1-b-D-ribofuranosyl-1,2,4triazole-3-carboxamide (ribavirin), are also active against
numerous plant viruses, such as TMV, PVX, and CMV. Their
action is based on the inhibition of viral genome replication.
Representatives of pyrimidine-like compounds include 2thiouracil and 5-azadihydrouracil. They inhibit the reproduction
of viruses TMV, PVX, PVY, and CMV by inhibiting the
biosynthesis of uridine-5-phosphate from orotidine-5′phosphate by decarboxylase inhibition (Kumar et al., 2001;
Sharipova et al., 2013).
The effectiveness of virocides has also been proven with outdoor
plant treatments. The limiting factor is the phytotoxicity of
virocides and the teratogenic effect of some virocides (Maksimov
et al., 2019). In addition, there are still questions about the
mutagenic effect of antiviral drugs, and their use also requires
control of the identity of the material (Ryabtseva et al., 2015).
Both thermotherapy and chemotherapy methods are used as
auxiliary tools of the apical meristem method in in vitro culture.
These methods essentially represent a single biotechnological
complex method of plant virus recovery. This method is widely
used worldwide, and different plant species have been revitalized
with its help (Alam et al., 2013; Moses et al., 2017; Wang et al.,
2021). Significant disadvantages of the tissue culture-based
rehabilitation method include the possibility of self-clonal
variations. These types of plants can deviate from the original
variety with their morphological traits and properties, which
means that they lose varietal individuality. This is a serious risk
for primary seed production because the valuable economic traits of
the cultivated variety are still under consideration, and they obtain
mutants that they may not have (Oves and Gaytova, 2016;
Antonova et al., 2017; Kesiraju and Sreevathsa, 2017). The
researchers concluded that regular control of the material for
identity is required during the long-term cultivation of plants in
the tissue culture. The search for a solution to this problem has led
some researchers to propose complementing the apical meristem
Frontiers in Plant Science
3 Methods of combating viruses
in the field
Virus reservoirs can be weeds along the field edges, birds and
insects that travel long distances, and viruses, which can also be
transmitted via service aggregates. Preventive measures, such as
spatial isolation and insecticidal and stimulant treatments, are
essential to controlling the spread of plant viruses (Tian and
Valkonen, 2013; Wasilewska-Nascimento et al., 2020). These
medicines have become important economic factors in regard to
increasing the profitability and eco-friendliness of production. They
have a beneficial effect on plant product growth, development, yield,
and quality, but they are also inducers of resistance to abiotic stress
factors and various phytopathogens, which include viruses
(Palukaitis et al., 2017). The research for biosafe means of
controlling phytopathogens is relevant in light of the increased
attention to the ecologization of agricultural crop production. The
search for opportunities to stimulate the immune system of plants
and build a plant protection system based on pesticide application
as well as on the reserve possibilities of the organism itself is
essential, which open up new prospects for the development of
biotechnology (Maksimov et al., 2019).
Nucleotide-binding proteins with leucine-rich repeats (NLRs),
which recognize intracellular proteins of pathogenic origin, often
control immune responses to pathogens in plant organisms.
Genetic resistance to plant viruses is often phenotypically
characterized by programmed cell death at or near the site of
infection, which is a hypersensitive reaction. New approaches in
order to control viral pathogens are urgently needed (Akhter et al.,
2021). One type of approach is plant immunization, which is a
process of activating the body’s natural defense systems. The
possibilities of increasing plant resistance by stimulating their
immune system have expanded, which results from the in-depth
study of the molecular and genetic bases of plant resistance to
viruses and the investigation of the mechanisms of induction of the
defense reactions in the plant organism. The key role in the
induction of immunity belongs to different substances, which are
called elicitors.
The biological immunization of plants involves treating them
with weakened cultures of pathogens, non-pathogens, or their
metabolites (Kothari and Patel, 2004; Dyakov et al., 2007).
Chemical immunization is based on using substances called
elicitors, resistance inducers, activators, or immunomodulators,
which activate the defense reactions. A cascade of defense
reactions is triggered in plants under the action of these drugs,
and chemical and physical barriers are formed that prevent
pathogen development. Inducers typically send excitatory signals
to plant defense genes, which activate a cascade of defense responses
and ultimately induced systemic resistance (Calil and Fontes, 2017;
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Pseudomonas fluorescens and Bacillus sp. isolated from banana
roots, against the banana virus disease, which was caused by the
banana bunchy top virus (BBTV). The banana plants were
inoculated with P. fluorescens Pf1 and CHA0 strains in
combination with endophytic bacterial strains EPB5 and EPB22
(Pf1 + CHA0EP + B5 + EPB22). These plants showed a 60%
reduction in the BBTV virus infection compared to untreated plants
when grown in soil (Nowak and Shulaev, 2003).
Maksimov et al. (2019) showed that the isolates of Pseudomonas
spp., which included P. fluorescens, Pseudomonas putida,
Pseudomonas aeruginosa, Pseudomonas taiwanensis, and Bacillus
spp., contributed to the protection of papaya plants against the
ringspot virus (PRSV). According to studies by Maksimov et al.
(2019), the preparation of Phytosporin-M based on Bacillus subtilis
26D also showed a high efficiency for plant protection against viral
diseases, and the activity of these microorganisms was confirmed
against a wide range of diseases, which included bacterial, fungal,
and viral ones.
According to Maximov, the biocidal activity of rhizosphere and
endophytic bacteria suggests that it indirectly exhibits antiviral
activity due to their production of antibiotic substances. Hence,
phytopathogenic bacteria, fungi, nematodes, and insect pests can be
vectors-transporters of many plant viral infections. One promising
approach to creating new antiviral drugs is to use strains of
microorganisms with obvious insecticidal or other biocidal effects
to control virus vectors. An isolate of B. subtilis BS3A25 and its
culture filtrate inhibited the development of cucumber mosaic virus
in tomato plants by inhibiting the development of the melon aphid
Aphis gossypii, which is a vector of this disease that may be related to
oxidation of surfactants that are produced by the bacteria
(Rodrı́guez et al., 2018) and to the activation of the plant defense
mechanisms against the insect and/or the virus that is under the
influence of the bacteria (Maksimov et al., 2019). The colonization
of internal onion tissues by the endophytic fungus Hypocrea lixii
(F3ST1) significantly reduced the titer of iris yellow spot virus
(IYSV) particles in plants, which reduced their damage by its main
transmitter, which is called Thrips tabaci Lind (Muvea et al., 2018).
Bettoni et al. (2022) showed high effectiveness in regard to
treating potatoes with arachidonic acid against Phytophthora and
scab as well as against viruses X and M. It is promising to use
preparations that are based on bacterial enzymes as elicitors. They
became available after the success of genetic engineering in regard
to creating highly productive strain producers. Diener (1961)
established the antiviral activity of ribonucleases against RNA
viruses and showed that the treatment of potato regenerants with
RNase resulted in the inactivation of potato virus X and the tobacco
mosaic virus in cucumbers.
Using elicitors to control viruses in agricultural plantings is a
promising, affordable, and environmentally friendly method of viral
disease control. Induced systemic resistance solves many problems with
agricultural crop production. It is environmentally friendly and biosafe
compared to biocides because it activates the natural plant’s defense
mechanisms and is simultaneously effective against different
phytopathogens under field conditions (Maksimov et al., 2019). The
attractiveness of this direction is obvious because preparations with
bioregulatory activity are used as immunomodulators, which induce
Beris et al., 2018). Elicitors were associated with the induction of
phytoalexin synthesis at the beginning of these types of studies, but
further studies revealed other protective responses of plants that
expanded the list of compounds under the influence of how plants
trigger their defense mechanisms (Poliksenova, 2009). Biologically
active substances have different characteristics, and many of them
are plant growth regulators, which act as elicitors.
Zircon is among the medicines with high elicitor activity, which
is obtained based on the plant material of Echinacea purpurea.
Zircon’s efficiency has been proven both as a growth stimulator and
as a resistance inducer against various types of diseases, which
include viral diseases (Malevannay, 2001). The zircon
phytoregulator exhibited an antiviral effect on potato in vitro
plants when introduced into a Murashige and Skoog culture
medium. The application of a zircon phytoregulator at a dose of
0.25 ml/L on potato in vitro plants reduced the development of the
PVY virus by 10%–70%, which depended on the variety. We show
that chlormequat chloride in the Murashige and Skoog culture
medium at a dose of 0.3 ml/L exhibited antiviral activity when the
antiviral action of the growth regulator chlormequat chloride
(C 5 H 13 Cl 2 N) was analyzed, which belongs to the group of
retardants. The percentage of regenerants that are affected by the
potato Y virus decreased from 14% to 37.5%, which depended on
the variety (Anikina and Seitzhanova, 2015).
The study of the action of plant polyphenols and flavonoids
revealed their high effectiveness in suppressing plant virus infection,
particularly with the tobacco mosaic virus, the apple stem borer
virus, the tomato spot nepovirus, and the potato X-virus
(Chojnacka et al., 2021). Evstratova et al. (2018) showed the high
elicitor activity of chitosan-based medicine against the potato Y
virus (Evstratova et al., 2018). The search for biologically active
substances (BASs) that are capable of stimulating plant immune
system mechanisms has significantly increased (Prasad and
Srivastava, 2017; Gupta AK. et al., 2021). Mandal (2010)
investigated the resistance of eggplant under the action of four
elicitors, which included salicylic acid, chitosan, methyl salicylate,
and methyl jasmonate. The effect of the elicitors resulted in a
threefold to fivefold increase in the accumulation of phenols and
lignin in the tissues in addition to an increase in the activity level of
the main protective enzymes phenylalanine ammonia-lyase
peroxidase, polyphenol oxidase, cinnamic alcohol dehydrogenase,
and catalase several times, which certainly contribute to the plant’s
resistance to pathogens (Mandal, 2010). The effectiveness of the
steroid glycoside compounds against the tobacco mosaic virus has
in particular been illustrated. It was discovered that steroidal
glycosides act comprehensively, and under their action in vitro,
the infectivity of the virus is reduced, and the particle structure and
antigenic properties are not violated. They have an elicitor effect on
the host plant metabolism. At the same time, RNAase is activated,
the formation of new proteins is induced, and the cell ultrastructure
is stabilized. Other researchers also confirmed the effectiveness of
steroidal glycosides as immunomodulators that increase plant
resistance to phytopathogenic viruses (Poliksenova, 2009).
The use of microbial inoculants to induce systemic resistance
against viral diseases is of great interest. The researchers showed the
high bioprotective potential of microbial inoculants, which included
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chemotherapy) during the last 50 years, has been the basis for
controlling harmful plant viruses. Significant disadvantages of the
practice of health improvement based on tissue culture include the
possibility of auto-clonal variations because of long-term cultivation of
plants under in vitro conditions, which are mutant plants genetically
different from the original variety. In addition, this technique does not
guarantee against rapid reinfection of diseased material under
field conditions.
The use of virus inhibitors and elicitors is most justified in the
field. At present, several groups of synthetic antiviral compounds
have been identified. The efficacy of virocides has been proven in
outdoor plant treatments. A limiting factor is the phytotoxicity of
virocides, and also the teratogenic effect of some virocides
concerning humans has been revealed. Using elicitors to control
viruses in agricultural plantings is a promising, affordable, and
environmentally friendly approach to preventing viral diseases.
Induced systemic resistance is environmentally friendly and
biosafe when compared to biocides because it activates natural
plant defense mechanisms and is effective simultaneously against
different phytopathogens under field conditions. The disadvantages
of the method include insufficiently high efficiency. Vector control
is a well-known method for preventing the spread of viral infection.
The limitations, in this case, are low efficiency and high costs. In
the protective responses of the plant organism as well as positively affect
the yield and quality indicators of plants. The search for virus inhibitors
among the preparations with biological activity is of particular practical
interest for potato producers because it will greatly simplify the task of
obtaining healthy material for seed production (Acharya, 2013; Calil
and Fontes, 2017; Somalraju et al., 2022). The proposed approaches for
plant protection from phytoviruses are generalized in Table 3.
4 Conclusions and future perspectives
Viral infection in plants is a complex and interdependent process.
Viruses are breeding programs to create virus-resistant forms based on
genome editing, using the marker-mediated selection method, which
makes it possible to evaluate the genetic protection of a variety and use
RNA silencing as an important antiviral mechanism. The
disadvantages of genetically engineered approaches include that the
gained resistance is often specific and short-lived, and there is a
problem with “gene silencing”. A negative factor of growing
genetically changed plants resistant to certain viruses is the possible
redistribution of virus species structure, which can provoke the spread
of other harmful viral infections. The apical meristem method,
combined with other auxiliary methods (thermotherapy and
TABLE 3 The proposed approaches to plant protection from phytoviruses.
S. no.
Method
Source
1
Genome editing to
combat virus
infection
(Shan et al., 2013; Baltes et al., 2014; Price et al., 2015; Abudayyeh et al., 2017; Wolter and Puchta, 2018; Zhang et al., 2018; Zhan
et al., 2019; Ahmad et al., 2020; Nussenzweig and Marraffini, 2020; Zhao et al., 2020; Nidhi et al., 2021; Hofvander et al., 2022; Kavuri
et al., 2022; Robertson et al., 2022; Sharma et al., 2022; Silva and Fontes, 2022; Tiwari et al., 2022)
2
Apical meristem
method
(Zhu-Jun et al., 2011; Hull, 2014; Anikina and Seitzhanova, 2015; Jin et al., 2016; Antonova et al., 2017; Galeev et al., 2018; Zhang
et al., 2019)
3
Thermotherapy
(Wu et al., 2015; Oves and Gaytova, 2016; Wang et al., 2022)
4
Combination of
thermotherapy
methods and the
method of apical
meristems
(Wang et al., 2006; AlMaarri et al., 2012; Moses et al., 2017)
5
Cryotherapy
(Wang et al., 2006; Yi et al., 2014; Bi et al., 2018; Zhang et al., 2019)
6
Chemotherapy
(AlMaarri et al., 2012; Ryabtseva et al., 2015; Antonova et al., 2017; Yalovik et al., 2019; Bettoni et al., 2022)
7
Combination of
thermotherapy and
chemotherapy
methods
(Fletcher et al., 1998; Yi Lan et al., 2005; Dhital et al., 2007; Nasir et al., 2010; Antonova et al., 2017)
8
Control of viruses
vectors
(Jones, 2009; Hull, 2014; Calil and Fontes, 2017; Musidlak et al., 2017; Wei et al., 2018; Jones and Naidu, 2019; Batuman et al., 2020)
9
Creation of transgenic
varieties with high
resistance to viral
diseases
(Rodrı́guez-Negrete et al., 2009; Sharipova et al., 2013; Wu et al., 2015; Hong and Ju, 2017; Kochetov and Shumny, 2017; Musidlak
et al., 2017; Kourelis and van der Hoorn, 2018; Rodrı́guez et al., 2018; Tran et al., 2018; Yang and Li, 2018; Guo et al., 2019;
Klimenko et al., 2019; Lolle et al., 2020; Akhter et al., 2021; Ross et al., 2021; Zhao et al., 2021; Bwalya et al., 2022; Li and Wang,
2022; Lopez-Gomollon and Baulcombe, 2022; Sá ez et al., 2022; Liu et al., 2023)
10
Plant immunization
(Kothari and Patel, 2004; Dyakov et al., 2007; Calil and Fontes, 2017; Liu et al., 2017; Beris et al., 2018)
11
The use of
biologically active
preparations that
suppress a viral
infection
(French and Towers, 1992; Malhotra et al., 1996; Orazov and Nikitina, 2009; Mandal, 2010; Acharya, 2013; Alazem and Lin, 2017;
Prasad and Srivastava, 2017; Maksimov et al., 2019; Chojnacka et al., 2021; Gupta AK. et al., 2021)
Frontiers in Plant Science
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Anikina et al.
10.3389/fpls.2023.1163270
Funding
addition, considerable damage has been inflicted to the ecology. An
alternative direction is the agroecosystem approach based on the
study of aspects of multitrophic interactions where the activity of
microbial strains with clear insecticidal or other biocidal effects is
used to control vector-borne viruses. The antiviral effectiveness of
drugs based on microbial enzymes has also been shown. The
disadvantages of using microbial preparations include low
efficacy. As shown in the literature review, the existing methods
of phytovirus control are ambiguous. Further research is needed
into plant resistance mechanisms, including the molecular
interaction between the host and viral factors. Further study of
genetic, biochemical, and physiological features of viral
pathogenesis and the development of a strategy for increasing
plant resistance to viruses will allow a new level of control of
phytovirus infection to be achieved.
This research was funded by Project Erasmus+ (no. 609563EPP-1-2019-1-DE-EPPKA2-CBHE-JP).
Conflict of interest
The authors declare that the research was conducted in the
absence of any commercial or financial relationships that could be
construed as a potential conflict of interest.
Publisher’s note
All claims expressed in this article are solely those of the authors
and do not necessarily represent those of their affiliated
organizations, or those of the publisher, the editors and the
reviewers. Any product that may be evaluated in this article, or
claim that may be made by its manufacturer, is not guaranteed or
endorsed by the publisher.
Author contributions
All authors listed have made a substantial, direct, and intellectual
contribution to the work and approved it for publication.
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