SummaryCrude water extracts of Cusano reflexa exhibited anti-HIV activity. Fractionation of the crude extract led to the isolation of nine pure compounds with closely related structures, showing interesting structure activity relationships. 3,5,7A'-Tetrahydroxyflavanone [oromadendrin) inhibited infection by binding to V3 loop of gp 120 and inhibiting its interaction with CD4, whereas 3,5,7,3'A'-pentahydroxyflavanone (taxifolin), with an extra OH group in the 3' position in ring Bwas less specific and exhibited less selectivity in cell cultures. In general, f1avanones containing an extra OH group in the 3' position (taxifolin, taxifolin-7-0-~-D-glucopyranoside and coccinoside B) were less specific and inhibited viral protease, reverse transcriptase, CD4/ gp 120 interaction in vitro and bound to non specific proteins. Other compounds isolated from c. reflexa were derivatives of quinic acids; 3A-O-dicaffeoylquinic acid was more active than 3-0-caffeoyl quinic acid. The anti-HIV activity of crude extract may be the result of combinatory effects with compounds of different modes of action.