Medicinal Uses of Licorice (Glycyrrhiza glabra L.): A Comprehensive Review

Authors

  • Sana Noreen University Institute of Diet and Nutritional Sciences, The University of Lahore, Lahore, Punjab, Pakistan https://orcid.org/0000-0002-4040-5454
  • Fizza Mubarik University Institute of Diet and Nutritional Sciences, The University of Lahore, Lahore, Punjab, Pakistan
  • Fatima Farooq University Institute of Diet and Nutritional Sciences
  • Mudassir Khan Department of Healthcare Biotechnology, Atta-Ur-Rahman School of Applied Biosciences, National University of Science and Technology, Islamabad, Pakistan
  • Ahasan Ullah Khan Department of Entomology, Faculty of Agriculture, Sylhet Agricultural University, Sylhet, Bangladesh; Department of Agroforestry and Environmental Science, Climate-Smart Agriculture Lab, Faculty of Agriculture, Sylhet Agricultural University, Sylhet, Bangladesh
  • Yunita Sari Pane Department of Pharmacology and Therapeutics, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia image/svg+xml https://orcid.org/0000-0001-5638-4734

DOI:

https://doi.org/10.3889/oamjms.2021.7526

Keywords:

Licorice, Traditional medicine, Glycyrrhizin, Biological activity, Herbal

Abstract

Innumerable plants have been used widely as integral medicinal sources since the start of human civilization. The demand for herbal medicines is constantly increasing with time overtime. Licorice (Glycyrrhiza glabra family Leguminosae) is one of the most used herbal plants in foods, in medicinal forms, and substantially researched on a worldwide scale. It was used as traditional and complementary medicine against innumerable ailments including allergies, liver toxicity, gastric ulcer, lung diseases, skin disorders, oral health problems including tooth decay, and inflammation. The constituents of licorice include various essential oils, sugars, inorganic salts, resins, amino acids, and nucleic acids. Biological activity has been observed to be portrayed by active compounds of licorice including triterpene, flavonoids, and saponins. In recent years, licorice has been widely researched to discover its benefits, constituents, and its mechanism of action. The review summarizes the therapeutic and pharmacological benefits of licorice and its uses in different health-related conditions along with its toxicity and maximum levels of licorice consumption.

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References

Dogan SC, Baylan M, Erdoğan Z, Küçükgül A, Bulancak A. The effects of Licorice (Glycyrrhiza glabra) root on performance, some serum parameters and antioxidant capacity of laying hens. Braz J Poult Sci. 2018;20(4):699-706. DOI: https://doi.org/10.1590/1806-9061-2018-0767

Wang X, Zhang H, Chen L, Shan L, Fan G, Gao X. Liquorice, a unique ‘‘guide drug’’ of traditional Chinese medicine: A review of its role in drug interactions. J Ethnopharmacol. 2013;150(3):781-90. https://doi.org/10.1016/j.jep.2013.09.055 PMid:24201019 DOI: https://doi.org/10.1016/j.jep.2013.09.055

Kao TC, Wu CH, Yen GC. Bioactivity and potential health benefits of licorice. J Agric Food Chem. 2014;62(3):542-53. https://doi.org/10.1021/jf404939f PMid:24377378 DOI: https://doi.org/10.1021/jf404939f

Nazari S, Rameshrad M, Hosseinzadeh H. Toxicological effects of Glycyrrhiza glabra (Licorice): A review. Phytother Res. 2017;31(11):1635-50. https://doi.org/10.1002/ptr.5893 PMid:28833680 DOI: https://doi.org/10.1002/ptr.5893

Kim KJ, Choi JS, Kim KW, Jeong JW. The anti‐angiogenic activities of glycyrrhizic acid in tumor progression. Phytother Res. 2013;27(6):841-6. https://doi.org/10.1002/ptr.4800 PMid:22899320 DOI: https://doi.org/10.1002/ptr.4800

Weidner C, de Groot JC, Prasad A, Freiwald A, Quedenau C, Kliem M, Witzke A, et al. Amorfrutins are potent antidiabetic dietary natural products. Proc Natl Acad Sci. 2012;109(19):7257-62. DOI: https://doi.org/10.1073/pnas.1116971109

Tominaga, Y, Nakagawa K, Mae T, Kitano M, Yokota S, Arai T, et al. Licorice flavonoid oil reduces total body fat and visceral fat in overweight subjects: A randomized, double-blind, placebocontrolled study. Obes Res Clin Pract. 2009;3(3):1-4. https://doi.org/10.1016/j.orcp.2009.04.005 PMid:24345587 DOI: https://doi.org/10.1016/j.orcp.2009.04.005

Tanideh N, Rokhsari P, Mehrabani D, Mohammadi Samani S, Sabet Sarvestani F, Ashraf MJ, Koohi Hosseinabadi O, Shamsian S, Ahmadi N. The Healing Effect of Licorice on Pseudomonas aeruginosa Infected Burn Wounds in Experimental Rat Model. World J Plast Surg. 2014 Jul;3(2):99-106. PMID: 25489532; PMCID: PMC4236996.

Hayashi H, Sudo H. Economic importance of licorice. Plant Biotechnol. 2009;26(1):101-4. DOI: https://doi.org/10.5511/plantbiotechnology.26.101

Omar HR, Komarova I, El-Ghonemi M, et al. Licorice abuse: time to send a warning message. Ther Adv Endocrinol Metab. 2012;3(4):125-138. https://doi.org/10.1177/2042018812454322 DOI: https://doi.org/10.1177/2042018812454322

Yang R, Wang LQ, Yuan BC, Liu Y. The pharmacological activities of licorice. Planta Med. 2015;81(18):1654-69. https://doi.org/10.1055/s-0035-1557893 PMid:26366756 DOI: https://doi.org/10.1055/s-0035-1557893

Sawada K, Yamashita Y, Zhang T, Nakagawa K, Ashida H. Glabridin induces glucose uptake via the AMP-activated protein kinase pathway in muscle cells. Mol Cell Endocrinol. 2014;393(1):99-108. https://doi.org/10.1016/j.mce.2014.06.009 PMid:24953974 DOI: https://doi.org/10.1016/j.mce.2014.06.009

Park HG, Bak EJ, Woo GH, Kim JM, Quan Z, Kim JM, et al. Licochalcone E has an antidiabetic effect. J Nutr Biochem. 2012;23(7):759-67. https://doi.org/10.1016/j.jnutbio.2011.03.021 PMid:21840191 DOI: https://doi.org/10.1016/j.jnutbio.2011.03.021

Zadeh JB, Kor ZM, Goftar MK. Licorice (Glycyrrhiza Glabra Linn) as a Valuable Medicinal Plant. International Journal of Advanced Biological and Biomedical Research, 2013; 1(10): 1281-88.

Li W, Li S, Higai K, Sasaki T, Asada Y, Ohshima S, et al. Evaluation of licorice flavonoids as protein tyrosine phosphatase 1B inhibitors. Bioorg Med Chem Lett. 2013;23(21):5836-9. https://doi.org/10.1016/j.bmcl.2013.08.102 PMid:24047800 DOI: https://doi.org/10.1016/j.bmcl.2013.08.102

Aoki F, Honda S, Kishida H, Kitano M, Arai N, Tanaka H, et al. Suppression by licorice flavonoids of abdominal fat accumulation and body weight gain in high-fat diet-induced obese C57BL/6J mice. Biosci Biotechnol Biochem. 2007;71(1):206-14. https://doi.org/10.1271/bbb.60463 PMid:17213668 DOI: https://doi.org/10.1271/bbb.60463

Malik ZA, Sharma PL. An ethanolic extract from licorice (Glycyrrhiza glabra) exhibits anti-obesity effects by decreasing dietary fat absorption in a high fat diet-induced obesity rat model. Int J Pharm Sci Res. 2011;2(11):3010. https://doi.org/10.13040/IJPSR.0975-8232.2(11).3010-18 DOI: https://doi.org/10.13040/IJPSR.0975-8232.2(11).3010-18

van Rossum TG, Vulto AG, Hop WC, Schalm SW. Glycyrrhizininduced reduction of ALT in European patients with chronic hepatitis C. Am J Gastroenterol. 2001;96(8):2432-7. https://doi.org/10.1111/j.1572-0241.2001.04049.x DOI: https://doi.org/10.1111/j.1572-0241.2001.04049.x

Al-Razzuqi RAM, Al-Jawad FH, Al Hussaini JA, Al-Jeboori AA (2012). Hepatoprotective effect of Glycyrrhiza glabra in carbon tetrachloride-induced model of acute liver injury. J Phys Pharm Adv 2(7):259-63.

Jung JC, Lee YH, Kim SH, et al. Hepatoprotective effect of licorice, the root of Glycyrrhiza uralensis Fischer, in alcohol-induced fatty liver disease. BMC Complement Altern Med. 2016;16:19. Published 2016 Jan 22. https://doi.org/10.1186/s12906-016-0997-0 DOI: https://doi.org/10.1186/s12906-016-0997-0

Jalilzadeh-Amin G, Najarnezhad V, Anassori E, Mostafavi M, Keshipour H. Antiulcer properties of Glycyrrhiza glabra L. extract on experimental models of gastric ulcer in mice. Iran J Pharm Res. 2015;14(4):1163-1170.

Fukai T, Marumo A, Kaitou K, Kanda T, Terada S, Nomura T. Anti-Helicobacter pylori flavonoids from licorice extract. Life Sci. 2002;71(12):1449-63. https://doi.org/10.1016/s0024-3205(02)01864-7 PMid:12127165 DOI: https://doi.org/10.1016/S0024-3205(02)01864-7

Dunlap TL, Wang S, Simmler C, et al. Differential Effects of Glycyrrhiza Species on Genotoxic Estrogen Metabolism: Licochalcone A Downregulates P450 1B1, whereas Isoliquiritigenin Stimulates It. Chem Res Toxicol. 2015;28(8):1584-1594. https://doi.org/10.1021/acs.chemrestox.5b00157 DOI: https://doi.org/10.1021/acs.chemrestox.5b00157

Yu IC, Tsai YF, Fang JT, Yeh MM, Fang JY, Liu CY. Effects of mouthwash interventions on xerostomia and unstimulated whole saliva flow rate among hemodialysis patients: A randomized controlled study. Int J Nurs Stud. 2016;63:9-17. https://doi.org/10.1016/j.ijnurstu.2016.08.009 PMid:27565424 DOI: https://doi.org/10.1016/j.ijnurstu.2016.08.009

Hasanein P. Glabridin as a major active isoflavan from Glycyrrhiza glabra (licorice) reverses learning and memory deficits in diabetic rats. Acta Physiol Hung. 2011 Jun;98(2):221-30. https://doi.org/10.1556/APhysiol.98.2011.2.14. PMID: 21616781. DOI: https://doi.org/10.1556/APhysiol.98.2011.2.14

Chakravarthi KK, Avadhani R. Enhancement of Hippocampal CA3 Neuronal Dendritic Arborization by Glycyrrhiza glabra root extract Treatment in Wistar Albino Rats. J Nat Sci Biol Med. 2014;5(1):25-29. https://doi.org/10.4103/0976-9668.127279 DOI: https://doi.org/10.4103/0976-9668.127279

Tang ZH, Li T, Tong YG, Chen XJ, Chen XP, Wang YT, Lu JJ. A systematic review of the anticancer properties of compounds isolated from licorice (gancao). Planta Med. 2015;81(18):1670-87. https://doi.org/10.1055/s-0035-1558227 PMid:26695708 DOI: https://doi.org/10.1055/s-0035-1558227

Yoon G, Jung YD, Cheon SH. Cytotoxic allylretrochalcone from the roots of Glycyrrhiza inflata. Chem Pharm Bull (Tokyo). 2005;53(6):694-5. https://doi.org/10.1248/cpb.53.694 PMid:15930786 DOI: https://doi.org/10.1248/cpb.53.694

Rahman MS, Rashid MA. Antimicrobial activity and cytotoxicity of Eclipta prostrata [Internet]. Vol. 8, Oriental Pharmacy and Experimental Medicine. Kyung Hee Oriental Medicine Research Center; 2008. p. 47–52. Available from: http://doi.org/10.3742/OPEM.2008.8.1.047 DOI: https://doi.org/10.3742/OPEM.2008.8.1.047

Kim SH, Yang M, Xu JG, Yu X, Qian XJ. Role of licochalcone A on thymic stromal lymphopoietin expression: implications for asthma. Exp Biol Med (Maywood). 2015 Jan;240(1):26-33. https://doi.org/10.1177/1535370214545020. Epub 2014 Jul 23. PMID: 25055998; PMCID: PMC4935181. DOI: https://doi.org/10.1177/1535370214545020

Icer MA, Sanlier N. Review: Pharmacological Effects of Licorice (Glycyrrhiza glabra) on Human Health. 2017;6(1):12-26 https://avesis.gazi.edu.tr/yayin/4afa433c-6174-4335-a243-0d273ad30f69/a-review-pharmacologicaleffects-of-licorice-glycyrrhiza-glabra-on-human-health

Kwon YJ, Son DH, Chung TH, Lee YJ. A Review of the Pharmacological Efficacy and Safety of Licorice Root from Corroborative Clinical Trial Findings. J Med Food. 2020 Jan;23(1):12-20. doi: 10.1089/jmf.2019.4459. Epub 2019 Dec 23. PMID: 31874059. DOI: https://doi.org/10.1089/jmf.2019.4459

Mou KH, Han D, Liu WL, Li P. Combination therapy of orally administered glycyrrhizin and UVB improved activestage generalized vitiligo. Braz J Med Biol Res. 2016 Jul 25;49(8):e5354. doi: 10.1590/1414-431X20165354. PMID:27464024; PMCID: PMC4964896. DOI: https://doi.org/10.1590/1414-431x20165354

Allam M, Riad H. Concise review of recent studies in vitiligo. Qatar Med J. 2013;2013(2):1-19. https://doi.org/10.5339/qmj.2013.10 PMid:25003059 DOI: https://doi.org/10.5339/qmj.2013.10

Xiong X-c, Ding X-j, Zhang H, Hou X-q, Xiong F, Mou Y-z: Treatment of alopecia areata with compound glycyrrhizin and topical minoxidil (J). Chin J Aesthetic Med 2013;11:1195-1197.

Kataya HH, Hamza AA, Ramadan GA, Khasawned MA. Effect of licorice extract on the complications of diabetes nephropathy in rats. Drug Chem Toxicol. 2011;34(2):101108. https://doi.org/10.3109/01480545.2010.510524 PMid:21314459 DOI: https://doi.org/10.3109/01480545.2010.510524

Haraguchi H, Yoshida N, Ishikawa H, Tamura Y, Mizutani K, Kinoshita T. Protection of mitochondrial functions against oxidative stresses by isoflavans from Glycyrrhiza glabra. J Pharm Pharmacol. 2000;52(2):219-23. https://doi.org/10.1211/0022357001773724 PMid:10714953 DOI: https://doi.org/10.1211/0022357001773724

Shetty TK, Satav JG, Nair CK. Protection of DNA and microsomal membranes in vitro by Glycyrrhiza glabra L. against gamma irradiation. Phytother Res. 2002;16(6):576-8. https://doi.org/10.1002/ptr.927 PMid:12237818 DOI: https://doi.org/10.1002/ptr.927

Huo HZ, Wang B, Liang YK, Bao YY, Gu Y. Hepatoprotective and antioxidant effects of licorice extract against CCl(4)-induced oxidative damage in rats. Int J Mol Sci. 2011;12(10):6529-43. https://doi.org/10.3390/ijms12106529 PMid:22072903 DOI: https://doi.org/10.3390/ijms12106529

Yin G, Cao L, Xu P, Jeney G, Nakao M, Lu C. Hepatoprotective and antioxidant effects of Glycyrrhiza glabra extract against carbon tetrachloride (CCl(4))-induced hepatocyte damage in common carp (Cyprinus carpio). Fish Physiol Biochem. 2011;37(1):209-16. https://doi.org/10.1007/s10695-010-9436-1 PMid:20865324 DOI: https://doi.org/10.1007/s10695-010-9436-1

Asha MK, Debraj D, Prashanth D, Edwin JR, Srikanth HS, Muruganantham N, et al. In vitro anti-Helicobacter pylori activity of a flavonoid rich extract of Glycyrrhiza glabra and its probable mechanisms of action. J Ethnopharmacol. 2013;145(2):581-6. https://doi.org/10.1016/j.jep.2012.11.033 PMid:23220194 DOI: https://doi.org/10.1016/j.jep.2012.11.033

Ahn SJ, Song YD, Mah SJ, Cho EJ, Kook JK. Determination of optimal concentration of deglycyrrhizinated licorice root extract for preventing dental caries using a bacterial model system. J Dent Sci. 2014;9(3):214-20. DOI: https://doi.org/10.1016/j.jds.2014.03.005

Gareri P, Condorelli D, Belluardo N, Russo E, Loiacono A, Barresi V, et al. Anticonvulsant effects of carbenoxolone in genetically epilepsy prone rats (GEPRs). Neuropharmacology. 2004;47(8):1205-16. https://doi.org/10.1016/j.neuropharm.2004.08.021 PMid:15567430 DOI: https://doi.org/10.1016/j.neuropharm.2004.08.021

He SQ, Gao M, Fu YF, Zhang YN. Glycyrrhizic acid inhibits leukemia cell growth and migration via blocking AKT/mTOR/STAT3 signaling. Int J Clin Exp Pathol. 2015;8(5):5175. PMid:26191214

Fukuchi K, Okudaira N, Adachi K, Odai-Ide R, Watanabe S, Ohno H, et al. Antiviral and antitumor activity of licorice root extracts. In Vivo. 2016;30(6):777-85. https://doi.org/10.21873/invivo.10994 PMid:27815461 DOI: https://doi.org/10.21873/invivo.10994

Jo E., Kim S., Ra J., Kim S., Cho S., Jung J., Yang S., Park J., Hwang J. And Aruoma O. (2005) ‘Chemopreventive properties of the ethanol extract of chinese licorice () root: induction of apoptosis and G1 cell cycle arrest in MCF-7 human breast cancer cells’, Cancer Letters. Elsevier BV, 230(2), pp. 239–247. https://doi.org/10.1016/j.canlet.2004.12.038. DOI: https://doi.org/10.1016/j.canlet.2004.12.038

Dong S, Inoue A, Zhu Y, Tanji M, Kiyama R. Activation of rapid signaling pathways and the subsequent transcriptional regulation for the proliferation of breast cancer MCF-7 cells by the treatment with an extract of Glycyrrhiza glabra root. Food Chem Toxicol. 2007 Dec;45(12):2470-8. https://doi.org/10.1016/j.fct.2007.05.031. Epub 2007 Jun 24. PMID: 17664038. DOI: https://doi.org/10.1016/j.fct.2007.05.031

Nomura T, Fukai T, Akiyama T. Chemistry of phenolic compounds of licorice (Glycyrrhiza species) and their estrogenic and cytotoxic activities. Pure Appl Chem. 2002;74(7):1199-206. DOI: https://doi.org/10.1351/pac200274071199

Hsu YL, Kuo PL, Chiang LC, Lin CC. Isoliquiritigenin inhibits the proliferation and induces the apoptosis of human non-small cell lung cancer A549 cells. Clin Exp Pharmacol Physiol. 2004;31(7):414-8. https://doi.org/10.1111/j.1440-1681.2004.04016.x PMid:15236626 DOI: https://doi.org/10.1111/j.1440-1681.2004.04016.x

Cuendet M, Guo J, Luo Y, Chen S, Oteham CP, Moon RC, van Breemen RB, Marler LE, Pezzuto JM. Cancer chemopreventive activity and metabolism of isoliquiritigenin, a compound found in licorice. Cancer Prev Res (Phila). 2010 Feb;3(2):221-32. https://doi.org/10.1158/1940-6207.CAPR-09-0049. Epub 2010 Jan 12. PMID:20068129; PMCID: PMC2818593. DOI: https://doi.org/10.1158/1940-6207.CAPR-09-0049

Ma C, Ma Z, Liao XL, Liu J, Fu Q, Ma S. Immunoregulatory effects of glycyrrhizic acid exerts anti-asthmatic effects via modulation of Th1/Th2 cytokines and enhancement of CD4(+) CD25(+)Foxp3+ regulatory T cells in ovalbumin-sensitized mice. J Ethnopharmacol. 2013 Jul 30;148(3):755-62. https://doi.org/10.1016/j.jep.2013.04.021. Epub 2013 Apr 28. PMID: 23632310. DOI: https://doi.org/10.1016/j.jep.2013.04.021

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Published

2021-11-27

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1.
Noreen S, Mubarik F, Farooq F, Khan M, Khan AU, Pane YS. Medicinal Uses of Licorice (Glycyrrhiza glabra L.): A Comprehensive Review. Open Access Maced J Med Sci [Internet]. 2021 Nov. 27 [cited 2024 Apr. 26];9(F):668-75. Available from: https://oamjms.eu/index.php/mjms/article/view/7526

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