Licorice: An Overview Of Health Benefits and Risks

Yazarlar

Melahat Sedanur Macit
Eda Köksal

Özet

This comprehensive review explores the health benefits and potential adverse effects of licorice, primarily focusing on species like Glycyrrhiza glabra, Glycyrrhiza inflata, and Glycyrrhiza uralensis. Licorice contains significant bioactive components, including over 20 triterpenoids and 300 flavonoids, with glycyrrhizin being the most abundant and active compound. Extensively utilized in traditional medicine and the food industry as a sweetener, modern scientific research supports numerous positive health attributes of the plant. These documented benefits include antiulcer, antioxidant, anti-inflammatory, antiatherosclerotic, antiprotozoal, antitumoral, antifungal, neuroprotective, and hepatoprotective properties. For instance, licorice stimulates prostaglandins to promote gastric mucus secretion and demonstrates cytotoxicity against cancerous cells. Conversely, excessive or long-term consumption of licorice poses serious health risks due to its glycyrrhizin content. Reported adverse effects include hypertension, hypokalemia (severe potassium depletion), muscle weakness, rhabdomyolysis, and generalized edema. These complications arise because glycyrrhizin metabolites inhibit the 11β-HSD2 enzyme, leading to increased mineralocorticoid activity. Consequently, international organizations like the WHO and European Union have established a maximum recommended intake of 100 mg/day of glycyrrhizin to minimize toxicity risks.

Referanslar

Karkanis A, Martins N, Petropoulos SA, Ferreira ICRF. Phytochemical composition, health effects, and crop management of liquorice (Glycyrrhiza glabra L.): Α medicinal plant. Food Reviews International. 2016;4(2): 182-203.

Chen X, Liu Z, Meng R et al. Antioxidative and anticancer properties of Licochalcone A from licorice. J Ethnopharmacol. 2017;198:331-337.

Isbrucker RA, Burdock GA. Risk and safety assessment on the consumption of Licorice root (Glycyrrhiza sp.), its extract and powder as a food ingredient, with emphasis on the pharmacology and toxicology of glycyrrhizin. Regul Toxicol Pharmacol. 2006;46(3):167-92.

Yang R, Wang LQ, Yuan BC et al. The Pharmacological Activities of Licorice. Planta Med. 2015;81:1654–1669.

Zadeh JB, Kor ZM, Goftar MK. Licorice (Glycyrrhiza glabra Linn) As a Valuable Medicinal Plant. IJABBR. 2013;1(10):1281-1288.

Rizzato G, Scalabrin E, Radaelli M, Capodaglio G, Piccolo O. A new exploration of licorice metabolome. Food Chem. 2017;221:959-968.

Kao TC, Wu CH, Yen GC. Bioactivity and potential health benefits of licorice. J Agric Food Chem. 2014;62(3):542-53.

Hendrickson T, Oliver H, Kabadi UM. Licorice Edema. Endocrinol Diabetes Res. 2016;2(2).

D’Angelo S, Morana A, Salvatore A et al. Protective Effect of Polyphenols from Glycyrrhiza glabra Against Oxidative Stress in Caco-2 Cells. J Med Food. 2009;12(6):1326–1333.

Nazari S, Rameshrad M, Hosseinzadeh H. Toxicological Effects of Glycyrrhiza glabra (Licorice): A Review. Phytother Res. 2017;31(11):1635-1650.

Ay MO, Aktürk A, Çolakoğlu A et al. Aşırı meyan kökü şerbeti alımına bağlı hipopotasemik paralizi ve solunum yetersizliği. Cukurova Medical Journal. 2014;39(2).

Qingying Zhang, M.Y., Chemical analysis of the Chinese herbal medicine Gan-Cao (licorice). Journal of Chromatography A, 2009. 1216 p. 1954–1969.

Wang Q, Qiao X, Liu CF et al. Metabolites identification of glycycoumarin, a major bioactive coumarin from licorice in rats. J Pharm Biomed Anal. 2014;98:287-95.

Qiao X, Song W, Ji S et al. Separation and characterization of phenolic compounds and triterpenoid saponins in licorice (Glycyrrhiza uralensis) using mobile phase-dependent reversed-phasexreversed-phase comprehensive two-dimensional liquid chromatography coupled with mass spectrometry. J Chromatogr A. 2015;1402:36-45.

Wang Q, Qiao X, Qian Y et al. Metabolites identification of glycyrin and glycyrol, bioactive coumarins from licorice. J Chromatogr B Analyt Technol Biomed Life Sci. 201; 983-984:39-46.

He J, Chen L, Heber D et al. Antibacterial Compounds from Glycyrrhiza uralensis. J Nat Prod. 200; 69:121-124.

Tang ZH, Li T, Tong YG et al. A Systematic Review of the Anticancer Properties of Compounds Isolated from Licorice (Gancao). Planta Med. 2015;81(18):1670-87.

Wang J, Chen X, Wang W et al., Glycyrrhizic acid as the antiviral component of Glycyrrhiza uralensis Fisch. against coxsackievirus A16 and enterovirus 71 of hand foot and mouth disease. J Ethnopharmacol. 2013;147(1):114-21.

Bahmani, M., Rafieian-Kopaei M, Jeloudori M et al., A review of the health effects and uses of drugs of plant licorice (Glycyrrhiza glabra L.) in Iran. Asian Pacific Journal of Tropical Disease. 2014;4:S847-S849.

Tan G, Zhu Z, Zhang H et al., Analysis of phenolic and triterpenoid compounds in licorice and rat plasma by high-performance liquid chromatography diode-array detection, time-of-flight mass spectrometry and quadrupole ion trap mass spectrometry. Rapid Commun Mass Spectrom, 2010;24(2):209-18.

Li K, Ji S, Song W et al. Glycybridins A-K, Bioactive Phenolic Compounds from Glycyrrhiza glabra. J Nat Prod. 201; 80(2):334-346.

Chigurupati H, Auddy B, Biyani M et al. Hepatoprotective Effects of a Proprietary Glycyrrhizin Product during Alcohol Consumption: A Randomized, Double-Blind, Placebo-Controlled, Crossover Study. Phytother Res. 2016;30(12):1943-1953.

Armanini D, Mattarello MJ, Fiore C et al., Licorice reduces serum testosterone in healthy women. Steroids. 2004;69(11-12):763-6.

Hoi-tak Chan, CC, John W. Ho, Inhibition of glycyrrhizic acid on aflatoxin B1-induced cytotoxicity in hepatoma cells. Toxicology. 2003;188:211-217.

Inami K, Mine Y, Kojo Y et al. Antimutagenic components in Glycyrrhiza against N-methyl-N-nitrosourea in the Ames assay. Nat Prod Res, 2017;31(6): 691-695.

Shults EE, Shakirov MM, Pokrovsky MA et al. Phenolic compounds from Glycyrrhiza pallidiflora Maxim. and their cytotoxic activity. Nat Prod Res. 2017;31(4):445-452.

Kim KR, Jeong CK, Park KK et al., Anti-inflammatory effects of licorice and roasted licorice extracts on TPA-induced acute inflammation and collagen-induced arthritis in mice. J Biomed Biotechnol. 2010;2010:709378.

Huan Shen, zeng G, Tang G et al. Antimetastatic effects of licochalcone A on oral cancer via regulating metastasis-associated proteases. Tumor Biology. 2014;35(8):7467–7474.

Fukuchi K, Okudaira N, Adachi K et al., Antiviral and Antitumor Activity of Licorice Root Extracts. In Vivo. 2016;30(6):777-786.

Fogelman Y, Gaitini D, Carmeli E. Antiatherosclerotic effects of licorice extract supplementation on hypercholesterolemic patients: decreased CIMT, reduced plasma lipid levels, and decreased blood pressure. Food Nutr Res. 2016;60:30830.

Carmeli E, Fogelman Y. Antioxidant effect of polyphenolic glabridin on LDL oxidation. Toxicol Ind Health. 2009;25:321–324.

Yu JY, Ha JY, Kim KM, et al. Anti-Inflammatory activities of licorice extract and its active compounds, glycyrrhizic acid, liquiritin and liquiritigenin, in BV2 cells and mice liver. Molecules. 2015;20(7):13041-54.

Ravanfar P, Namazi G, Atigh M et al., Efficacy of whole extract of licorice in neurological improvement of patients after acute ischemic stroke. Journal of Herbal Medicine. 2016;6(1):12-17.

Abdel Bar FM, Elimam DM, Mira AS et al. Derivatization, molecular docking and in vitro acetylcholinesterase inhibitory activity of glycyrrhizin as a selective anti-Alzheimer agent. Nat Prod Res. 2018;p. 1-9.

Aly AM, Al-Alousi L, Salem HA. Licorice: A Possible Anti-inflammatory and Anti-ulcer Drug. AAPS PharmSciTech. 2005;6(1).

Jalilzadeh-Amin G, Najarnezhad V, Anassori E et al. Antiulcer Properties of Glycyrrhiza Glabra L. Extract on Experimental Models of Gastric Ulcer in Mice. Iranian Journal of Pharmaceutical Research. 2015;14(4):1163-1170.

Mukherjee M, Bhaskaran N, Srinath R. Anti-ulcer and antioxidant activity of GutGardTM. Indian Journal of Experimental Biology. 2010;48:269-274.

Fu Y, Chen J, Li YJ et al. Antioxidant and anti-inflammatory activities of six flavonoids separated from licorice. Food Chem, 2013;141(2):1063-71.

Kalani K, Agarwal J, Alam S et al. In silico and in vivo anti-malarial studies of 18beta glycyrrhetinic acid from Glycyrrhiza glabra. PLoS One. 2013;8(9):e74761.

Bagavan A, Rahuman AA, Kaushik NK et al. In vitro antimalarial activity of medicinal plant extracts against Plasmodium falciparum. Parasitol Res. 2011;108(1):15-22.

Chandel S, Bagai U, Vashishat N. Antiplasmodial activity of Xanthium strumarium against Plasmodium berghei-infected BALB/c mice. Parasitol Res. 2012;110(3):1179-83.

Sangian H, Faramarzi H, Yazdinezhad A et al., Antiplasmodial activity of ethanolic extracts of some selected medicinal plants from the northwest of Iran. Parasitol Res. 2013;112(11):3697-701.

Yun-chi W, Yu-lin J, Lin Y. Anti-Toxoplasma Test of Extracts of Three Traditional Chinese Medicine and Inonotus obliquus in Vitro. Progress in Veterinary Medicine. 2012;2.

Meena AK, Kaur R, Singh B et al. Review on antifungal activities of Ayurvedic Medicinal Plants. Drug Invention Toda.y 2009;2(2):146-148.

Messier C, Grenier D. Effect of licorice compounds licochalcone A, glabridin and glycyrrhizic acid on growth and virulence properties of Candida albicans. Mycoses. 2011;54(6):e801-6.

Zamansoltani F, Nassiri-Asl M, Sarookhani MR et al. Antiandrogenic activities ofGlycyrrhiza glabrain male rats. International Journal of Andrology. 2009;32(4):417-422.

Mattarello MJ, Benedini S, Fiore C et al., Effect of licorice on PTH levels in healthy women. Steroids. 2006;71(5):403-8.

Wu F, Z Jin, Jin J. Hypoglycemic effects of glabridin, a polyphenolic flavonoid from licorice, in an animal model of diabetes mellitus. Mol Med Rep. 2013;7(4):1278-82.

Kalaiarasi P, Pugalendi KV. Antihyperglycemic effect of 18 beta-glycyrrhetinic acid, aglycone of glycyrrhizin, on streptozotocin-diabetic rats. Eur J Pharmacol. 2009;606(1-3):269-73.

Madiha El Awamie CR. Identification of the Antimicrobial Effect of Liquorice Extracts on Gram-Positive Bacteria: Determination of Minimum Inhibitory Concentration and Mechanism of Action Using a luxABCDE Reporter Strain. International Scholarly and Scientific Research & Innovation. 2016;10(6).

Asha MK, Debraj D, Prashanth D 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.

Huo HZ, Wang B, Liang YK et al. Hepatoprotective and antioxidant effects of licorice extract against CCl(4)-induced oxidative damage in rats. Int J Mol Sci. 2011;12(10):6529-43.

Al-Qarawi AA, Abdel-Rahman HA, El-Mougy SA. Hepatoprotective Activity of Licorice in Rat Liver Injury Models. Journal of Herbs, Spices & Medicinal Plants. 2008;8(1):7-14.

Jain P, Sontakke P, Walia S et al. Assessment of the efficacy of licorice versus 0.2% chlorhexidine oral rinse on plaque-induced gingivitis: A randomized clinical trial. Indian Journal of Oral Health and Research. 2017;3(1):15.

Messier C, Epifano F, Genovese S et al. Licorice and its potential beneficial effects in common oro-dental diseases. Oral Dis. 2012;18(1):32-9.

Hesham R, Omar IK, El-Ghonemi M et al. Licorice abuse: time to send a warning message. Ther Adv Endocrinol Metab. 2012;3(4):125–138.DOI: 10.1177/2042018812454322.

Ottenbacher R, Blehm J. An Unusual Case of Licorice-Induced Hypertensive Crisis. S D Med. 2015;68(8):346-7, 349.

Sailler L, Juchet H, Ollier S et al. Generalized edema caused by licorice: a new syndrome. Apropos of 3 cases. Rev Med Internel. 1993;14:984.

Hu Z, Yang X, Ho PC, et al., Herb-Drug Interactions A Literature Review. Drugs. 2005;65(9):1239-1282.

Feng X, Ding L, Qiu F. Potential drug interactions associated with glycyrrhizin and glycyrrhetinic acid. Drug Metab Rev. 2015;47(2):229-238.

Farese S, Kruse A, Pasch A et al., Glycyrrhetinic acid food supplementation lowers serum potassium concentration in chronic hemodialysis patients. Kidney Int. 2009;76(8):877-84.

Ferrari P, Sansonnens A, Dick B et al. In vivo 11beta-HSD-2 activity: variability, salt-sensitivity, and effect of licorice. Hypertension. 2001;38:1330-6.

European Commission Health & Consumer Protection Directorate-General Scientific Committee on Food. Opinion of the Scientific Committee On Food On Glycyrrhizinic Acid And Its Ammonium Salt. 2003.

National center for complementary and alternative medicine. Licorice Root. NCCIH Publication No.: D318. 20146.

World Health Organization. Evaluation of Certain Food Additives. WHO Technical Report Series. 2005;928.

The Food and Drug Administration. Food and Drugs-Food For Human Consumption. 2017;3:21CFR184.1408

Størmer FC, Reistad R, Alexander J. Adverse health effects of glycyrrhizinic acid in liquorice. A risk assessment. Nordiske seminar- og Arbejdsrapporter. 1993;526.

Bijlsma JA, Van Vloten P, Van Gelderen CEM., et al. Onderzoek naar de effecten van verschillende doseringen glycyrrhizine bij gezonde vrouwelijke vrijwilligers. [Study into the effects of different dosages of glycyrrhizin in health female volunteers; in Dutch]. RIVM report 1996; 348801004.

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5 Nisan 2022

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