Frontiers in Endocrinology (Jul 2019)

Licorice: From Pseudohyperaldosteronism to Therapeutic Uses

  • Chiara Sabbadin,
  • Luciana Bordin,
  • Gabriella Donà,
  • Jacopo Manso,
  • Giampiero Avruscio,
  • Decio Armanini

DOI
https://doi.org/10.3389/fendo.2019.00484
Journal volume & issue
Vol. 10

Abstract

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Licorice has been used as a medicinal plant from 2.500 years. It shows a wide range of biological and pharmacological activities, including anti-inflammatory and immune regulatory actions. One of its most known effects is the induction of hypertension, and it can induce what appears to be pseudohyperaldosteronism, due to glycyrrhetinic acid, the main active component of the root. Glycyrrhetinic acid and metabolites block the 11 beta-hydroxysteroid dehydrogenase type 2 and also bind mineralocorticoid receptors directly, acting as agonists. However, other interesting therapeutic uses of licorice are linked to its anti-androgen and estrogen-like activity, especially in the treatment of polycystic ovary syndrome (PCOS) in conjunction with spironolactone therapy. In this brief review, we report the main features and possible therapeutic uses of this ancient plant.

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