Introduction/Overview
Glycyrrhetinic acid (GA), CAS number 471-53-4, is a traditional Chinese medicine called licorice(Glycyrrhiza uralensis One of the most important active ingredients in Fisch et al. is pentacyclic triterpenoids. As a traditional Chinese medicine, licorice is largely attributed to glycyrrhetinic acid and its aglycone glycyrrhetinic acid for its modern pharmacological basis of "harmonizing various medicines," "detoxifying," and "tonifying the spleen and qi. Glycyrrhetinic acid is not only the main metabolite of glycyrrhetinic acid in the body, but also exhibits extensive and significant biological activity, especially in the treatment of digestive system diseases, which has attracted much attention. With the development of modern molecular pharmacology and structural biology, the multiple pharmacological effects and complex molecular mechanisms of glycyrrhetinic acid, such as anti ulcer, anti-inflammatory, and immune regulation, have gradually been revealed. This article aims to systematically review the chemical properties and pharmacological activities of glycyrrhetinic acid, especially its molecular target network for anti ulcer effects, and evaluate its pharmacological properties and clinical application prospects, in order to provide scientific reference for the deep development and clinical application of this natural product.
Chemical structure and physicochemical properties
Glycyrrhetinic acid is a pentacyclic triterpenoid compound of oleanane type, with the chemical name 3 β - hydroxy-11-oxoolean-12-ene-30-oic acid. Its parent nucleus is oleanane, substituted by a hydroxyl group with a β - configuration at position 3, a carbonyl (oxo) group at position 11, a double bond at position 12, and a carboxyl group at position 30. This unique structure is the material basis for its biological activity.
The pharmacological parameters show that the molecular weight is 470.6940, and the calculated lipid water partition coefficient (LogP) is 5.3389, indicating that the compound has high lipophilicity. The topological polar surface area (TPSA) is 74.6000 Å ², which is relatively low. The water solubility is extremely poor, only 0.0014 mg/mL, which directly affects its oral bioavailability and formulation development. Pharmacokinetic predictions indicate that its ability to penetrate the blood-brain barrier is low, suggesting a lower risk of central nervous system related side effects. In early safety screening, the hERG channel inhibition risk was negative, and the Ames test result was also 0.0, indicating a low risk of mutagenicity and a relatively good safety starting point. However, high LogP and low water solubility are the key physical and chemical bottlenecks that need to be overcome in its pharmaceutical process.
Plant sources and extraction methods
Glycyrrhetinic acid mainly comes from various plants of the genus Glycyrrhiza in the legume family, such as Ural licorice(Glycyrrhiza uralensis)Light fruit licorice(G. glabra)And swollen fruit licorice(G. inflata)Dry roots and rhizomes. In plants, glycyrrhetinic acid often exists in the form of potassium and calcium salts, and forms glucuronide with its 3-hydroxyl group, also known as glycyrrhizic acid (glycyrrhizin). Glycyrrhetinic acid content can reach 4% -20% of dry weight, which is the main source of sweet taste in licorice.
The extraction process usually starts with obtaining glycyrrhetinic acid, and then hydrolyzes it to obtain glycyrrhetinic acid. The regular process includes: 1)Extract Soak or reflux extract licorice medicinal materials with water or dilute alcohol; 2)Concentration and acidification Concentrate the extract and acidify it with acid to precipitate glycyrrhetinic acid; 3)refined Obtaining relatively pure glycyrrhetinic acid through methods such as recrystallization; 4)hydrolysis Heating and hydrolyzing glycyrrhetinic acid under acidic conditions (such as hydrochloric acid, sulfuric acid) to break its glucuronide bond, producing glycyrrhetinic acid and two molecules of glucuronic acid; 5)Separation and purification The hydrolysis product is extracted with organic solvents (such as ethyl acetate, chloroform) and separated by column chromatography (silica gel, reverse phase C18, etc.) to obtain high-purity glycyrrhetinic acid. Modern technologies such as ultrasound assisted extraction, microwave-assisted extraction, supercritical CO ₂ extraction, and high-speed countercurrent chromatography have also been applied to improve extraction efficiency and product purity.
Pharmacological activity research
Glycyrrhetinic acid has a wide range of pharmacological activities, mainly including:
1. Anti ulcer and gastric mucosal protective effects This is the most classic and extensively studied activity of glycyrrhetinic acid. It can significantly alleviate gastric mucosal damage caused by various experimental models such as pyloric ligation, stress, indomethacin or ethanol induction, and promote ulcer healing.
2. Anti inflammatory and immune regulatory effects Glycyrrhetinic acid inhibits inflammatory responses through multiple pathways, such as inhibiting phospholipase A2 and cyclooxygenase/lipoxygenase pathways, reducing the production of inflammatory mediators such as prostaglandins and leukotrienes, and regulating the function of immune cells such as macrophages and T lymphocytes.
3. Antiviral effect It has inhibitory effects on various viruses such as hepatitis virus, herpes simplex virus, human immunodeficiency virus, etc., and its mechanism may be related to changes in viral membrane fluidity, inhibition of key viral replication enzymes, etc.
4. Hepatoprotective effect To combat liver damage caused by various liver toxins such as CCl ₄ and acetaminophen, reduce serum transaminase levels, alleviate liver cell necrosis and steatosis.
5. Corticosteroid like effects in the adrenal cortex Due to its structural similarity to steroid hormones, it can simulate partial glucocorticoid activity, but long-term or excessive use may also lead to side effects similar to aldosteronism, such as edema, hypertension, and hypokalemia.
6. antitumor activity Recent studies have shown that glycyrrhetinic acid has inhibitory effects on the proliferation, induction of apoptosis, and inhibition of invasion and metastasis of various tumor cells. However, its specific mechanism and in vivo effectiveness still need to be further studied.
Mechanism of action and molecular targets
The pharmacological effects of glycyrrhetinic acid, especially its excellent anti ulcer activity, stem from its synergistic regulation of multiple targets and pathways, forming a complex network. Its core targets and mechanisms are as follows:
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Inhibiting gastric acid secretion and enhancing mucosal defense:
- Directly suppress proton pump Glycyrrhetinic acid can directly inhibit the growth of gastric wall cells H+/K+- ATPase(Proton pump) reduces the basal secretion and stimulated secretion of gastric acid, which is one of the key mechanisms of its antacid effect.
- Regulating gastrointestinal hormones and receptors It can upregulate somatostatin(SST)The release of somatostatin can inhibit gastrin(GAST)And the secretion of histamine. Meanwhile, glycyrrhetinic acid may antagonize histamine H2 receptors(HRH2)And gastrin receptor(CCKBR)Indirectly weaken the signal that promotes gastric acid secretion.
- Promote mucosal repair and protection Glycyrrhetinic acid can significantly upregulate mucin in gastric mucosa MUC5AC The expression enhances the thickness and stability of the mucus layer. Meanwhile, it promotes the transformation of growth factor alpha(TGFα)TGF α promotes epithelial cell proliferation, migration, and mucosal repair by binding to epidermal growth factor receptors.
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Regulating inflammation and immune microenvironment:
- Double inhibition of cyclooxygenase Glycyrrhetinic acid PTGS1(COX-1)and PTGS2(COX-2)All have inhibitory effects. Inhibition of COX-1 helps maintain gastric mucosal integrity (reducing ulcers caused by NSAIDs), while inhibition of COX-2 can alleviate local inflammation in ulcers. This dual inhibitory property strikes a balance between anti-inflammatory and mucosal protection.
- Inhibition of phospholipase A2 (PLA2)By inhibiting PLA2 and reducing the release of arachidonic acid, the production of inflammatory mediators such as prostaglandins and leukotrienes can be reduced from the source.
- Regulating signaling pathways such as nuclear factor kappa B (NF - κ B)Inhibiting the activation of NF - κ B and subsequently downregulating the production of pro-inflammatory cytokines such as tumor necrosis factor - α (TNF - α) and interleukin-6 (IL-6).
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Other potential targets:
- Inhibition of 11 β - hydroxysteroid dehydrogenase type 2 (11 β - HSD2)This is the main mechanism by which it produces mineralocorticoid like side effects. Glycyrrhetinic acid effectively inhibits 11 β - HSD2, an enzyme responsible for converting active cortisol into inactive corticosteroids. After the enzyme is inhibited, the local cortisol level increases and binds to the mineralocorticoid receptor, resulting in water sodium retention and potassium excretion.
- Ligand gated ion channel regulation There are studies suggesting that it may have a regulatory effect on GABA_A receptors, but it is not the main target of action.
In summary, the anti ulcer effect of glycyrrhetinic acid is not achieved through a single target, but through Inhibition of attack factors (gastric acid, inflammation)and Enhance defense factors (mucus, repair)The dual strategy works synergistically on a wide target network from hormone receptors (SST, HRH2, CCKBR), key enzymes (H+/K+- ATPase, PTGS1/2) to growth factors (TGF α) and structural proteins (MUC5AC), thereby achieving comprehensive gastric mucosal protection and ulcer healing promotion effects.
Evaluation of drug properties and pharmacokinetics
Although glycyrrhetinic acid has a wide range of activities, its medicinal properties face challenges. Its extremely low water solubility and high lipid solubility result in irregular oral absorption and low bioavailability. Animal pharmacokinetic studies have shown that glycyrrhetinic acid is slowly absorbed orally, widely distributed in the body, and has a high binding rate with plasma proteins. Its main metabolic pathway is hydroxylation and other reactions in the liver through the CYP450 enzyme system (such as CYP3A4), ultimately forming glucuronic acid complexes, which are excreted through bile and kidneys. Its half-life is relatively long.
To improve its medicinal properties, researchers have adopted various strategies:
1. Structural modification Esterification, salt formation, amide formation, or introduction of hydrophilic groups on its 30th carboxyl group, 3rd hydroxyl group, or A ring to improve solubility and activity. Glycyrrhetinic acid aluminum (glycyrrhetinic acid) is its complex with aluminum, which was once used for anti ulcer treatment, but has been rarely used due to the potential toxicity and absorption issues of its aluminum ions. Glycyrrhetinic acid derivatives such as 18 β - glycyrrhetinic acid-3-O-succinate disodium salt (gastric ketone) have been used clinically.
2. Formulation technology By utilizing drug delivery systems such as solid dispersions, cyclodextrin inclusion complexes, liposomes, nanoparticles, and self microemulsions, the dissolution rate, stability, and bioavailability are significantly improved. For example, new formulations such as glycyrrhetinic acid phospholipid complex and glycyrrhetinic acid nanocrystals have shown better pharmacological effects.
3. Prodrug design Prepare glycyrrhetinic acid as a prodrug that is activated at specific sites (such as inflammation or tumor microenvironment) to enhance targeting and reduce systemic side effects.
Clinical application prospects and prospects
At present, drugs that directly use glycyrrhetinic acid as a single ingredient are rare in the mainstream market, but its structural value and application potential as the active core are still enormous.
- Development of therapeutic drugs for digestive system diseases Developing new, efficient, and low side effect gastric mucosal protectants or ulcer treatment drugs based on their clear multi-target mechanism for anti ulcer treatment remains an important direction. Especially for gastric diseases caused by refractory ulcers or NSAIDs, its multi-target characteristics have advantages. New delivery systems, such as colon targeted agents, may also expand their applications in inflammatory bowel disease.
- Anti inflammatory and immunomodulatory agents In the field of dermatology, glycyrrhetinic acid and its derivatives have been widely used as topical preparations to treat eczema, dermatitis, psoriasis, and other conditions. The development of systemic anti-inflammatory drugs needs to focus on addressing their mineralocorticoid like side effects, and obtaining "decoupled" derivatives through structural modification (i.e. retaining anti-inflammatory activity while removing 11 β - HSD2 inhibitory activity) is a research hotspot.
- Antiviral and hepatoprotective drugs As an adjuvant drug, it still has application value in the treatment of chronic hepatitis, herpes virus infection, and other conditions. Combined use with other antiviral drugs may have a synergistic effect.
- Antitumor adjuvant therapy and chemopreventive agents Its anti-inflammatory and apoptosis inducing effects make it promising in tumor chemoprevention and adjuvant therapy, and may be used to reduce the risk of certain cancers or enhance the efficacy of chemotherapy drugs.
- As a lead compound for drugs Glycyrrhetinic acid has multiple modifiable sites and is an excellent natural lead compound for rational drug design and structural optimization. Through modern medicinal chemistry methods, it is expected to develop a new generation of drugs with higher selectivity, better pharmacokinetic properties, and fewer side effects.
Future research should focus on: ① using computational chemistry and structural biology methods to accurately analyze the interaction mode between glycyrrhetinic acid and key targets (such as PTGS1/2, 11 β - HSD2), guiding the design of highly selective derivatives; ② Deeply explore the molecular mechanisms of its new activities such as anti-tumor and anti fibrosis; ③ Accelerate the development and clinical translation of formulations based on new drug delivery systems, overcoming their physical and chemical property shortcomings; ④ Conduct high-quality prospective clinical studies to confirm its efficacy and safety in specific diseases, such as specific types of gastritis, oral ulcers, etc.
Conclusion
Glycyrrhetinic acid, as a classic pentacyclic triterpenoid compound derived from licorice, has undergone decades of research and its rich pharmacological activity and complex multi-target mechanism of action have been continuously elucidated. From the traditional anti ulcer "star molecule" to the modern multidisciplinary pharmacological research "versatile", glycyrrhetinic acid demonstrates the enduring charm of natural products as a source of drug discovery. Although its own water solubility and aldosterone like side effects limit direct drug development, these challenges have precisely driven advances in related disciplines such as medicinal chemistry and pharmacy in their derivative design and formulation innovation. With the development of systems biology, precision medicine, and intelligent delivery technology, the understanding of glycyrrhetinic acid will deepen from "one compound, multiple targets" to "one core structure, multiple precision tools". In the future, new therapeutic drugs developed based on the structure skeleton of glycyrrhetinic acid are expected to achieve breakthroughs in digestive system diseases, inflammatory and immune diseases, and even tumors, continuing the vitality of this ancient molecule in modern medicine.