Evidence map›Paper›PMID 31615045›Full record

ReviewFoods (Basel, Switzerland)2019

Bioactive Candy: Effects of Licorice on the Cardiovascular System.

Mikkel R Deutch, Daniela Grimm, Markus Wehland, Manfred Infanger, Marcus Krüger

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Foods (Basel, Switzerland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
9.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05661721 nacompletednot on this mapstarted 2023, after this paper: background citation

Licorice and Home Blood Pressure: a Randomized Crossover Trial

TypeinterventionalSponsorLinkoeping UniversityRan2023 to 2023Enrolled28ConditionsHypertension,EssentialArmsSweet licorice, Salty licorice
NCT06019598 nacompletednot on this mapstarted 2023, after this paper: background citation

Licorice and Home Blood Pressure, Additional Study

TypeinterventionalSponsorLinkoeping UniversityRan2023 to 2024Enrolled3ConditionsHypertension,EssentialArmsLicorice
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. The modifying effect of 11β-HSD in hypertension of diabetic patients.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Neuroprotective aftermath ofToxicology reports · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. The Power of Licorice (Healthcare (Basel, Switzerland) · 2023
    Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Mikkel R DeutchDepartment of Biomedicine, Aarhus University, 8000 Aarhus C, Denmark. mikkelrd@gmail.com.
Daniela GrimmDepartment of Biomedicine, Aarhus University, 8000 Aarhus C, Denmark. dgg@biomed.au.dk.
Markus WehlandClinic for Plastic, Aesthetic and Hand Surgery, Otto von Guericke University, 39120 Magdeburg, Germany. markus.wehland@med.ovgu.de.
Manfred InfangerClinic for Plastic, Aesthetic and Hand Surgery, Otto von Guericke University, 39120 Magdeburg, Germany. manfred.infanger@med.ovgu.de.
Marcus KrügerClinic for Plastic, Aesthetic and Hand Surgery, Otto von Guericke University, 39120 Magdeburg, Germany. marcus.krueger@med.ovgu.de.ORCID 0000-0003-1120-0246
Otto-von-Guericke-Universität Magdeburg · DEAarhus University · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Licorice, today chiefly utilized as a flavoring additive in tea, tobacco and candy, is one of the oldest used herbs for medicinal purposes and consists of up to 300 active compounds. The main active constituent of licorice is the prodrug glycyrrhizin, which is successively converted to 3β-monoglucuronyl-18β-glycyrrhetinic acid (3MGA) and 18β-glycyrrhetinic acid (GA) in the intestines. Despite many reported health benefits, 3MGA and GA inhibit the 11-β-hydrogenase type II enzyme (11β-HSD2) oxidizing cortisol to cortisone. Through activation of mineralocorticoid receptors, high cortisol levels induce a mild form of apparent mineralocorticoid excess in the kidney and increase systemic vascular resistance. Continuous inhibition of 11β-HSD2 related to excess licorice consumption will create a state of hypernatremia, hypokalemia and increased fluid volume, which can cause serious life-threatening complications especially in patients already suffering from cardiovascular diseases. Two recent meta-analyses of 18 and 26 studies investigating the correlation between licorice intake and blood pressure revealed statistically significant increases both in systolic (5.45 mmHg) and in diastolic blood pressure (3.19/1.74 mmHg). This review summarizes and evaluates current literature about the acute and chronic effects of licorice ingestion on the cardiovascular system with special focus on blood pressure. Starting from the molecular actions of licorice (metabolites) inside the cells, it describes how licorice intake is affecting the human body and shows the boundaries between the health benefits of licorice and possible harmful effects.

Indexed as

11-β-dehydrogenase isozyme 2glabridinglycyrrhetinic acidglycyrrhizinhyperaldosteronismhypertensionhypokalemialicorice

Identifiers

PMID31615045
PMCPMC6836258
OpenAlexW2979838909

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.