Li Yanwen, Wu Juan, Du Fang, Tang Tao, Lim Jonathan Chee Woei, Karuppiah Thilakavathy, Liu Jiaxin, Sun Zhong
Department of Basic Medicine, Medical School, Kunming University of Science and Technology, Kunming 650500, China.
Department of Medicine, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, UPM, Serdang 43400, Malaysia.
Pharmaceuticals (Basel). 2024 Nov 7;17(11):1493. doi: 10.3390/ph17111493.
Ischemic stroke is a leading cause of disability and mortality worldwide, with current therapies limited in addressing its complex pathophysiological mechanisms, such as inflammation, oxidative stress, apoptosis, and impaired autophagy. Glycyrrhizic acid (GA), a bioactive compound from licorice ( L.), has demonstrated neuroprotective properties in preclinical studies. This review consolidates current evidence on GA's pharmacological mechanisms and assesses its potential as a therapeutic agent for ischemic stroke. : This review examines findings from recent preclinical studies and reviews on GA's neuroprotective effects, focusing on its modulation of inflammation, oxidative stress, apoptosis, and autophagy. Studies were identified from major scientific databases, including PubMed, Web of Science, and Embase, covering research from January 2000 to August 2024. : GA has demonstrated significant neuroprotective effects through the modulation of key pathways, including HMGB1/TLR4/NF-κB and Keap1/Nrf2, thereby reducing neuroinflammation, oxidative stress, and apoptosis. Additionally, GA promotes autophagy and modulates immune responses, suggesting it could serve as an adjunct therapy to enhance the efficacy and safety of existing treatments, such as thrombolysis. : Current findings underscore GA's potential as a multi-targeted neuroprotective agent in ischemic stroke, highlighting its anti-inflammatory, antioxidant, and anti-apoptotic properties. However, while preclinical data are promising, further clinical trials are necessary to validate GA's therapeutic potential in humans. This review provides a comprehensive overview of GA's mechanisms of action, proposing directions for future research to explore its role in ischemic stroke management.
缺血性中风是全球致残和致死的主要原因,目前的治疗方法在解决其复杂的病理生理机制方面存在局限性,如炎症、氧化应激、细胞凋亡和自噬受损。甘草酸(GA)是甘草中的一种生物活性化合物,在临床前研究中已显示出神经保护特性。本综述汇总了关于GA药理机制的现有证据,并评估了其作为缺血性中风治疗药物的潜力。:本综述考察了近期临床前研究的结果以及关于GA神经保护作用的综述,重点关注其对炎症、氧化应激、细胞凋亡和自噬的调节作用。研究是从包括PubMed、科学网和Embase在内的主要科学数据库中筛选出来的,涵盖了2000年1月至2024年8月的研究。:GA已通过调节关键通路,包括HMGB1/TLR4/NF-κB和Keap1/Nrf2,显示出显著的神经保护作用,从而减轻神经炎症、氧化应激和细胞凋亡。此外,GA促进自噬并调节免疫反应,表明它可作为辅助治疗,以提高现有治疗方法(如溶栓)的疗效和安全性。:目前的研究结果强调了GA作为缺血性中风多靶点神经保护剂的潜力,突出了其抗炎、抗氧化和抗凋亡特性。然而,虽然临床前数据很有前景,但仍需要进一步的临床试验来验证GA在人类中的治疗潜力。本综述全面概述了GA的作用机制,为未来研究探索其在缺血性中风治疗中的作用提供了方向。