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. 2021 Feb 17;1(3):100043. doi: 10.1016/j.phyplu.2021.100043

Table 2.

The antiviral activity and mechanism of action of glycyrrhizin (Glycyrrhizic Acid) and its various derivatives in articles published  from 1979 to 2020.

Glycyrrhizic Acid and its derivatives Method of research Major finding Mechanism of actions References
Glycyrrhizic acid
Glycyrrhizic acid
Glycyrrhizin
Ribavirin, 6-azauridine, pyrazofurin, mycophenolic acid, and glycyrrhizin
Glycyrrhizic Acid Derivatives
Glycyrrhizin
Glycyrrhizin
Chalcones isolated by bioassay-guided fractionation of acetone extract of Glycyrrhiza ‘inflata.’ .
Glycyrrhizin
18β-glycyrrhetinic acid (GRA) and Glycyrrhizin (GA)
Glycyrrhizin
Pentacyclic triterpenes,glycyrr.
Licorice triterpene glycyrrhizic acid (GRA
Glycyrrhizin
Gycyrrhizic acid  derivatives
Glycyrrhizic acid
Triterpenoids
Water-Soluble β-Cyclodextrin-glycyrrhetinic Acid Conjugates
Glycyrrhizic acid (GL) derivatives
Glycyrrhizin
Glycyrrhizic‐Acid
Based Carbon Dots
Glycyrrhizin
Cell culture
Cell culture
Cell line
MT-4 and MOLT-4 cells
Two clinical isolates of coronavirus (FFM-1 and FFM-2) from patients with SARS
Human Respiratory Tract Cell Lines
Lung
epithelial (A549) cells
Porcine reproductive and respiratory syndrome virus (PRRSV).
HCV infected liver cells
MDCK cells
A/WSN/33 (H1N1) virus using the cytopathic effect assay.
Cell culture-produced HCV (HCVcc.
Balb/C mice
Cultured human cells
MARC-145 cells infected with  porcine reproductive and respiratory syndrome virus
( PRRSV).
Porcine kidney (PK‐15) cells, African green monkey kidney (Vero) cells,
Sprague–Dawley
Cell lines
Many celllines as Human embryonic kidney (293T cells).
Cell lines
Infected DENV type 2 (DENV2) in Vero E6 cells.
Cell line
MOCK infected cells
Molecular docking  study
Inhibits growth and cytopathology of several unrelated DNA and RNA viruses, while not affecting cell activity and ability to replicate.
Inhibits the growth of several DNA and RNA viruses in cell cultures and inactivates Herpes simplex 1 virus irreversibly.
Suppress hepatitis B virus. glycyrrhizin administered intravenously might bind to hepatocytes at the concentration at which glycyrrhizin could modify the expression of HBV-related antigens on the hepatocyte .
Of all the compounds, glycyrrhizin was the most active in inhibiting replication of the SARS-associated virus.
Modified glycyrrhizin has 70-fold increased activity against SARS-CoV but also increased cytotoxicity.
It has antiviral effect and this inhibitory effect was abolished by treatment 1 h after virus infection.
It inhibited H5N1-induced expression of the pro-inflammatory molecules CXCL10, interleukin 6, CCL2, and CCL5  and interfered with H5N1 replication.
Strong inhibitory effects on influenza viral strains, H1N1, H9N2, novel H1N1 (WT), and oseltamivir-resistant novel H1N1and 
synergistic effect with oseltamivir.
GL inhibit HCV full length  and function in a dose dependent manner  and had synergistic effect with interferon.
GRA, but not GA, has significant antiviral activity against rotavirus replication in vitro,
Treatment of HCV-infected Huh7 cells caused a reduction of infectious HCV production. combination treatment with GL augmented IFN-induced reduction of virus in the HCVcc system.
Exhibited good inhibitory activities against the influenza virus A/WSN/33 (H1N1) in MDCK cells and  showed anti-HIV activities.
GRA demonstrated a strong antiherpes simplex virus type 1,  (HSV1) activity, resistance typewhereas rapamycin had no activity.
Glycyrrhizin significantly reduced PRRSV proliferation and PRRSV-encoded protein expression in a dose-dependent manner.
GL derivatives are potent as anti-influenza A/H1N1 agents.
Entecavir and glycyrrhizic acid combination but not Glycyrrhizin produce synergistic  anti-HBV activity.
Effective against  Ebola, Marburg, HIV, and influenza A, triterpenoids are viral fusion inhibitors.
Findings suggested that GA could be used as a lead compound for the development of potential anti-influenza virus agents.
GL conjugates were found as potent anti- Dengue virus.
Glycyrrhizin (GLY) inhibited porcine epidemic diarrhea virus (PEDV) infection,
Gly‐CDs possess extraordinary antiviral activity, providing a promising candidate for treatment of  respiratory syndrome virus infection.
Has potential anti-2019-nCoV and may prevent the 2019-nCoV infection.
Unknown
Unknown
Inhibit RANTES secretion.
Unknown
The mechanism of glycyrrhizin's activity against SARS-CV may be through  Glycyrrhizin affects cellular signaling pathways such as protein kinase C; casein kinase II; and transcription factors such as activator protein 1 and nuclear factor κB.
The antiviral activity is mediated by an interaction with the cell membrane which most likely results in reduced endocytotic activity and hence reduced virus uptake.
Inhibition of H5N1-induced formation of reactive oxygen species and (in turn) reduced activation of NFκB, JNK, and p38, redox-sensitive signaling events known to be relevant for influenza A.
Neuraminidase inhibitors
GL dose dependently inhibit the expression of HCV 3a core gene both at mRNA and protein levels.
Inhibitory effects on various neuraminidases.
Due to its inhibitory effect on PLA2G1B( phospholipase A2 of  group 1B PLA2
Triterpenoids bind tightly to the viral envelope hemagglutinin (HA), disrupting the interaction of HA with the sialic acid receptor and thus the attachment of viruses to host cells.
GRA induced a Beclin 1 production that was more than twofold higher than that produced by rapamycin, GRA is a strong inducer of the autophagy activator Beclin 1, which establishes a resistance state to HSV1 replication.
Gycyrrhizin mainly inhibits the penetration stage, and has little effect on the steps of adsorption or release of PRRSV in its life cycle.
With multisite inhibition mechanisms.
Synergistic actions were primarily due to the inhibitory effect of glycyrrhizic acid on MRP4 and BCRP, which transport Entecavir out of hepatocytes.
Triterpenoid block the entry of  many viruses by capturing the HR2 domain prevalent in viral envelopes.
Unknown
May through interaction with DENV2 targets like NS2B-NS3 protease, NS3 helicase, and NS5 RNA-dependent RNA polymerase.
Glycyrrhizin inhibited PEDV infection and decreased proinflammatory cytokine secretion via the HMGB1/TLR4-mitogen-activated protein kinase (MAPK) p38 pathway.
Host receptor for 2019-nCoV Angiotensinconverting
enzyme 2 (ACE2), is the same as the host receptor for SARS-CoV. Gycyrrhizin.
Unknown
Pompei et al., 1979
Pompei et al., 1980
Sato et al., 1996
Cinatl et al., 2003
Hoever et al., 2005
Wolkerstorfer et al., 2009
Michaelis et al., 2011
Dao et al., 2011
Ashfaq et al., 2017
Hardy et al., 2012
Matsumoto et al., 2013
Yu et al., 2014
Laconi et al., 2014
Duan et al., 2015
Baltina et al., 2015
Chen et al., 2017b
Si et al., 2018
Liang  et al., 2019
Baltina et al., 2019
Gao et al., 2020
Tong et al.,(2020)
Chen and Du, 2020