Glycyrrhizic acid suppresses atopic dermatitis-like symptoms by regulating the immune balance

J Cosmet Dermatol. 2022 Dec;21(12):7090-7099. doi: 10.1111/jocd.15383. Epub 2022 Sep 26.

Abstract

Background: Glycyrrhiza is one of the most widely used traditional Chinese medicines in China. Its main bioactive ingredient glycyrrhizic acid (GA) has the potential to be used as a treatment for atopic dermatitis (AD) because it has similar actions to steroids, but with relatively few side effects.

Aims: The objective of this study was to explore the potential mechanisms of GA on AD mice model.

Methods: Calcipotriol, a vitamin D3 analogue (MC903) was applied topically to establish AD mouse model. Mice were intraperitoneally administrated with 2 mg/kg dexamethasone (DEX), 25 or 50 mg/kg GA for 15 days. After mice were executed, skin tissues were collected and detected the expression levels of IL-4, IFN-γ, TNF-α and thymic stromal lymphopoietin (TSLP). The percentages of Th1, Th2, Th17, langerhans cells (LCs) in draining lymph nodes (dLNs) were measured by flow cytometry.

Results: Our data demonstrated that GA improved the symptoms of AD by exerting anti-inflammatory and anti-allergic functions in vivo. We found that GA treatment decreased the level of total IgE in serum, suppressed ear swelling, reduced the infiltration of mast cells in skin lesions and decreased expressions of IL-4, IFN-γ, TNF-α and TSLP in skin lesions. Furthermore, our experimental results demonstrated that GA suppressed the Th1/Th2/Th17-immune responses in the dLNs, inhibited the migration of LCs in dLNs.

Conclusions: In conclusion, our findings suggested potential therapeutic effects of GA against MC903-induced AD-like skin lesions in mice.

Keywords: anti-inflammatory; atopic dermatitis; glycyrrhizic acid; immune balance.

MeSH terms

  • Animals
  • Cytokines / metabolism
  • Dermatitis, Atopic*
  • Glycyrrhizic Acid / adverse effects
  • Interleukin-4 / adverse effects
  • Mice
  • Skin
  • Thymic Stromal Lymphopoietin
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Glycyrrhizic Acid
  • Tumor Necrosis Factor-alpha
  • Interleukin-4
  • Cytokines
  • Thymic Stromal Lymphopoietin