Licorice, the root extract of Glycyrrhiza glabra L., is used as a medi
cine for various diseases. Antiinflammatory as well as anti-allergic a
ctivities have been attributed to one of its main constituents, glycyr
rhizin. These activities are mainly ascribed to the action of the agly
cone, beta-glycyrrhetinic acid. beta-Glycyrrhetinic acid has a steroid
-like structure and is believed to have immunomodulatory properties. T
o determine whether interference with complement functions may contrib
ute to the immunomodulatory activity of beta-glycyrrhetinic acid, its
effects on the classical and alternative activation pathways of human
complement were investigated. We found that beta-glycyrrhetinic acid i
s a potent inhibitor of the classical complement pathway (IC50=35 mu M
), whereas no inhibitory activity was observed towards the alternative
pathway (IC50>2500 mu M). The anticomplementary activity of beta-glyc
yrrhetinic acid was dependent on its conformation, since the alpha-for
m was not active. It was also established that naturally occurring ste
roids, e.g. hydrocortisone and cortisone, did not inhibit human comple
ment activity under similar conditions. Detailed mechanistic studies r
evealed that beta-glycyrrhetinic acid acts at the level of complement
component C2.