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Table 1 List of reported candidate liquorice biomarkers of intake, including information about dosage, study design, number of subjects, method used, sample type and the primary references

From: Biomarkers of food intake for cocoa and liquorice (products): a systematic review

Dietary factor

Dose of intervention

Comparable to no. of grams of liquorice containing 0.17% GLa

Study design

Number of subjects (no. of men)

Age range (years)

BMI rangeb (kg/m2)

Analytical method

Approach

Sample type and time

Candidate biomarkers of food intake

HMDB ID*

Primary ref.

Liquorice (products)

Solid

Katzen Kinder by Katjes (0.05% GL)

200 g

135

Acute single-dose study

4 (1)

26–29

18.6–28.6

LC-MS/MS (LC-ESI-MS)

Targeted

Blood (0, 0:05, 1, 2, 3, 5 and 7 h)

Urine (regularly)

Blood, 18-GA (highest after 6 h; 150–434 ng/ml)

Urine −

HMDB0011628

[53]

 

Solid liquorice (0.23% GL)

50, 100 and 200 g daily for 5 days

500 g within 4 h

68, 135 and 271

676

Parallel intervention study (5 days)

Acute single-dose study

3 (0)

1 (1)

19–23

22

U

U

GC-MS

Targeted

Urine (all up to 5 days)

Urine, 18-GA

 

[52]

Isolated compounds

Glycyrrhizin (GL)

600 mg in 2 dl water (excretion study)

353

Acute single-dose study

6 (5)

24–40

U

HPLC-UV

Targeted

Urine (all up to 4 days)

18-GA

3-MGA (Cmax 0.49–2.69 μg/ml)

HMDB0037827

[99]

Glycyrrhetinic acid (GA)

500 mg

509c

Acute single-dose study

10 (10)

24–38

U

LC analyser

Targeted

Serum (0, 2, 4, 7, 10 and 24 h)

Urine (0, 2, 4, 7, 10 and 24 h)

Serum, 18-GA (max after 2–4 h 13.4 μmol/l)

Urine −

 

[54]

Liquorice extract (LE) vs. glycyrrhizin

21 g LE vs. 1600 mg GL

941

Acute crossover study

16 (8)

U

U

HPLC-UV

Targeted

Plasma (up to 36 h)

18-GA (both after LE and GL consumption)

 

[55]

Glycyrrhetinic acid

500, 1000 and 1500 mg with water

294, 588 and 882

Parallel single-dose study

6 (6)

27–31

H, 176–180 cm

W, 65–73 kg

HPLC

Targeted

Plasma (− 0.5 h, every 30 min up to 8, 9, 10 and 12 h; 1000 mg additionally at 14 and 24 h; 1500 mg additionally at 48 h)

Urine (24 h)

Plasma, 18-GA (Cmax; 500, 4.5 mg/l; 1000, 7 mg/l; 1500, 9 mg/l, tmax 3-4 h)

Urine, 18-GA, and 18-GA glucuronides (only at 1500 mg dose)

18-GA glucuronides: not in HMDB

[51]

Liquid

Liquorice flavonoid oil (LFO, 90% MCT, 8% polyphenols, 1% glabridin)

300, 600 and 1200 mg of LFO vs. placebo

–

Parallel single-dose study

Parallel placebo-controlled intervention study (1 week)

Parallel placebo-controlled intervention study (4 weeks)

15 (15)

42 (21)

60 (30)

20–60

BW

> 50-kg men

> 40-kg women

SPE-LC-MS/MS

Targeted

Plasma (0, 2, 4, 6, 8 and 24 h)

Plasma (0, 4 and 24 h on day 1 and day 7)

Plasma (0 h on days 1, 14 and 28)

Glabridin (Cmax at 4 h, around 0.8–2.1 ng/ml depending on the dose)

HMDB0034188

[56]

Mixture

Glycyrrhetic acid, glycyrrhizin and solid liquorice (0.15% GL)

130 mg 18-GAc in water-propyleneglycol

225 mg GL in water

150-g sweet liquorice

150-g salted liquorice

132

4-way random acute crossover study

16 (8)

U

U

HPLC

Targeted

Plasma (− 1, 2, 2.5, 4, 5.5, 7, 8.5, 10, 11.5, 13, 14.5, 18, 22, 32, 48 and 56 h)

18-GA (Cmax about 1000 μg/l, same after salty or sweet-tasting liquorice)

 

[50]

  1. aCalculated based on the report of the European Scientific Committee on Food, reporting a mean glycyrrhizin content in liquorice confectionery of 0.17% [96]. This is not calculated for LE and LFO, as it is unclear what the exact percentages of these compounds are in liquorice itself
  2. bIf BMI was reported in the article, only height and/or weight were reported. If nothing was reported at all, we have written down U
  3. cAmount GA was first converted to amount GL, as 130 mg GA is equivalent to 225 mg GL, according to [50]
  4. *HMDB-ID is only reported once for the same candidate biomarker of food intake
  5. 18-GA 18(β)-glycyrrhetic acid or 18(β)-glycyrrhetinic acid, 3-MGA 3β-monoglucuronyl-18β-glycyrrhetinic acid, BW body weight, GC-MS gas chromatography-mass spectrometry, GL glycyrrhizin, H height, HPLC high-performance liquid chromatography, LC-ESI-MS liquid chromatography-electrospray ionization-tandem mass spectrometry, LC-MS/MS liquid chromatography-tandem mass spectrometry, LE liquorice extract, LFO liquorice flavonoid oil, Ref. reference, SPE-LC-MS/MS solid phase extraction liquid chromatography tandem mass spectrometry, U unknown: values not reported in the article, UV ultraviolet, W weight