Document Detail

Licorice: a sweet alternative to prevent hyperkalemia in dialysis patients?
MedLine Citation:
PMID:  19789539     Owner:  NLM     Status:  MEDLINE    
In patients on hemodialysis, Farese et al. report that inhibition of the enzyme 11beta-hydroxysteroid dehydrogenase type 2 by glycyrrhetinic acid, the active compound of licorice, reduces serum potassium concentration and the frequency of hyperkalemia, possibly by enhancing intestinal potassium loss. This finding could be an important tool to maintain predialysis [K(+)] within safe limits in some dialysis patients at risk of hyperkalemic arrhythmias.
Paolo Ferrari
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Publication Detail:
Type:  Comment; Journal Article    
Journal Detail:
Title:  Kidney international     Volume:  76     ISSN:  1523-1755     ISO Abbreviation:  Kidney Int.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-30     Completed Date:  2009-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0323470     Medline TA:  Kidney Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  811-2     Citation Subset:  IM    
Department of Nephrology, Fremantle Hospital, University of Western Australia, Perth, Australia.
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MeSH Terms
11-beta-Hydroxysteroid Dehydrogenase Type 2 / antagonists & inhibitors*,  metabolism
Arrhythmias, Cardiac / etiology,  prevention & control
Biological Markers / blood
Cortisone / blood
Enzyme Inhibitors / administration & dosage*,  adverse effects
Food, Fortified*
Glycyrrhetinic Acid / administration & dosage*,  adverse effects
Hydrocortisone / blood
Hyperkalemia / blood,  etiology,  physiopathology,  therapy*
Kidney Failure, Chronic / blood,  physiopathology,  therapy*
Potassium / blood,  urine
Renal Dialysis / adverse effects*
Time Factors
Treatment Outcome
Reg. No./Substance:
0/Biological Markers; 0/Enzyme Inhibitors; 471-53-4/Glycyrrhetinic Acid; 50-23-7/Hydrocortisone; 53-06-5/Cortisone; 7440-09-7/Potassium; EC Dehydrogenase Type 2; EC protein, human
Comment On:
Kidney Int. 2009 Oct;76(8):877-84   [PMID:  19641483 ]

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