“…Besides inhibition of 11 -HSD1 reductase activity, increase of 11 -HSD1 dehydrogenase (oxidase) activity, without inhibition of 11 -HSD2, may provide a better therapeutic strategy for T2DM, obesity and MetSyn (Ge et al, 2010). 11 -HSD1 is also inhibited by natural compounds, such as an active ingredient of various Chinese herbs (emodin), derivatives or analogues of the licorice root, coffee extract, flavanone (and the monohydroxylated flavonoid 2′-hydroxyflavanone), endogenous steroids and their metabolites and bile acids (Andrews et al, 2003;Atanasov et al, 2006;Chalbot & Morfin, 2006;Classen-Houben et al, 2009;Diederich et al, 2000;Feng et al, 2010;Gathercole & Stewart, 2010;Hollis & Huber, 2011;Latif et al, 2005;Livingstone & Walker, 2003;Maeda et al, 2010;Monder et al, 1989;Morris et al, 2004;Odermatt & Nashev, 2010;Sandeep et al, 2005;Schweizer et al, 2003;Su et al, 2007;Taylor et al, 2008;van Raalte et al, 2009;Walker et al, 1995a;Wamil & Seckl, 2007). Glycyrrhetinic acid, the active pharmacological ingredient of the licorice root and some of its derivatives, as well as its steroidal synthetic analogue carbenoxolone (hemisuccinate derivative of glycyrrhetinic acid) are inhibitors of both 11 -HSD1 and 11 -HSD2 (the magnitude of the effect being dependent on in vitro versus in vivo environment, dose, administration mode, tissue and specie as well as compound structure) (Abdallah et al, 2005;Andrews et al, 2003;Classen-Houben et al, 2009;Gathercole & Stewart, 2010;Hollis & Huber, 2011;Jellinck et al, 1993;Livingstone & Walker, 2003;Monder et al, 1989;Sandeep et al, 2005;Su et al, 2007;…”