Background: Medicinal plants and herbal preparations in the form of traditional
medicines have been used in healthcare worldwide. The extracts of Ginkgo biloba L. seeds and
leaves contain a complex mixture of numerous components, such as flavonol glycosides, terpene
lactones, and a group of alkylphenols (anacardic or ginkgolic acids, cardanols and cardols) that
have been a part of traditional Chinese medicine. These extracts are also sold as dietary supplements
worldwide. G. biloba extract (EGb 761 and LI 1370) represent the standard form of G.
biloba extract. Six different 6-alkylsalicylic acids (syn. ginkgolic acids) with alkyl substituents
(C13:0, C15:0, C15:1, C17:0, C17:1, and C17:2) have been identified.
Objective: The aim of this review is to unravel scientific evidence on anti-inflammatory and anticancer
activities of ginkgolic acids to understand its therapeutic potential against inflammatory and
Methods: A structured literature search was independently performed by the authors on PubMed,
ScienceDirect, Scopus, and Web of Science. Accordingly, this review article critically analyses
available scientific evidence on anti-inflammatory and anticancer activities of ginkgolic acids.
Moreover, the review only included articles written in the English language.
Results: Several forms of ginkgolic acids, especially C13:0, C15:0 and C17:1, isolated from the
leaves of G. biloba exhibited cytotoxic activity against a variety of human cancers by suppressing
various pro-inflammatory signaling cascades and oncogenic transcription factors through multiple
modes of action in various in vitro and in vivo preclinical models. Ginkgolic acids have also been
reported to be potent post-translational small ubiquitin-related modifiers (SUMO)ylation inhibitors.
Conclusion: In this review, we present updated information on the anti-inflammatory and anticancer
properties of ginkgolic acids both in vitro and in vivo. Although ginkgolic acids show significant
therapeutic potential in inflammatory and oncologic diseases, more investigations regarding
the safety and efficacy of these natural agents are warranted before the clinical transition.