Review Article

Research Progress on Natural Products’ Therapeutic Effects on Atrial Fibrillation by Regulating Ion Channels

Table 1

The effects of active components of antiarrhythmic natural products exerted on ion channels.

OriginNamesPharmacological actionChemical structurePotassium channelCalcium channelsSodium channelConnexinHCN

Panax notoginseng (Burk.) F.H. ChenPanax notoginseng saponinsAntiarrhythmia [42], antiplatelet [37], antishock [39], antioxidation [225], sedative [40], and antitumor [41]Small conductance calcium activates potassium channel, potassium calcium-activated channel [43]L-type and T-type Ca2+ channel [44] [50]
Coptis chinensis Franch., Phellodendron chinense Schneid, Mahonia bealei (Fort.) CarrBerberineAntiarrhythmia [54], anti-inflammatory [55], antibacterial [56], hypoglycemia [57], vasodilation [58], antitumor effects [59].Delayed rectifier outward potassium channel, ATP-sensitive K+ (KATP) channels, inward rectifier potassium channel ([64, 65])L-type and T-type calcium channel, ryanodine receptor, sarcoplasmic/endoplasmic reticulum calcium ATPase ([66]; [67]) [68]hHCN4 [70]
Stephania tetrandra S. Moore.TetrandrineAntiarrhythmia [73], antihypertensive [74], anti-inflammatory [75], and antitumor [74]Delayed rectifier potassium channel, calcium-activated potassium channel [18]L-type and T-type calcium channels, sarcoplasmic/endoplasmic reticulum calcium ATPase [80] [82]Voltage-gated cardiac sodium channel [22] [84]
Sophora alopecuroides L., Sophora flavescens Alt.MatrineAntiarrhythmia [85], antibacterial [226], antipulmonary [86], and hepatic fibrosis [87], and antitumor [88]Delayed rectifier potassium channel, M3 receptor-mediated K+ channel [96] [94], potassium inward rectifier channel [98] [99]L-type calcium channels [100] [101]Voltage-gated cardiac sodium channel ([103]; [102])
Menispermum dauricum DC.DauricineAntiarrhythmia [104], anti-inflammatory [105], antitumor [106], anticoagulation [107]Delayed rectifier potassium channel, inward rectifier potassium channel [94] [95] [96]L-type calcium channels [101] [100]Cx40 ([27]; [28]) [29] [30] [31] [115]
Aconitum coreanum (Levl.) RapaicsGuanfu base AAntiarrhythmia [116], anti-inflammatory [117], and antioxidation [118]Delayed rectifier potassium channel [121] [122] [124]L-type calcium [125] [126]Voltage-gated cardiac sodium channel [117] [127]Cx40 [132]
Lotus of NymphaeaceaeNeferineAntiarrhythmia, antihypertensive [133], antitumor [134], antiapoptotic and antioxidative [135], anti-ischemic [136], antiallergic, and anti-inflammatory effects[137]HERG potassium channel ([116]; [140])L-type calcium channel (Zuo et al., 2021) [141]Voltage-gated cardiac sodium channel [38] [142] [110]
Salvia miltiorrhiza Bge.Tanshinone IIAAntiarrhythmic [143], anticoagulation, anti-ischemia [144], antitumor [145], and anti-inflammation [146]Delayed rectifier potassium channel ([129]; [149]), inward rectifier potassium channel [227] [148]type calcium channel [41]Voltage-gated cardiac sodium channel [152]
Vitis vinifera L., Punica granatum L., Vaccinium spp., Vaccinium macrocarponResveratrolAntiarrhythmia [155], antioxidation [156], antitumor [157], antimyocardial ischemia [158], and antiplatelet [159]Delayed rectifier potassium channel [161], ATP-sensitive potassium channels, transient outward potassium channel, calcium-activated potassium channel, and inward rectifying potassium channel [163]L-type calcium ([164]; [165]) [155]Late sodium channel and reverse type sodium-calcium exchangers [166]Cx43 [169] [170]Hyperpolarization-activated cyclic nucleotide-gated cation channel [172] [173]
Pueraria lobata (Willd) Ohwi, Pueraria thunbergiana Benth.PuerarinAntiarrhythmia (Wei et al., 2015 [175]), anti-ischemic [176], antihypertensive [177], lowering blood lipid [178], lowering blood sugar [179], expanding coronary arteries [228], and anti-inflammatory [181]Delayed rectifier potassium channel, inward rectifier potassium channel [185] [186], calcium-activated potassium channel [187]L-type calcium [188]Voltage-gated cardiac sodium channel [191]
Saussurea involucrata (Kar. et Kir.) Sch.-Bip.AcacetinAntiarrhythmic [193], antitumor, anti-inflammatory, antifibrosis, antioxidation [198]Ultrarapid delayed rectifier potassium channel and the transient outward potassium channel [193], hERG, small conductance Ca2+-activated K+ channels [204], transient outward potassium channel [200]
Glycyrrhiza uralensis Fisch., Glycyrrhiza inflata Bat., or Glycyrrhiza glabra L.Glycyrrhizic acidAntiarrhythmia [205], antioxidant, anti-inflammatory [206], antiviral [229], antitumor (Zuo et al., 2021)L-type calcium channel [205]Voltage-gated cardiac sodium channel [210] [211]
Artemisia carvifolia Buch.-Ham. ex Roxb. Hort. Beng.ArtemisininAntimalarial [212], antitumor [213], anti-inflammatory [214], antiviral [215], antibacterial [216], and antifibrotic [217]Delayed rectifier potassium channel, inward rectifier potassium channel, transient outward channel [218] [219]L-type calcium channel [220]Cx43[221] [222]Hyperpolarization-activated cyclic nucleotide-gated cation channel [223]