Review Article

Bioactive Natural Products against Systemic Arterial Hypertension: A Past 20-Year Systematic and Prospective Review

Table 1

Chemical constituents related to the anti-hypertensive effect of the species, mechanisms of action, study model used, and other relevant information in the publications of 2001–2020.

SpeciesFamilyUsed part (s)Chemical constituents/classificationMechanisms of actionStudy modelReference

Agelanthus dodoneifoliusLoranthaceaeNo dataDodonein (lactone)Blockade of the L-type calcium channels and inhibition of carbonic anhydrase in smooth muscle cellsEx vivo assays for vasodilation in rat aortic rings; in vitro assay by the culture of vascular smooth muscle cells and determination of messenger RNA of carbonic anhydrase isozyme A in smooth muscle cells[33]
Allium cepaAmaryllidaceaeRhizomeDiallyl thiosulphinate, methyl allyl thiosulphinate, allylmethyl thiosulphinate, protocatechuic acid, vanillic acid, p-hydroxybenzoic acid, ferulic acid, protocatechuic acid, vanillic acid, p-hydroxybenzoic acid, ferulic acid, and sinapinic acidInhibition of angiotensin-converting enzymeIn vitro angiotensin-converting enzyme inhibitory assay[34]
Allium sativumAmaryllidaceaeRhizomeS-allyl cysteineInhibition of angiotensin-converting enzymeIn vivo assays with mice with fructose-induced hypertension[35]
Alpinia zerumbetZingiberaceaeLeavesRoutine and kaempferol-3-O-β-D-glucuronide (flavonoids)Stimulates NO/cGMP pathwayEx vivo tests of isolation of the superior mesenteric artery of rats[36]
Annona muricateAnnonaceaeLeavesRoseoside, isolariciresinol 9-O-β-D-xyloside, massonianoside B, icariside E4, and nicotiflorinAnti-oxidant, anti-inflammatory, and anti-vascular remodeling properties and reduced AT1 receptor expressionIn vitro assay in angiotensin II (Ang II) stimulated H9C2 cells[37]
Angelica dahuricaApiaceaeRootImperatorinReduction of oxidative stress and prevention of hypertension-related renal injuryIn vivo assay in rats with renovascular hypertension and ex vivo assays that evaluate the cellular redox state[38]
Angelica decursivaApiaceaeRootDecursin and nodakeninOpening of the potassium channelsAssays in rat aortic arteries[39]
Apium graveolensApiaceaeSeed3-n-butylphthalideReduction of renal fibrosis; reduction of oxidative stress; decreased levels of TNF-α, IL-6, and NF-κBIn vivo assays with spontaneously hypertensive rats[40]
Arbutus andrachneEricaceaeRoot, leaves, and fruitPhenols, flavonoids, tannins, and anthocyaninsReduction of oxidative stressEx vivo tests for vasodilation in rat aorta rings with intact endothelium; ex vivo assays that evaluate the cellular redox state[41]
Arbutus unedoEricaceaeRootTannins and flavonoid (quercetin and tannic acid)Stimulation of the endothelial nitric oxide synthase and activation of muscarinic receptorsEx vivo tests for vasodilation in rat aorta rings with intact endothelium[42]
Azadirachta indicaMeliaceaeLeavesNo dataActivation of muscarinic receptors in the heart, reducing the heart rate and increasing peripheral resistanceIn vivo assay in rats with hypertension induced by DOCA-salt injection[43]
Berberis vulgarisBerberidaceaeFruitNo dataActivation of the l-arginine-nitric oxide pathwayIn vivo assay in rats with hypertension induced by DOCA-salt injection, in vitro studies in aortic rings, and in vitro studies in the isolated perfused mesenteric beds[44]
Bidens pilosaAsteraceaeLeavesAlkaloids, saponins, flavonoids, polyacetylenes and triterpenes, phenylheptatriyne, linoleic acid, and linolic acidBlocking of calcium channelsEx vivo assays for vasodilation in rat aortic rings[45]
Boerhavia diffusaNyctaginaceaeRootCulubin (diterpenoid)Blocking of calcium channelsIn vivo assay in rats with hypertension caused by obesity induced by a lipid-rich diet[46]
Cassia toraFabaceaeSeedChrysofanol, Aurantium Obtusine, alaternine, and chrysobthysin (anthraquinones)Inhibition of angiotensin-converting enzymeIn vitro assays[47]
Cecropia pachystachyaUrticaceaeLeavesAmbaina and ambainina, long-chain carboxilic acids, and β-sitosterolSympathic blockade in vessels and tachycardia by vagal inhibition in the heartIn vivo assay in normotensive Wistar rats through cannulation of internal carotid artery[48]
Cleistanthus collinusPhyllanthaceaeLeavesCleistantin A and B (glycosides)Inhibition of angiotensin-converting enzymeIn silico molecular interaction[49]
Crataegus tanacetifoliaRosaceaeLeavesHyperosideIncrease in kidney NOS activity, diuretic activity, and efflux of water and sodium, preventing hyperlipidemia and decrease in body weightIn vivo assay in normal male Wistar albino and L-NAME-induced hypertensive rats[50]
Codonopsis lanceolataCampanulaceaeRhizomeLancemaside AIncrease in NO levels by eNOS (inducible NO synthase)In vitro assay in human umbilical vein endothelial cells[51]
CoffeaRubiaceaeFruitChlorogenic acidsStimulation of the endothelial nitric oxide synthaseA double-blind, randomized, placebo-controlled study in humans[52]
Coix larchryma-jobiPoaceaeSeedGlutelin hydrolyzateInhibition of angiotensin-converting enzymeIn vivo assays in hypertensive rats[53]
Cordyceps sinensisClavicipitaceaeEntire organismMannose, glucose, and galactose (polysaccharide fraction)Increase in NO levels and decrease of the levels of endothelin-1, epinephrine, noradrenaline, angiotensin II, and TGF-β1In vivo assays with spontaneously hypertensive rats[54]
Coriandrum sativumApiaceaeFruitCamphor, camphene, carvone, cineole, cimene, coriandrine, limonene, linoleic acid, myrcene, myristic acid, oleic acid, palmitic acid, α-phenyltriene, β-phenylandrene, and α-terpinene, among othersBlockade of calcium channels, interaction with muscarinic receptors and diuretic effectIn vivo assays in normotensive mice and ex vivo assays in isolated tissue preparations[55]
Crocus sativusIridaceaeFlowerCrocin, crocetina, and SafranalRelease of nitric oxide, reduction of oxidative stress, and modulation of the renin-angiotensin systemIn vivo assay in rats through cannulation of arteries and femoral veins of rats with hypertension induced by Ang-II[56]
Croton schiedeanusEuphorbiaceaeAerial parts (stem and leaves)Flavonoids, diterpenoids, and phenylbutanoidsStimulation of NO/cGMP pathwayIn vivo assays in mice with hypertension by chronic inhibition of nitric oxide and ex vivo assay in isolated tissue preparations[9]
Cucurbita pepoCucurbitaceaeSeedCucurbitacins (triterpenes); lutein, carotene, and beta carotene(carotenoids); unsaturated linoleic and oleic acidsIncrease of NO levelsIn vivo assays in mice with chronic inhibition of nitric oxide and in vitro assays[57]
Curcuma spp.ZingiberaceaeRhizomeCurcumin, demethoxycurcumin, and bisdemethoxycurcuminBlocking of calcium channels and the partial inhibition of b-adrenergic receptorsEx vivo vasodilation assay on intact endothelium pigs basilar arteries pre-contracted[58]
Cyclocarya paliurusJuglandaceaeLeaves and seedsPolysaccharidesReduction of oxidative stressIn vitro and in vivo assays using hypertensive rats[59]
Dendranthema indicumAsteraceaeFlowerLinarinModulation of the Renin-angiotensin systemIn vivo assays with spontaneously hypertensive rats[60]
Dicksonia sellowianaDicksoniaceaeLeavesPolyphenolsReduction of oxidative stress, activation of the pathway PI3K/Akt/eNOSEx vivo tests on isolated tissues; in vitro assay on pig endothelial cell culture; in vivo tests with spontaneously hypertensive rats[61]
Dioscorea oppositaDioscoreaceaeRhizomeSaponins, starch, mucopolysaccharides, protein, amino acids, mucilage, and polyphenolsInhibition of angiotensin II converting enzyme, inhibition of endothelin-1 and reduction of oxidative stressIn vivo assay in rats with renovascular hypertension and ex vivo assays that evaluate the cellular redox state[62]
Eclipta albaAsteraceaeAerial partsCulubin (diterpenoid)Diuresis due to increase in sodium excretionIn vivo assay in rats with hypertension caused by obesity induced by a lipid-rich diet[46]
Eucommia ulmoidesEucommiaceaeStem barkWogonin (flavonoid)Inhibition of the intracellular release of Ca2+ and the extracellular influx of Ca2+Ex vivo testing on isolated tissue preparations[63]
Ficus deltoideaMoraceaeLeavesβ-amyrin, lupeol, β-amyrin cinnamate and bergapten, tanacetene, β-elemene, stigmasterol, β-sitosterol, lupenone, and α,β-amyrenone, as well as alkaloids, saponin, phenols, flavonoids, and tanninsModulation of the renin-angiotensin-aldosterone system, anti-oxidant and endothelial systemIn vivo assays with spontaneously hypertensive rats[64]
Gardenia jasminoidesRubiaceaeFruitCrocetin (carotenoid)Increase in NO levels by eNOS and iNOS (inducible NO synthase)In vivo assays with spontaneously hypertensive rats, ex vivo vasodilation assay on intact endothelium mouse aorta rings, and in vitro assays[65]
Glycine MaxFabaceaeSeedEquol (flavonoid)Diuresis by an increase in sodium excretion and increases transcription of the enzyme eNOSA double-blind, randomized, placebo-controlled study in humans[66]
Gomphrena celosioidesAmaranthaceaeAerial partsPhenolic acids and flavonoidsIncreased levels of bradykinin, prostaglandins, and NOIn vivo assays in hypertensive animals[67]
Hibiscus sabdariffaMalvaceaeFlowerAnthocyaninsIncrease in NO by activation of PI3K/Akt/eNOS pathway and activation of potassium channelsEx vivo rat assays in isolated tissue preparations[68]
Inula viscosaAsteraceaeLeavesPhenolic compounds and flavonoidsInhibition of angiotensin-converting enzymeIn vivo assays in hypertensive adult rats[69]
Leersia hexandraPoaceaeAerial partsNot identifiedAnti-oxidative and lipid-lowering effectIn vivo assays with hypertensive rats induced by oral administration of ethanol[70]
Lippia origanoidesVerbenaceaeAerial partsNaringenin and pinocembrina (flavonoids), quercetin (flavonol), and luteolin (flavones)Activation of calcium-activated potassium channels and increase in cAMP and and cytosolic cGMPIn vivo assays in mice with hypertension by chronic inhibition of nitric oxide[71]
Lithocarpus polystachysFagaceaeLeavesflorizine, fluoxetine, quercetin, dihydrochalcone-20-b-D-glucopyranoside, luteolin, and quercetin (Flavonoids)Modulation of the renin-angiotensin-aldosterone system and reduction of oxidative stressIn vivo assays with spontaneously hypertensive rats and normotensive rats; in vitro assays[72]
Lonchocarpus xuulFabaceaeRootDihydrospinochalcone-A and isocordoinActivation of potassium channels and activation of NO/sCG/PKG pathwayIn vivo assay in spontaneously hypertensive rats; ex vivo testing on isolated tissue preparations; molecular interaction in silico[73]
Lycopersicon esculentumSolanaceasFruitα-tocopherol and the carotenoids: lycopene, β-carotene, phytoene, and phytoflueneAttenuation of inflammatory signaling by the inhibition of the NF-kB transcription factor in endothelial cellsA double-blind, randomized, placebo-controlled study in humans; in vitro assay on human endothelial cell culture[74]
Mentha x villosaLamiaceaeLeavesNo dataActive vascular relaxationIn vivo assay in rats with hypertension induced by DOCA-salt injection[75]
Mesona procumbensLamiaceaeLeavesCaffeic acid (polyphenol)Reduction of oxidative stressIn vivo assay in spontaneously hypertensive rats and ex vivo assay evaluating the cellular redox state[63]
Mimosa caesalpiniifoliaFabaceaeInflorescencesGallic acid, rutin, quercetin, and vicenine (flavonoids)Activation of the muscarinic and ganglionic pathways and blockade of the transmembrane calcium influxIn vivo assay in normotensive mice; ex vivo testing on isolated tissue preparations[76]
Mitragyna ciliataRubiaceaeStem BarkAlkaloids (mitragynine, mitraphylline, and rhynophylline) and/or flavonoidBlocking of calcium channelsEx vivo rat assays in guinea pig and rat isolated aortic rings[77]
Mixture containing Pine densiflora,PinaceaeLeavesRoseoside, isolariciresinol 9-O-β-D-xyloside, massonianoside B, icariside E4, and nicotiflorinAnti-oxidant, anti-inflammatory, and anti-vascular remodeling properties and reduced AT1 receptor expressionIn vitro assay in Angiotensin II (Ang II)-stimulated H9C2 cells[37]
Momordica charantiaCucurbitaceaeLeavesRoseoside, isolariciresinol 9-O-β-D-xyloside, massonianoside B, icariside E4, and nicotiflorinAnti-oxidant, anti-inflammatory, and anti-vascular remodeling properties and reduced AT1 receptor expressionIn vitro assay in Angiotensin II (Ang II) stimulated H9C2 cells[37]
Morinda citrifoliaRubiaceaeRootAlkaloids, phenolic compounds, sterols, flavonoids, tannins, coumarins, and anthraquinonesBlocking of calcium channels and release of intracellular calciumEx vivo rat assays in tissue preparations isolated from rats[78]
Moringa oleiferaMoringaceaeLeavesNitrile, glucosinolates and thiocarbamate glycosides, flavonoids, phenolic acids, tannins, quercetin-3-O-glucoside, kaempferol-3-O-glucoside, Niazicin-A, Niazimin-A, and Niaziminin-BAlleviation of vascular dysfunction and oxidative stress, blunted adrenergic-mediated vasoconstriction, promoted endothelium-dependent vasorelaxation; inhibition of angiotensin-converting enzymeIn vivo assay in L-NAME-treated rats; in vitro angiotensin-converting enzyme inhibitory assay; in silico molecular interaction[7981]
Moringa stenopetala (Baker f.)MoringaceaeLeavesAlkaloids, flavonoids, and saponinsInhibition of carbonyl anhydraseIn vivo assay on mice[82]
Musa sapientumMusaceaeFruit peel(±)−7, 8-Dihydroxy-3-methyl-isochromanone-4 (polyphenol)Reduction of oxidative stress and increase in NO by activation of pathway PI3K/Akt/eNOSIn vivo assay in spontaneously hypertensive rats[83]
Nardostachys jatamansiCaprifoliaceaeRhizomeJatamansone, calarene, spirojatamol, aristolone, valencene and patchouli alcohol, α-pinene, and β-maalieneInhibition of angiotensin-converting enzymeIn vitro angiotensin-converting enzyme inhibitory assay[84]
Onopordum acanthiumAsteraceaeSeed(E)−1-oxo-3, 4-dihydro-1-H-isochromen-7-yl-3-(3, 4-dihydroxyphenyl) acrylateInhibition of angiotensin-converting enzymeMolecular interaction in silico in vitro assays[85]
Orthosiphon stamineusLamiaceaeLeavesNo dataModulation of α1-adrenergic receptors and AT1 and increase in levels of NOA parallel-group, randomized, placebo-controlled study in humans; rings of aorta of spontaneously hypertensive rats[86]
Panax notoginsengAraliaceae.RootGinsenoside Rg1 and Rb1NO/sGC/cGMP pathway and β2-adrenergic receptorsEx vivo rat assays in isolated tissue preparations (aortic ring model)[87]
Peperomia pellucidaPiperaceaeLeaves2, 3, 5-trimethoxy-9-(12, 14, 15-trimethoxybenzyl)-1H-indene and pellucidin AInhibition of angiotensin-converting enzymeIn vitro angiotensin-converting enzyme inhibitory assay[88]
Phaseolus vulgarisFabaceaeSeedCatechins, flavonoids, and γ-aminobutyric acid (GABA)Inhibition of angiotensin-converting enzyme and modulation of pressure via GABA.In vitro assays[89]
Phoenix dactyliferaArecaceaeFruitsSqualene, lauric acid, palmitic acid, caprate, stearate, vitamin E, β-sitosterol, phytol, linolenic acid, isosorbide, coumarins, and taurineInhibition of angiotensin-converting enzymeIn vitro enzyme inhibition assays[90]
Piper nigrumPiperaceaeSeedPiperine (alkaloid)Reduces oxidative stressIn vivo assay in rats with hypertension caused by obesity induced by a lipid-rich diet[91]
Prunus persicaRosaceaeAerial partsAmygdalin, cyanogenic glycosides, prunasin, caffeic acid, chlorogenic acid, kaempferol, p-coumaric acid, prussic acid, quercetin, quercitrin, quinic acid, tannin, and ursolic acidNO-sGC-cGMP, vascular prostacyclin, and muscarinic receptor transduction pathwayEx vivo rat assay in isolated tissue preparations (aortic ring model)[92]
Rauvolfia serpentinaApocynaceaeRootsReserpine, ajmalicine, serpentinine, ajmalimine, ajmaline, rescinnami- dine, rescinnamine, reserpiline, serpentine, indobidine, yohimbine, and deserpidineProtecting the liver and renal architecturesIn vivo assay in rats with hypertension induced by high salt diet[93]
Rubus rosifoliusRosaceaeLeavesEscauphic acid, flavonoids, and triterpenesDiuretic effectIn vivo assay in hypertensive male rats[94]
Salvia miltiorrhizaLamiaceaeRootLithospermic acid BInhibition of angiotensin-converting enzymeEx vivo assays for vasodilation in rat aortic rings[95]
RootTanshinoato of magnesium BIncrease in NO levelsIn vivo assay in rats with phenylephrine-induced hypertension[96]
Salvia scutellarioidesLamiaceaeAerial partsAlkaloids, triterpenes, lignans, and flavonoidsVasodilation, which activates compensatory physiological responses such as the renin-angiotensin-aldosterone system, and increase in concentrations of epinephrine and vasopressinIn vivo assay in L-NAME-treated rats[97]
Sargassum siliquastrumSargassaceaeEntire organismSargachromenol DInduced depolarizationIn vivo assay in rat basilar arteries[98]
Sceletium tortuosumMesembryathemaceaeLeavesMesembrine (alkaloid)Inhibition of aldosterone synthesisIn vitro assay on the culture of human adrenocortical carcinoma cells[99]
Solanum donianumSolanaceaeLeavesUnreportedInhibition of angiotensin-converting enzymeIn vitro angiotensin-converting enzyme inhibitory assay[100]
Spirulina maximaCyanophyceaeIt has no true tissuesPhycocyaninIncreases transcription of the enzyme eNOSCohort study with humans[101]
Taraxacum officinaleAsteraceaeLeaves and rootSaponins, alkaloids, phenols, flavonoids, tannins, and glycosidesIncrease in NO levels by eNOS (inducible NO synthase)In vivo assay in L-NAME-treated rats and with spontaneously hypertensive rats[102]
Taxus chinensis var. maireiTaxaceae GrayLeavesPalmitic acid, 9-octan-dienate of hexadecanil, and octan-3-olReduction of the level of angiotensin II and increase in NO levelsIn vivo assays with mice with hypertension by chronic nitric oxide inhibition and in vitro assays[103]
Terminalia superbaCombretaceaeStem barkSaponins, glycosides, flavonoids, and chalconesReduction of oxidative stressIn vivo assays with mice with glucose-induced hypertension (GHR); ex vivo assays that evaluate the cellular redox state[104]
Ulmus wallichianaUlmaceaeStem barkFlavonoids analogous to quercetinModulation of the renin-angiotensin-aldosterone system and stimulation of NO/cGMP pathwayIn vivo assay in spontaneously hypertensive rats and assays in rats with salt and mineralocorticoid-induced hypertension, and with rats with chronic inhibition of nitric oxide[105]
Urtica dioicaUrticaceaeAerial partsNo dataAn important bradycardia, which is independent of cholinergic and 1-adrenergic receptorsEx vivo assays in isolated Langendorff perfused rat heart and vasodilation in rat aortic rings[42]
Vaccinium virgatumEricaceaeFruitAnthocyanins and polyphenolsStimulation of NO/cGMP pathwayA double-blind, randomized, placebo-controlled study in humans[106]
Vaccinium corymbosumEricaceaeFruitAnthocyanins and polyphenolsStimulation of NO/cGMP pathwayA double-blind, randomized, placebo-controlled study in humans[106]
Vitex cienkowskiiLamiaceaeStem barkTetra-acetyl jugasterone CStimulation of NO/cGMP pathway and blockade of transmembrane calcium influxEx vivo tests on preparations of tissues isolated from rats[107]
Zea maysPoaceaeSeedCorn peptideInhibition of angiotensin-converting enzymeIn vivo assay in spontaneously hypertensive rats and in vitro assays[108]

Fungus species and species of seaweed.