The treatment of non-selected depressed patients with a hydro-alcoholic extract of
Hypericum
perforatum has been reported to have an efficacy similar to that of classical antidepressants.
The effects of H.
perforatum on three animal depression models have been studied: (a) an acute form of escape
deficit (ED) induced by unavoidable stress; (b) a chronic model of ED, which can be maintained
by the administration of mild stressors on alternate days; (c) a model of anhedonia
based on the finding that repeated stressors prevent the development of appetitive
behavior induced by vanilla sugar in satiated rats fed ad
libitum. H.
perforatum: (i) acutely protects animals from the sequelae of unavoidable stress; (ii) reverts
the chronic escape deficit state maintained by repeated stressors and (iii) preserves
the animal’s capacity to acquire motivated appetitive behavior. Exposure to chronic
stress not only induces escape deficit, but also decreases extraneuronal levels of
dopamine in the nucleus accumbens shell; both behavioral and neurochemical effects
are reverted by long-term treatment with antidepressants. Three-week treatment with
H.
perforatum reverted the chronic stress effect on extraneuronal dopamine in the nucleus accumbens.
A consistent body of data in the literature suggests that, among the components of
H.
perforatum extract, hyperforin is the compound (or one of the compounds) responsible for the
antidepressant activity. We compared the efficacy of the total extract with the efficacy
of hyperforin after p. o. administration. In the acute-escape deficit model, hyperforin
showed a potency of about ten times that of the total extract in protecting rats from
the sequelae of unavoidable stress. Thus, hyperforin appears to be the most likely
active component responsible for the antidepressant activity of H.
perforatum.
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Dr. C. Gambarana
Instituti Biologici San Miniato
Via Aldo Moro 4
53100 Siena
Italy