Along with traditional pharmacotherapies, extracts of Hypericum perforatum L. (St. John’s wort) are used in the treatment of mild to moderately severe depression.
Hypericum is a nonspecific inhibitor of the neuronal uptake of monoamines (serotonin, 5-HT;
noradrenaline, NA; dopamine, DA) as well as GABA and glutamate. Hypericum extracts
have been shown to be active in several different “animal models for antidepressant
drugs”. As one of a large number of chemical constituents, the phoroglucinol derivative
hyperforin might be an important “antidepressant component”” of hypericum. However,
the exact role of neurochemical mechanisms underlying in vivo actions of hypericum and hyperforin are not well defined. In the present study, we
compared the effects of hypericum, hyperforin and hyperforin-free hypericum and the
three conventional antidepressants paroxetine, imipramine and desipramine using the
passive avoidance (PA) task in the rat. The 5-HT-releasing compound p-chloroamphetamine
(PCA), which operates through the 5-HT neuronal transporter, was used to reveal the
potential in vivo effects on 5-HT uptake mechanisms. To examine the ability of the test-compounds to
enhance noradrenaline (NA) transmission in vivo, subeffective doses of scopolamine were used. Taken together, our results suggest
that (1) hypericum given at high doses can probably affect the neuronal 5-HT uptake
mechanisms in a manner more reminiscent of TCAs than SSRIs; (2) similar to TCAs and
SSRIs, hypericum and hyperforin are active in the scopolamine test. Hyperforin appears
to play a major role in the action of hypericum in this model. Both 5-HT and NA might
concomitantly contribute to the effects of different antidepressants in the “low-dose
scopolamine” model; (3) hypericum might enhance both 5-HT and NA transmission in forebrain
limbic brain circuits important for mood control, which could underly its antidepressant
effects. However, the relative contribution of different constituents and exact mechanisms
of action require further evaluation.
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Dr. Ilga Misane
Department of Molecular Neuroendocrinology Max Planck Institute for Experimental Medicine
Hermann Rein Strasse 3
37075 Goettingen
Germany
Phone: +49-551-3899-400
Fax: +49-551-3899-439
Email: Misane@mail.em.mpg.de