Abstract

The present study was designed to get further insight into the mode of antidepressant action of extracts prepared from St. John's wort (SJW) and relevant active constituents. Down-regulation of central β-adrenergic receptors (β-AR's) has been widely considered a common biochemical marker of antidepressant efficacy. Although previous studies have reported a β-AR down-regulation for SJW extracts, in vivo studies that compare the effects of SJW extracts with those of relevant active constituents on β-AR density have not been done yet. We used quantitative radioligand receptor-binding-studies to examine in rats the effects of short-term (2 wks) and long-term (8 wks) administration of different SJW extracts and constituents on β-AR binding in rat frontal cortex. The effects were compared to those of the standard antidepressants imipramine and fluoxetine. [ 125I]CYP binding to β-AR was found to be decreased after short as well as after long-term treatment with imipramine (36%, 40%). Short-term treatment with fluoxetine decreased the number of β-adrenergic receptors (17%) while long-term treatment with fluoxetine elicited an increase (14%) in β-AR-binding. This effect was comparable to that of the lipophilic CO 2 extract which decreased β-AR-binding (13%) after two weeks and slightly increased the number of β-AR's after 8 weeks (9%). Short-term treatment with the methanolic SJW extract decreased β-AR-binding (14%), no effects for this extract were observed after 8 weeks. Treatment with hypericin led to a significant down-regulation (13%) of β-AR's in the frontal cortex after 8-weeks, but not after 2 weeks, while hyperforin (used as trimethoxybenzoate, TMB), and hyperoside were ineffective in both treatment paradigms. Compared to the SJW extracts and single compounds the effect of imipramine on β-AR-binding was more pronounced in both treatment paradigms.

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