Skip to main content

Advertisement

Log in

Hyperforin, the Active Component of St. John’s Wort, Induces IL-8 Expression in Human Intestinal Epithelial Cells Via a MAPK-Dependent, NF-κB-Independent Pathway

  • Published:
Journal of Clinical Immunology Aims and scope Submit manuscript

Abstract

St. John’s wort is widely used as an herbal antidepressant and is among the top-selling botanical products in the United States. Although St. John’s wort has been reported to have minimal side effects compared with other antidepressants, here we show that hyperforin, the active component of St. John’s wort, can stimulate interleukin-8 (IL-8) expression in human intestinal epithelia cells (IEC) and primary hepatocytes. Hyperforin is also able to induce expression of mRNA, encoding another major inflammatory mediator—intercellular adhesion molecule-1 (ICAM-1). IEC participate in the intestinal inflammatory process and serve as a first line of defense through bidirectional communication between host and infectious pathogens. Although hyperforin is a potent ligand for the steroid and xenobiotic receptor (SXR), we found that hyperforin induced IL-8 mRNA through an SXR-independent transcriptional activation pathway. IL-8 induction by hyperforin required the activation of AP-1 but not the NF-κB transcription factor, thereby distinguishing it from the NF-κB-dependent IL-8 induction mediated by tumor necrosis factor α (TNFα). Further study revealed that extracellular signal-regulated kinase 1 and 2 (ERK1/2) were required for the hyperforin-induced expression of IL-8. Our results suggest a previously unsuspected effect of St. John’s wort in modulating the immune and inflammatory responses.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kumar V, Singh PN, Muruganandam AV, Bhattacharya SK: Hypericum perforatum: Nature’s mood stabilizer. Indian J Exp Biol38:1077–1085, 2000

    Google Scholar 

  2. Linde K, Ramirez G, Mulrow CD, Pauls A, Weidenhammer W, Melchart D: St John’s wort for depression—An overview and meta-analysis of randomised clinical trials. BMJ313:253–258, 1996

    Google Scholar 

  3. Gaster B, Holroyd J: St John’s wort for depression: A systematic review. Arch Intern Med160:152–156, 2000

    Google Scholar 

  4. McIntyre M: A review of the benefits, adverse events, drug interactions, and safety of St. John’s Wort (Hypericum perforatum): The implications with regard to the regulation of herbal medicines. J Altern Complement Med6:115–124, 2000

    Google Scholar 

  5. Ernst E: Second thoughts about safety of St John’s wort. Lancet 354:2014–2016, 1999

    Google Scholar 

  6. Laakmann G, Schule C, Baghai T, Kieser M: St. John’s wort in mild to moderate depression: The relevance of hyperforin for the clinical efficacy. Pharmacopsychiatry 31(Suppl 1):54–59, 1998

    Google Scholar 

  7. Bhattacharya SK, Chakrabarti A, Chatterjee SS: Activity profiles of two hyperforin-containing hypericum extracts in behavioral models. Pharmacopsychiatry 31(Suppl 1):22–29, 1998

    Google Scholar 

  8. Perovic S, Muller WE: Pharmacological profile of hypericum extract. Effect on serotonin uptake by postsynaptic receptors. Arzneimittelforschung45:1145–1148, 1995

    Google Scholar 

  9. Muller WE, Singer A, Wonnemann M, Hafner U, Rolli M, Schafer C: Hyperforin represents the neurotransmitter reuptake inhibiting constituent of hypericum extract. Pharmacopsychiatry 31(Suppl 1):16–21, 1998

    Google Scholar 

  10. Nathan PJ: Hypericum perforatum (St John’s Wort): A non-selective reuptake inhibitor? A review of the recent advances in its pharmacology. J Psychopharmacol15:47–54, 2001

    Google Scholar 

  11. Wonnemann M, Singer A, Muller WE: Inhibition of synaptosomal uptake of 3H-L-glutamate and 3H-GABA by hyperforin, a major constituent of St. John’s Wort: The role of amiloride sensitive sodium conductive pathways. Neuropsychopharmacology23:188–197, 2000

    Google Scholar 

  12. Kliewer SA, Moore JT, Wade L, Staudinger JL, Jones MA, McKee DD, Oliver BM, Willson TM, Zetterstrom RH, Perlmann T, Lehmann J: An orphan nuclear receptor activated by pregnanes defines a novel steroid signaling pathway. Cell92:73–82, 1998

    Google Scholar 

  13. Bertilsson G, Heidrich J, Svensson K, Asman M, Jendeberg L, Sydow-Backman M, Ohlsson R, Postlind H, Blomquist P, Berkenstam A: Identification of a human nuclear receptor defines a new signaling pathway for CYP3A induction. Proc Natl Acad Sci USA 95:12208–12213, 1998

    Google Scholar 

  14. Nuclear Receptors Nomenclature Committee: A unified nomenclature system for the nuclear receptor superfamily. Cell97:161–163, 1999

    Google Scholar 

  15. Wentworth JM, Agostini M, Love J, Schwabe JW, Chatterjee VK: St John’s wort, a herbal antidepressant, activates the steroid X receptor. J Endocrinol 166:R11–16, 2000

    Google Scholar 

  16. Moore LB, Goodwin B, Jones SA, Wisely GB, Serabjit-Singh CJ, Willson TM, Collins JL, Kliewer SA St.: John’s wort induces hepatic drug metabolism through activation of the pregnane X receptor. Proc Natl Acad Sci U S A97:7500–7502, 2000

    Google Scholar 

  17. Schempp CM, Kirkin V, Simon-Haarhaus B, Kersten A, Kiss J, Termeer CC, Gilb B, Kaufmann T, Borner C, Sleeman JP, Simon JC: Inhibition of tumour cell growth by hyperforin, a novel anticancer drug from St. John’s wort that acts by induction of apoptosis. Oncogene21:1242–1250, 2002

    Google Scholar 

  18. Di Carlo G, Borrelli F, Izzo AA, Ernst E: St John’s wort: Prozac from the plant kingdom. Trends Pharmacol Sci22:292–297, 2001

    Google Scholar 

  19. Woelk H, Burkard G, Grunwald J: Benefits and risks of the hypericum extract LI 160: Drug monitoring study with 3250 patients. J Geriatr Psychiatry Neurol 7(Suppl 1):S34–38, 1994

    Google Scholar 

  20. Baggiolini M, Dewald B, Moser B: Interleukin-8 and related chemotactic cytokines—CXC and CC chemokines. Adv Immunol55:97–179, 1994

    Google Scholar 

  21. Harada A, Sekido N, Akahoshi T, Wada T, Mukaida N, Matsushima K: Essential involvement of interleukin-8 (IL-8) in acute inflammation. J Leukoc Biol56:559–564, 1994

    Google Scholar 

  22. Jobin C, Sartor RB: The I kappa B/NF-kappa B system: A key determinant of mucosalinflammation and protection. Am J Physiol Cell Physiol 278:C451–462, 2000

    Google Scholar 

  23. Yu Y, de Waele C, Chadee K: Calcium-dependent interleukin-8 gene expression in T84 human colonic epithelial cells. Inflamm Res50:220–226, 2001

    Google Scholar 

  24. Eckmann L, Jung HC, Schurer-Maly C, Panja A, Morzycka-Wroblewska E, Kagnoff MF: Differential cytokine expression by human intestinal epithelial cell lines: Regulated expression of interleukin 8. Gastroenterology105:1689–1697, 1993

    Google Scholar 

  25. Ausubel FM: Current Protocols in Molecular Biology. Wiley, New York, 1987

    Google Scholar 

  26. Livak KJ, Schmittgen TD: Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method. Methods25:402–408, 2001

    Google Scholar 

  27. Dignam JD, Lebovitz RM, Roeder RG: Accurate transcription initiation by RNA polymerase II in a soluble extract from isolated mammalian nuclei. Nucleic Acids Res11:1475–1489, 1983

    Google Scholar 

  28. Lee LF, Haskill JS, Mukaida N, Matsushima K, Ting JP: Identification of tumor-specific paclitaxel (Taxol)-responsive regulatory elements in the interleukin-8 promoter. Mol Cell Biol17:5097–5105, 1997

    Google Scholar 

  29. Zhao D, Keates AC, Kuhnt-Moore S, Moyer MP, Kelly CP, Pothoulakis C: Signal transduction pathways mediating neurotensin-stimulated interleukin-8 expression in human colonocytes. J Biol Chem276:44464–44471, 2001

    Google Scholar 

  30. Sadowski I, Ma J, Triezenberg S, Ptashne M: GAL4-VP16 is an unusually potent transcriptional activator. Nature335:563–564, 1988

    Google Scholar 

  31. Blumberg B, Sabbagh W, Jr. Juguilon H, Bolado J, Jr. van Meter CM, Ong ES, Evans RM: SXR, a novel steroid and xenobiotic-sensing nuclear receptor. Genes Dev12:3195–3205, 1998

    Google Scholar 

  32. Li C, Evans RM: Ligation independent cloning irrespective of restriction site compatibility. Nucleic Acids Res25:4165–4166, 1997

    Google Scholar 

  33. Wu GD, Lai EJ, Huang N, Wen X: Oct-1 and CCAAT/enhancer-binding protein (C/EBP) bind to overlapping elements within the interleukin-8 promoter. The role of Oct-1 as a transcriptional repressor. J Biol Chem272:2396–2403, 1997

    Google Scholar 

  34. Ricote M, Li AC, Willson TM, Kelly CJ, Glass CK: The peroxisome proliferator-activated receptor-gamma is a negative regulator of macrophage activation. Nature391:79–82, 1998

    Google Scholar 

  35. Gupta S, Plattner R, Der CJ, Stanbridge EJ: Dissection of Ras-dependent signaling pathways controlling aggressive tumor growth of human fibrosarcoma cells: Evidence for a potential novel pathway. Mol Cell Biol20:9294–9306, 2000

    Google Scholar 

  36. Dussault I, Lin M, Hollister K, Wang EH, Synold TW, Forman BM: Peptide mimetic HIV protease inhibitors are ligands for the orphan receptor SXR. J Biol Chem276:33309–33312, 2001

    Google Scholar 

  37. Synold TW, Dussault I, Forman BM: The orphan nuclear receptor SXR coordinately regulates drug metabolism and efflux. Nat Med7:584–590, 2001

    Google Scholar 

  38. Mukaida N, Shiroo M, Matsushima K: Genomic structure of the human monocyte-derived neutrophil chemotactic factor IL-8. J Immunol143:1366–1371, 1989

    Google Scholar 

  39. Roebuck KA: Regulation of interleukin-8 gene expression. J Interferon Cytokine Res19:429–438, 1999

    Google Scholar 

  40. Stoeckle MY: Post-transcriptional regulation of gro alpha, beta, gamma, and IL-8 mRNAs by IL-1 beta. Nucleic Acids Res19:917–920, 1991

    Google Scholar 

  41. Villarete LH, Remick DG: Transcriptional and post-transcriptional regulation of interleukin-8. Am J Pathol149:1685–1693, 1996

    Google Scholar 

  42. Wigmore SJ, Fearon KC, Maingay JP, Lai PB, Ross JA: Interleukin-8 can mediate acute-phase protein production by isolated human hepatocytes. Am J Physiol 273:E720–E726, 1997

    Google Scholar 

  43. Xie W, Barwick JL, Downes M, Blumberg B, Simon CM, Nelson MC, Neuschwander-Tetri BA, Brunt EM, Guzelian PS, Evans RM: Humanized xenobiotic response in mice expressing nuclear receptor SXR. Nature406:435–439, 2000

    Google Scholar 

  44. Mukaida N, Mahe Y, Matsushima K: Cooperative interaction of nuclear factor-kappa B- and cis-regulatory enhancer binding protein-like factor binding elements in activating the interleukin-8 gene by pro-inflammatory cytokines. J Biol Chem265:21128–21133, 1990

    Google Scholar 

  45. Mukaida N, Okamoto S, Ishikawa Y, Matsushima K: Molecular mechanism of interleukin-8 gene expression. J Leukoc Biol56:554–558, 1994

    Google Scholar 

  46. Strieter RM: Interleukin-8: A very important chemokine of the human airway epithelium. Am J Physiol Lung Cell Mol Physiol 283:L688–689, 2002

    Google Scholar 

  47. Matsusaka T, Fujikawa K, Nishio Y, Mukaida N, Matsushima K, Kishimoto T, Akira S: Transcription factors NF-IL6 and NF-kappa B synergistically activate transcription of the inflammatory cytokines, interleukin 6 and interleukin 8. Proc Natl Acad Sci U S A90:10193–10197, 1993

    Google Scholar 

  48. Roebuck KA: Oxidant stress regulation of IL-8 and ICAM-1 gene expression: Differential activation and binding of the transcription factors AP-1 and NF-kappaB (Review). Int J Mol Med4:223–230, 1999

    Google Scholar 

  49. Jijon HB, Panenka WJ, Madsen KL, Parsons HG: MAP kinases contribute to IL-8 secretion by intestinal epithelial cells via a posttranscriptional mechanism. Am J Physiol Cell Physiol 283:C31–41, 2002

    Google Scholar 

  50. Melmed G, Thomas LS, Lee N, Tesfay SY, Lukasek K, Michelsen KS, Zhou Y, Hu B, Arditi M, Abreu MT: Human intestinal epithelial cells are broadly unresponsive to Toll-like receptor 2-dependent bacterial ligands: Implications for host-microbial interactions in the gut. J Immunol170:1406–1415, 2003

    Google Scholar 

  51. Kagnoff MF, Eckmann L: Epithelial cells as sensors for microbial infection. J Clin Invest100:6–10, 1997

    Google Scholar 

  52. Parhar K, Ray A, Steinbrecher U, Nelson C, Salh B: The p38 mitogen-activated protein kinase regulates interleukin-1beta-induced IL-8 expression via an effect on the IL-8 promoter in intestinal epithelial cells. Immunology108:502–512, 2003

    Google Scholar 

  53. Baggiolini M, Dewald B, Moser B: Human chemokines: An update. Annu Rev Immunol15:675–705, 1997

    Google Scholar 

  54. Gibson P, Rosella O: Interleukin 8 secretion by colonic crypt cells in vitro: Response to injury suppressed by butyrate and enhanced in inflammatory bowel disease. Gut37:536–543, 1995

    Google Scholar 

  55. Biber A, Fischer H, Romer A, Chatterjee SS: Oral bioavailability of hyperforin from hypericum extracts in rats and human volunteers. Pharmacopsychiatry 31(Suppl 1):36–43, 1998

    Google Scholar 

  56. Osawa Y, Nagaki M, Banno Y, Brenner DA, Asano T, Nozawa Y, Moriwaki H, Nakashima S: Tumor necrosis factor alpha-induced interleukin-8 production via NF-kappaB and phosphatidylinositol 3-kinase/Akt pathways inhibits cell apoptosis in human hepatocytes. Infect Immun70:6294–6301, 2002

    Google Scholar 

  57. Hipp MS, Urbich C, Mayer P, Wischhusen J, Weller M, Kracht M, Spyridopoulos I: Proteasome inhibition leads to NF-kappaB-independent IL-8 transactivation in human endothelial cells through induction of AP-1. Eur J Immunol 32:2208–2217, 2002

    Google Scholar 

  58. Gao H, Parkin S, Johnson PF, Schwartz RC: C/EBP gamma has a stimulatory role on the IL-6 and IL-8 promoters. J Biol Chem277:38827–38837, 2002

    Google Scholar 

  59. Akhtar M, Watson JL, Nazli A, McKay DM: Bacterial DNA evokes epithelial IL-8 production by a MAPK-dependent, NF-kappaB-independent pathway. FASEB J17:1319–1321, 2003

    Google Scholar 

  60. Hayashi R, Yamashita N, Matsui S, Fujita T, Araya J, Sassa K, Arai N, Yoshida Y, Kashii T, Maruyama M, Sugiyama E, Kobayashi M: Bradykinin stimulates IL-6 and IL-8 production by human lung fibroblasts through ERK- and p38 MAPK-dependent mechanisms. Eur Respir J16:452–458, 2000

    Google Scholar 

  61. Kumar A, Knox AJ, Boriek AM: CCAAT/enhancer-binding protein and activator protein-1 transcription factors regulate the expression of interleukin-8 through the mitogen-activated protein kinase pathways in response to mechanical stretch of human airway smooth muscle cells. J Biol Chem278:18868–18876, 2003

    Google Scholar 

  62. Warny M, Keates AC, Keates S, Castagliuolo I, Zacks JK, Aboudola S, Qamar A, Pothoulakis C, LaMont JT, Kelly CP: p38 MAP kinase activation by Clostridium difficile toxin A mediates monocyte necrosis, IL-8 production, and enteritis. J Clin Invest105:1147–1156, 2000

    Google Scholar 

  63. Parkos CA: Cell adhesion and migration. I. Neutrophil adhesive interactions with intestinal epithelium. Am J Physiol 273:G763–768, 1997

    Google Scholar 

  64. Neary JT, Whittemore SR, Bu Y, Mehta H, Shi YF: Biochemical mechanisms of action of Hypericum LI 160 in glial and neuronal cells: Inhibition of neurotransmitter uptake and stimulation of extracellular signal regulated protein kinase. Pharmacopsychiatry 34(Suppl 1):S103–107, 2001

    Google Scholar 

  65. Ueda T, Shimada E, Urakawa T: Serum levels of cytokines in patients with colorectal cancer: Possible involvement of interleukin-6 and interleukin-8 in hematogenous metastasis. J Gastroenterol29:423–429, 1994

    Google Scholar 

  66. Xie K: Interleukin-8 and human cancer biology. Cytokine Growth Factor Rev12:375–391, 2001

    Google Scholar 

  67. Nakashima E, Oya A, Kubota Y, Kanada N, Matsushita R, Takeda K, Ichimura F, Kuno K, Mukaida N, Hirose K, Nakanishi I, Ujiie T, Matsushima K: A candidate for cancer gene therapy: MIP-1 alpha gene transfer to an adenocarcinoma cell line reduced tumorigenicity and induced protective immunity in immunocompetent mice. Pharm Res13:1896–1901, 1996

    Google Scholar 

  68. Brew R, Erikson JS, West DC, Kinsella AR, Slavin J, Christmas SE: Interleukin-8 as an autocrine growth factor for human colon carcinoma cells in vitro. Cytokine12:78–85, 2000

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to BRUCE BLUMBERG.

Rights and permissions

Reprints and permissions

About this article

Cite this article

ZHOU, C., TABB, M.M., SADATRAFIEI, A. et al. Hyperforin, the Active Component of St. John’s Wort, Induces IL-8 Expression in Human Intestinal Epithelial Cells Via a MAPK-Dependent, NF-κB-Independent Pathway. J Clin Immunol 24, 623–636 (2004). https://doi.org/10.1007/s10875-004-6248-z

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10875-004-6248-z

Navigation