Hypericum perforatum

What's the taxonomical classification of Hypericum perforatum?

Hypericum perforatum belongs to the kingdom Plantae and is classified within the phylum Streptophyta. Moving through its hierarchical lineage, it is categorized under the class Equisetopsida and the subclass Magnoliidae, followed by its placement in the order Malpighiales. Within this order, the plant is a member of the family Hypericaceae, which leads to its specific assignment to the genus Hypericum. Finally, its unique biological identity is completed at the species level as Hypericum perforatum.

Taxonomic Rank Classification
Kingdom Plantae
Phylum Streptophyta
Class Equisetopsida
Subclass Magnoliidae
Order Malpighiales
Family Hypericaceae
Genus Hypericum
Species perforatum
Evidence Level: ★★★★☆

What are the morphological characteristics of this plant?

Hypericum perforatum has opposite, oblong to lanceolate leaves that are characterized by numerous translucent glandular dots resembling small perforations when held up to the light. The stems are typically erect, branched, and can exhibit a reddish tint in certain conditions. Small, bright yellow flowers emerge in clusters, featuring five distinct petals and a dense arrangement of numerous prominent stamens. The plant also produces small, woody capsules that contain many tiny seeds once the flowering period concludes. These morphological features collectively distinguish this species from other members of the Hypericaceae family.

Evidence Level: ★☆☆☆☆

What is the geographical distribution of this plant?

This plant is native to Europe, Asia, and North Africa, but it has become naturalized throughout much of the temperate regions of the world. It is widely distributed across North America, where it is often classified as an invasive weed in various ecosystems. You can commonly find it growing in disturbed soils, meadows, roadsides, and pastures across many different continents. Its ability to thrive in diverse climates allows it to spread from temperate zones into various subtropical areas. This expansive range is a result of both its natural hardiness and its historical introduction by humans for medicinal purposes.

Evidence Level: ★☆☆☆☆

How is this plant cultivated?

This plant Hypericum perforatum thrives best in well-drained, sandy or loamy soils with full sun exposure and moderate moisture levels.

It is a hardy perennial that can tolerate various soil types, including poor or rocky ground, as long as it does not sit in standing water. During the planting process, ensuring adequate sunlight is crucial to promote dense foliage and vigorous flowering. Once established, the plant requires minimal maintenance and is relatively resistant to most common pests and diseases.

Regular harvesting of the flowering tops during peak summer months helps stimulate further growth and ensures a high yield of active compounds.

Evidence Level: ★☆☆☆☆

What parts of this plant are used medicinally?

This plant Hypericum perforatum is utilized medicinally through its flowers, leaves, stems, and roots, while the seeds are generally not used for therapeutic purposes. The flowering tops and leaves are the primary components harvested to extract hypericin for treating mild to moderate depression. Stems are often included in the collection of aerial parts to ensure a sufficient yield of bioactive compounds. Roots are sometimes prepared as decoctions to address various inflammatory conditions. By combining these specific botanical elements, herbalists create potent extracts used in traditional and modern medicine.

According to a study published by "Pharmaceutica acta Helvetiae", flower extracts of Hypericum perforatum efficiently inhibited binding of [3H]flumazenil to rat brain benzodiazepine binding sites of the GABAA-receptor in vitro with an IC50 value of 6.83 micrograms/ml. Single constituents of these extracts, including hypericin, the flavones quercetin and luteolin, the glycosylated flavonoids rutin, hyperoside and quercitrin, and the biflavone 13, II8-biapigenin, did not inhibit binding up to concentrations of 1 microM. In contrast, the constituent amentoflavone revealed an IC50 = 14.9 +/- 1.9 nM on benzodiazepine binding in vitro. Amentoflavone presents a very active compound in contrast to hypericin and might be involved in the antidepressant effects of Hypericum perforatum extracts.

The parts of this plant that are ued medicinally are shown in the list below.

  • flower
  • leaves
  • seeds
  • stem
  • roots
Evidence Level: ★★★☆☆

What traditional systems uses this plant?

This plant, Hypericum perforatum, has been utilized for centuries across diverse healing traditions including Ayurveda, Greek traditional medicine, and homeopathy to treat various physical and emotional ailments. In the Ayurvedic system, it is often employed to address skin conditions and inflammatory issues through its perceived balancing properties. Ancient Greek practitioners such as Dioscorides and Galen documented its use for wound healing and as a remedy for neurological discomfort. Homeopathic practitioners later integrated the plant into their pharmacopoeia to create highly diluted preparations intended for emotional distress and nerve sensitivity. These varied historical applications demonstrate the long-standing global recognition of the herb's therapeutic potential.

According to a study published by "Biomolecules", 10 botanical extracts from Ayurvedic Medicine, Traditional Chinese Medicine, Northern American traditional medicine and Occidental Monastic Medicine were investigated. Among these investigated extracts, Hypericum perforatum turned out to be one of the most effective plant extracts. The research utilized BrdU assays and IL-6 and IL-8 ELISAs to evaluate the extracts. These botanical products were tested against psoriasis-like keratinocytes generated by treating human primary keratinocytes with 3 cytokines, specifically IL-17A, TNF-alpha and IL-22.

The hystorical systems that uses this plant are shown in the list below.

  • Ayurveda
  • Greek traditional medicine
  • Homeopathy
Evidence Level: ★★★☆☆

What are the pharmacological activities of Hypericum perforatum?

This plant has diverse pharmacological activities including antidepressant, anxiolytic, anti-inflammatory, antioxidant, and wound healing properties. Its antidepressant and anxiolytic effects are primarily attributed to the modulation of neurotransmitters like serotonin and dopamine in the brain. The presence of bioactive compounds also allows it to function as a potent antioxidant by neutralizing free radicals. Additionally, the plant demonstrates significant anti-inflammatory capabilities that help reduce systemic swelling and pain. These combined medicinal qualities further support its ability to promote wound healing by accelerating tissue repair and skin regeneration.

According to a study published by "AAPS PharmSciTech", Hypericum perforatum is characterized by potent medicinal activity. When administered as HP.SNESNS at 100 mg/kg, it significantly improved cardiac functions by decreasing serum myocardial enzymes, nitric oxide, and tumor necrosis factor-α. This formulation also ameliorates anxiety, depressive-like behavior, and cognitive dysfunction by decreasing brain TNF-α and elevating norepinephrine, serotonin, and brain-derived neurotrophic factor. The treatment augmented the immunohistochemical expression of cortical and hippocampal glial fibrillary acidic protein levels while downregulating cortical Bcl-2-associated X protein expression levels. These protective activities were found to be comparable to the effects of HP at 300 mg/kg.

The primary pharmacological activities of this plant are shown in the list below.

  • Antidepressant
  • Anxiolytic
  • Anti-inflammatory
  • Antioxidant
  • Wound healing
Evidence Level: ★★★☆☆

What medicinal compounds this plant contains?

This plant contains several key medicinal compounds including hypericin, hyperforin, pseudohypericin, hyperoside, and rutin. Hypericin and its derivative pseudohypericin are naphthodianthrones primarily responsible for the plant's light-sensitive properties. Hyperforin acts as a major constituent that contributes to the antidepressant effects by inhibiting the reuptake of neurotransmitters. The flavonoids hyperoside and rutin also play significant roles in the plant's chemical profile and biological activity. Together, these diverse phytochemicals form the basis for the therapeutic applications of St. John's Wort.

According to a study published by "Molecules (Basel, Switzerland)", Hypericum perforatum contains the medicinal compound hypericin, which is well-known as an antidepressant. When grown at 15 °C compared to 22 °C, the hypericin content in Hypericum perforatum was 4.5-fold greater. At 15 °C, the stomatal density and opening percentages were 1.1- and 1.4-fold more than at 22 °C. A total of 1584 differentially expressed genes were observed at 15 versus 22 °C, which included 749 characterized genes. Of these, 421 genes were upregulated and 328 genes were downregulated. Additionally, 150 genes were associated with hypericin biosynthesis, plant growth, and the stress response.

The primary medicinal compounds of this plant are shown in the list below.

  • Hypericin
  • Hyperforin
  • Pseudohypericin
  • Hyperoside
  • Quercetin
Evidence Level: ★★★☆☆

What health conditions is this plant used for?

This plant is used for treating Major Depressive Disorder, depression, anxiety, anxiety disorders, and various other mood disorders. It is most commonly utilized as a natural remedy for mild to moderate cases of clinical depression. Many individuals also turn to this herb to help manage symptoms associated with generalized anxiety disorders. By influencing neurotransmitters in the brain, it aims to stabilize emotional fluctuations. This botanical approach provides an alternative for those seeking to manage complex mood disorders.

According to a study published by "Brain sciences", Hypericum perforatum is one of the key medicinal plants examined for its therapeutic potential in managing Major Depressive Disorder (MDD). This manuscript aims to examine its role in addressing this severe, chronic illness. The review explores how such plants can influence neurotransmitter systems and modulate neuroinflammation and oxidative stress. Additionally, the study looks at how these plants impact neuroplasticity and regulate the Hypothalamic-Pituitary-Adrenal (HPA) axis.

The main health conditions this plant is used for are shown in the list below.

  • Major Depressive Disorder
  • Depression
  • Anxiety
  • Anxiety disorders
  • Mood disorders
Evidence Level: ★★★☆☆

What are the herbal preparations of this plant?

This plant is used to create various medicinal preparations including Hyperici oleum, film coated tablets, liquid tinctures, syrup, and vaginal gel. Hyperici oleum is a red-tinted oil often applied topically to soothe skin irritations. Film coated tablets and liquid tinctures provide standardized doses typically used for managing mild depressive symptoms. The syrup formulation offers a sweetened oral option for patients who prefer a more palatable delivery method. Finally, a vaginal gel is prepared from the plant to treat localized inflammatory conditions.

According to a study published by "Planta medica", Hyperici Oleum contains no hypericin, but instead features lipophilic breakdown products that provide a red colour through a sunlight maceration method described in the supplement to DAB 6 (EB 6). Hyperforin is responsible for the therapeutic activity of the oil and was identified and quantitatively determined using TLC and HPLC after solid-phase extraction. To achieve sufficient shelf-life due to limited stability, hyperforin requires hot maceration of dried flowers with eutanol G and storage in the absence of air. Gradient HPLC detected further polar hyperforin analogues in oils where hyperforin had decomposed, while simultaneously identifying flavonoids and xanthones. The action of light during the preparation of the oil led to a rise in the content of flavonoids.

The main herbal preparations of this plant are shown in the list below.

  • Hyperici oleum
  • film coated tablets
  • liquid tinctures
  • syrup
  • vaginal gel
Evidence Level: ★★★☆☆

What side effects this plant can have?

This plant can cause adverse health effects such as increased photosensitivity, gastrointestinal disturbances, dizziness, drowsiness, and significant drug interactions. Individuals taking hypericum perforatum may experience heightened sensitivity to sunlight, leading to skin irritation or burns. Common digestive issues like nausea or abdominal discomfort can also occur during use. Some users report neurological side effects including dizziness and a sense of drowsiness that may impair daily activities. Most critically, the plant interacts with many prescription medications by altering how the body processes them, which can reduce the effectiveness of essential drugs.

The main side effects this plant can have are shown in the list below.

  • photosensitivity, gastrointestinal disturbances, dizziness, drowsiness, drug interactions
Evidence Level: ★★★☆☆

What herbs are paired with Hypericum perforatum?

This plant, Hypericum perforatum, is most effectively paired with lemon balm, chamomile, and valerian to enhance its calming properties for nervous system support.

Combining it with citrusy herbs like lemon balm helps to soften its somewhat bitter flavor profile while providing a synergistic effect on mood regulation. Chamomile is frequently added to create a gentle sedative blend that promotes restful sleep and eases anxiety. Valerian root serves as a potent partner when the goal is to address deeper sleep disturbances or intense physical tension.

These botanical combinations are often used in herbal teas or tinctures to balance the plant's potency and improve palatability.

Evidence Level: ★☆☆☆☆