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

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.

[1]  B. M. Forman,et al.  The orphan nuclear receptor SXR coordinately regulates drug metabolism and efflux , 2001, Nature Medicine.

[2]  B. Dewald,et al.  Interleukin-8 and related chemotactic cytokines--CXC and CC chemokines. , 1994, Advances in immunology.

[3]  M. Hazzard Klaus Linde, Gilbert Ramirez, Cynthia D. Mulrow, Andrej Pauls, Wolfgang Weidenhammer, and Dieter Melchart. (1996). St. John's wort for depression—An overview and meta-analysis of randomized clinical trials. British Medical Journal, 313, 3 August 1996, 253-8 , 1997 .

[4]  K. Xie,et al.  Interleukin-8 and human cancer biology. , 2001, Cytokine & growth factor reviews.

[5]  W. Sabbagh,et al.  SXR, a novel steroid and xenobiotic-sensing nuclear receptor. , 1998, Genes & development.

[6]  X. Wen,et al.  Oct-1 and CCAAT/Enhancer-binding Protein (C/EBP) Bind to Overlapping Elements within the Interleukin-8 Promoter , 1997, The Journal of Biological Chemistry.

[7]  B. Gaster,et al.  St John's wort for depression: a systematic review. , 2000, Archives of internal medicine.

[8]  C. Parkos I. Neutrophil adhesive interactions with intestinal epithelium. , 1997, American journal of physiology. Gastrointestinal and liver physiology.

[9]  W. Müller,et al.  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 , 2000, Neuropsychopharmacology.

[10]  K. Michelsen,et al.  Human Intestinal Epithelial Cells Are Broadly Unresponsive to Toll-Like Receptor 2-Dependent Bacterial Ligands: Implications for Host-Microbial Interactions in the Gut 1 , 2003, The Journal of Immunology.

[11]  P. Gibson,et al.  Interleukin 8 secretion by colonic crypt cells in vitro: response to injury suppressed by butyrate and enhanced in inflammatory bowel disease. , 1995, Gut.

[12]  K. Matsushima,et al.  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. , 1990, The Journal of biological chemistry.

[13]  E. Ernst,et al.  St John's wort: Prozac from the plant kingdom. , 2001, Trends in pharmacological sciences.

[14]  M. Stoeckle Post-transcriptional regulation of groα, β, γ, and IL-8 mRNAs by IL-1β , 1991 .

[15]  M. Kagnoff,et al.  Epithelial cells as sensors for microbial infection. , 1997, The Journal of clinical investigation.

[16]  C. Pothoulakis,et al.  p38 MAP kinase activation by Clostridium difficile toxin A mediates monocyte necrosis, IL-8 production, and enteritis. , 2000, The Journal of clinical investigation.

[17]  P. Singh,et al.  Hypericum perforatum: nature's mood stabilizer. , 2000, Indian journal of experimental biology.

[18]  C. Borner,et al.  Inhibition of tumour cell growth by hyperforin, a novel anticancer drug from St. John's wort that acts by induction of apoptosis , 2002, Oncogene.

[19]  W. Müller,et al.  Pharmacological profile of hypericum extract. Effect on serotonin uptake by postsynaptic receptors. , 1995, Arzneimittel-Forschung.

[20]  R. Sartor,et al.  The I kappa B/NF-kappa B system: a key determinant of mucosalinflammation and protection. , 2000, American journal of physiology. Cell physiology.

[21]  R. Strieter Interleukin-8: a very important chemokine of the human airway epithelium. , 2002, American journal of physiology. Lung cellular and molecular physiology.

[22]  K. Matsushima,et al.  Essential involvement of interleukin‐8 (IL‐8) in acute inflammation , 1994, Journal of leukocyte biology.

[23]  M. Weller,et al.  Proteasome inhibition leads to NF‐κB‐independent IL‐8 transactivation in human endothelial cells through induction of AP‐1 , 2002, European journal of immunology.

[24]  R. Evans,et al.  Ligation independent cloning irrespective of restriction site compatibility. , 1997, Nucleic acids research.

[25]  Ashok Kumar,et al.  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* , 2003, Journal of Biological Chemistry.

[26]  R Ohlsson,et al.  Identification of a human nuclear receptor defines a new signaling pathway for CYP3A induction. , 1998, Proceedings of the National Academy of Sciences of the United States of America.

[27]  U. Hafner,et al.  Hyperforin represents the neurotransmitter reuptake inhibiting constituent of hypericum extract. , 1998, Pharmacopsychiatry.

[28]  J. Lehmann,et al.  An Orphan Nuclear Receptor Activated by Pregnanes Defines a Novel Steroid Signaling Pathway , 1998, Cell.

[29]  C. Pothoulakis,et al.  Signal Transduction Pathways Mediating Neurotensin-stimulated Interleukin-8 Expression in Human Colonocytes* , 2001, The Journal of Biological Chemistry.

[30]  D. McKay,et al.  Bacterial DNA evokes epithelial IL‐8 production by a MAPK‐dependent, NFκB‐independent pathway , 2003, FASEB journal : official publication of the Federation of American Societies for Experimental Biology.

[31]  S. Christmas,et al.  Interleukin-8 as an autocrine growth factor for human colon carcinoma cells in vitro. , 2000, Cytokine.

[32]  Jun Ma,et al.  GAL4-VP16 is an unusually potent transcriptional activator , 1988, Nature.

[33]  Thomas D. Schmittgen,et al.  Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method. , 2001, Methods.

[34]  S. Akira,et al.  Transcription factors NF-IL6 and NF-kappa B synergistically activate transcription of the inflammatory cytokines, interleukin 6 and interleukin 8. , 1993, Proceedings of the National Academy of Sciences of the United States of America.

[35]  S. Chatterjee,et al.  Oral Bioavailability of Hyperforin from Hypericum Extracts in Rats and Human Volunteers , 1998, Pharmacopsychiatry.

[36]  L. Moore,et al.  St. John's wort induces hepatic drug metabolism through activation of the pregnane X receptor. , 2000, Proceedings of the National Academy of Sciences of the United States of America.

[37]  Peter F. Johnson,et al.  C/EBP gamma has a stimulatory role on the IL-6 and IL-8 promoters. , 2002, The Journal of biological chemistry.

[38]  C. Der,et al.  Dissection of Ras-Dependent Signaling Pathways Controlling Aggressive Tumor Growth of Human Fibrosarcoma Cells: Evidence for a Potential Novel Pathway , 2000, Molecular and Cellular Biology.

[39]  K. Matsushima,et al.  Genomic structure of the human monocyte-derived neutrophil chemotactic factor IL-8. , 1989, Journal of immunology.

[40]  D. Brenner,et al.  Tumor Necrosis Factor Alpha-Induced Interleukin-8 Production via NF-κB and Phosphatidylinositol 3-Kinase/Akt Pathways Inhibits Cell Apoptosis in Human Hepatocytes , 2002, Infection and Immunity.

[41]  T. Murayama,et al.  [Molecular mechanism of interleukin-8 gene expression]. , 1994, Rinsho byori. The Japanese journal of clinical pathology.

[42]  K. Roebuck 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). , 1999, International journal of molecular medicine.

[43]  K. Madsen,et al.  MAP kinases contribute to IL-8 secretion by intestinal epithelial cells via a posttranscriptional mechanism. , 2002, American journal of physiology. Cell physiology.

[44]  B. M. Forman,et al.  Peptide Mimetic HIV Protease Inhibitors Are Ligands for the Orphan Receptor SXR* , 2001, The Journal of Biological Chemistry.

[45]  Peter F. Johnson,et al.  C/EBPγ Has a Stimulatory Role on the IL-6 andIL-8 Promoters* , 2002, The Journal of Biological Chemistry.

[46]  C. Nelson,et al.  The p38 mitogen‐activated protein kinase regulates interleukin‐1β‐induced IL‐8 expression via an effect on the IL‐8 promoter in intestinal epithelial cells , 2003, Immunology.

[47]  K. Matsushima,et al.  A Candidate for Cancer Gene Therapy: MIP-lα Gene Transfer to an Adenocarcinoma Cell Line Reduced T\imorigenicity and Induced Protective Immunity in Immunocompetent Mice , 1996, Pharmaceutical Research.

[48]  Christopher K. Glass,et al.  The peroxisome proliferator-activated receptor-γ is a negative regulator of macrophage activation , 1998, Nature.

[49]  C. Mulrow,et al.  St John's wort for depression—an overview and meta-analysis of randomised clinical trials , 1996, BMJ.

[50]  R. Roeder,et al.  Accurate transcription initiation by RNA polymerase II in a soluble extract from isolated mammalian nuclei. , 1983, Nucleic acids research.

[51]  K. Umesono,et al.  A Unified Nomenclature System for the Nuclear Receptor Superfamily , 1999, Cell.

[52]  B Dewald,et al.  Human chemokines: an update. , 1997, Annual review of immunology.

[53]  S. Whittemore,et al.  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. , 2001, Pharmacopsychiatry.

[54]  K. Matsushima,et al.  Identification of tumor-specific paclitaxel (Taxol)-responsive regulatory elements in the interleukin-8 promoter , 1997, Molecular and cellular biology.

[55]  P. Nathan Hypericum perforatum (St John's Wort): a non-selective reuptake inhibitor? A review of the recent advances in its pharmacology , 2001, Journal of psychopharmacology.

[56]  B. Neuschwander‐Tetri,et al.  Humanized xenobiotic response in mice expressing nuclear receptor SXR , 2000, Nature.

[57]  M. Kagnoff,et al.  Differential cytokine expression by human intestinal epithelial cell lines: regulated expression of interleukin 8. , 1993, Gastroenterology.

[58]  M. McIntyre 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. , 2000, Journal of alternative and complementary medicine.

[59]  K. Roebuck Regulation of interleukin-8 gene expression. , 1999, Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research.

[60]  C. de Waele,et al.  Calcium-dependent interleukin-8 gene expression in T84 human colonic epithelial cells , 2001, Inflammation Research.

[61]  H. Woelk,et al.  Benefits and risks of the hypericum extract LI 160: drug monitoring study with 3250 patients. , 1994, Journal of geriatric psychiatry and neurology.

[62]  S S Chatterjee,et al.  Activity profiles of two hyperforin-containing hypericum extracts in behavioral models. , 1998, Pharmacopsychiatry.

[63]  J. Ross,et al.  Interleukin-8 can mediate acute-phase protein production by isolated human hepatocytes. , 1997, American journal of physiology. Endocrinology and metabolism.

[64]  Takashi Ueda,et al.  Serum levels of cytokines in patients with colorectal cancer: Possible involvement of interleukin-6 and interleukin-8 in hematogenous metastasis , 1994, Journal of Gastroenterology.

[65]  D. Remick,et al.  Transcriptional and post-transcriptional regulation of interleukin-8. , 1996, The American journal of pathology.

[66]  J. Schwabe,et al.  St John's wort, a herbal antidepressant, activates the steroid X receptor. , 2000, The Journal of endocrinology.

[67]  R. Sartor,et al.  The IκB/NF-κB system: a key determinant of mucosal inflammation and protection , 2000 .

[68]  E. Ernst,et al.  Second thoughts about safety of St John's wort , 1999, The Lancet.

[69]  M Kieser,et al.  St. John's wort in mild to moderate depression: the relevance of hyperforin for the clinical efficacy. , 1998, Pharmacopsychiatry.