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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Donia on August 12, 2004, at 22:02:33
Hi all, I have heard that St.Johns Wart can cause eye problems. Is this true?
Donia
Posted by TenMan on August 13, 2004, at 10:06:10
In reply to St. Johns Wart ?, posted by Donia on August 12, 2004, at 22:02:33
St. Johns Wort *could* possibly aggravate a preexisting glaucoma.
It will not cause it in an otherwise healthy individual though.
Posted by Larry Hoover on August 13, 2004, at 14:29:21
In reply to St. Johns Wart ?, posted by Donia on August 12, 2004, at 22:02:33
> Hi all, I have heard that St.Johns Wart can cause eye problems. Is this true?
> DoniaThe photosensitivity associated with SJW seems to also apply to the lens of the eye. It would be prudent to use sunblock and UV-filtering sunglasses when using SJW.
Photochem Photobiol. 2000 Aug;72(2):200-3.
Photooxidation of lens alpha-crystallin by hypericin (active ingredient in St. John's Wort).Schey KL, Patat S, Chignell CF, Datillo M, Wang RH, Roberts JE.
Department of Cell and Molecular Pharmacology and Experimental Therapeutics, Medical University of South Carolina, Charleston, USA.
Hypericin is the active ingredient in the over the counter antidepressant medication St. John's Wort. Hypericin produces singlet oxygen and other excited state intermediates that indicate it should be a very efficient phototoxic agent in the eye. Furthermore it absorbs in the UV and visible range, which means it can potentially damage both the lens and the retina. Lens alpha-crystallin, isolated from calf lenses, was irradiated in the presence of hypericin (5 x 10(-5) M, 10 mM ammonium bicarbonate, pH 7.0) and in the presence and absence of light (> 300 nm, 24 mW/cm2). Hypericin-induced photosensitized photopolymerization as assessed by sodium dodecylsulfate-polyacrylamide gel electrophoresis. Further analysis of the oxidative changes occurring in alpha-crystallin using mass spectrometry showed specific oxidation of methionine, tryptophan and histidine residues, which increased with irradiation time. Hypericin did not damage the lens protein in the dark. Damage to alpha-crystallin could undermine the integrity of the lens directly by protein denaturation and indirectly by disturbing chaperone function. Therefore, in the presence of light, hypericin can induce changes in lens protein that could lead to the formation of cataracts. Appropriate precautions should be taken to protect the eye from intense sunlight while on this antidepressant medication.
This is the end of the thread.
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