Ten previously undescribed polycyclic polyprenylated acylphloroglucinols (PPAPs), hypertums A-J (1-10), together with eighteen known analogues (11-28), belonging to five subclasses of PPAPs, were isolated from the aerial parts of Hypericum perforatum L. (St. John's wort). The chemical structures and the absolute configurations of these compounds were elucidated by comprehensive analysis of NMR spectra, HR-ESI-MS data, quantum chemical calculations, chemical transformation, and X-ray crystallography. The carbon skeletons of compounds 1-5 were first characterized from H. perforatum. Compounds 6 and 7 were rare congeners assembled with two different polyprenylated acylphloroglucinol moieties through an ester bond. The plausible biosynthetic pathways for 1-10 were postulated. Compound 3, yezo'otogirin A (27) and yezo'otogirin B (28) exhibited weak acetylcholinesterase inhibitory activities at 50 μM. The isolated PPAPs were also evaluated for their anti-neuroinflammatory activity. Compound 3 inhibited nitric oxide (NO) production in LPS-stimulated BV-2 microglial cells with IC