Circulation, Vol 85, 769-778, Copyright © 1992 by American Heart Association
TJ Donnelly, RE Sievers, FL Vissern, WJ Welch and CL Wolfe
BACKGROUND. To test the hypothesis that the heat shock response is
associated with improved myocardial salvage after myocardial ischemia and
reperfusion, rats treated with prior whole-body hyperthermia and 24 hours
of recovery (n = 26) or 20 minutes of ischemic pretreatment and 8 hours of
recovery (n = 24) and control rats (n = 27, n = 24, for hyperthermic and
ischemic pretreatment, respectively) were subjected to 35 minutes of left
coronary artery (LCA) occlusion and 120 minutes of reperfusion. METHODS AND
RESULTS. Although ventricular samples from rats subjected to either
hyperthermia (n = 7) or ischemic pretreatment (n = 6) all showed induction
of HSP72 (heat shock protein), Western blot analysis revealed significantly
greater amounts of HSP72 in samples obtained from rats subjected to
hyperthermia compared with those from rats subjected to ischemic
pretreatment. Control rats (n = 7) showed no significant presence of
myocardial HSP72. After 35 minutes of LCA occlusion and 2 hours of
reperfusion, infarct size was significantly reduced in heat-shocked rats
compared with controls (8.4 +/- 1.7%, n = 26 versus 15.5 +/- 1.9%, n = 27;
p = 0.007; mean +/- SEM; infarct mass/left ventricular mass x 100). There
were no significant differences in left ventricular (LV) systolic pressure,
heart rate, LV dP/dt, or rate-pressure product between heat-shocked (n =
11) and control (n = 14) rats during the ischemic period. There were no
differences in infarct size between ischemically pretreated and control
rats subjected to 35 minutes of ischemia and reperfusion (9.7 +/- 2.1%, n =
23 versus 10.0 +/- 2.1, n = 24; p = NS). CONCLUSIONS. In this model of
ischemia and reperfusion, prior heat shock was associated with
significantly improved myocardial salvage after 35 minutes of LCA occlusion
and reperfusion. This improved salvage was correlated with marked HSP72
induction and was independent of the hemodynamic determinants of myocardial
oxygen supply and myocardial oxygen demand during the ischemic period. In
contrast, mild HSP72 induction by ischemic pretreatment was not associated
with improved myocardial salvage after myocardial ischemia and reperfusion.
Thus, the absolute levels of HSP72 may be important in conferring
protection from ischemic injury in this animal model.
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Heat shock protein induction in rat hearts. A role for improved myocardial salvage after ischemia and reperfusion?
Cardiovascular Research Institute, University of California, San Francisco.
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