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(Circulation. 1995;92:3318-3322.)
© 1995 American Heart Association, Inc.
Articles |
From the Cardiovascular Research Institute (Y.A., R.E.S., D.W., V.B., C.L.W.) and Department of Medicine (R.E.S., C.L.W.), University of California, San Francisco.
| Abstract |
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Methods and Results Myocardial catalase activity was measured in both heat-shocked and control rats 60 minutes after either 3-AT (1000 mg/kg IV) or saline infusion. In separate experiments, heat-shocked and control rats were treated with 3-AT or saline 60 minutes before being subjected to 35 minutes of left coronary artery occlusion and 120 minutes of reperfusion. Infarct size was determined by dual perfusion with triphenyltetrazolium chloride and phthalocyanine blue dye. Heat-shock treatment significantly increased myocardial catalase compared with control animals (180.5±4.8, n=6, versus 86.2±14.7, n=5, units/g wet wt; P<.05). Treatment with 3-AT significantly reduced myocardial catalase activity in both heat-shocked and control animals (29.6±5.7, n=5, and 36.4±15.3, n=6, respectively). Heat-shock treatment significantly reduced infarct size in rats that were both treated and untreated with 3-AT compared with respective control groups (22.5±3.7%, n=26, 28.2±4.0%, n=22, 52.0±3.0%, n=23, and 48.6±3.2%, n=26, respectively; P<.0001 for both heat-shocked groups versus both control groups; infarct mass/risk area massx100).
Conclusions Catalase inhibition with 3-AT does not abolish the reduction of infarct size in heat-shocked rats.
Key Words: ischemia reperfusion hyperthermia
| Introduction |
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Cardiac cells produce HSPs in response to hyperthermia and various other adverse environmental stresses, including ischemia.8 9 10 11 12 13 14 Furthermore, the heart appears to exhibit cross-tolerance to ischemia after heat-shock treatment and subsequent HSP induction.11 12 13 14 Previous work by Donnelly and coworkers in our laboratory13 demonstrated that rats heat shocked to 42°C and allowed to recover for 24 hours showed marked induction of cardiac HSP72. In addition, we showed that heat-shocked rats had smaller infarcts than control animals when subjected to a prolonged episode of ischemia and reperfusion. Subsequently, Hutter and coworkers14 demonstrated a progressive amount of cardiac HSP72 induction in rats exposed to progressive degrees of hyperthermia. When these rats were subsequently exposed to ischemia and reperfusion, there was a direct correlation between the amount of cardiac HSP72 induced and the reduction in infarct size.
On the other hand, heat shock also increases a number of antioxidants within the heart,16 which could potentially offer protection from oxidative stress such as ischemia and reperfusion. Recently, Currie et al11 and Karmazyn et al15 demonstrated that heat shock induces myocardial catalase activity as well as HSPs. Furthermore, in both studies, isolated perfused hearts obtained from rats that had been heat shocked showed improved functional recovery after global ischemia and reperfusion. In the latter study,15 this enhanced ventricular recovery was abolished when catalase activity was inhibited with 3-AT, an irreversible catalase inhibitor.17 18 19 Thus, it is unclear whether protection against ischemic injury by heat shock is due to induction of HSPs or increased antioxidant activity in the heart. The purpose of the current study was to assess whether catalase inhibition with 3-AT abolishes the reduction of infarct size by heat-shock treatment in rats.
| Methods |
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Animal Model of Heat Shock and Acute Myocardial
Infarction
The procedure of heat-shock treatment and a rat model of
acute ischemia and reperfusion were used as previously
described.13 14 Female Sprague-Dawley rats
(weight, 225 to 250 g) were anesthetized with sodium
pentobarbital (50 mg/kg body wt IP). An intravenous
catheter was introduced into the tail vein of each animal for saline
administration. Each rat was heat shocked to 42°C for 20 minutes
using a heating lamp and a warming blanket. The core body temperature
was monitored using a rectal thermometer. After heat shock, the rats
were allowed to cool and recover at room temperature for 24 hours.
Control rats were anesthetized at the same time as
heat-shocked rats and were allowed to recover at room temperature.
Assessment of Myocardial Catalase Activity
After 24 hours of
recovery, both heat-shocked and control
rats were reanesthetized (pentobarbital, 50 mg/kg body wt
IP) and randomized to receive either 3-AT (1000 mg/kg IV) or normal
saline intravenously via the tail vein. The animals were
then intubated via a tracheotomy and ventilated with a Harvard rodent
respirator. Sixty minutes after 3-AT or saline infusion, a portion of
the LV was sampled via a midline sternotomy for myocardial catalase
determination in selected animals in each group. Myocardial catalase
activity was measured as described previously by Cohen et
al.20 Briefly, 100 mg of heart tissue was dounce
homogenized on ice in 1 mL of isotonic sodium phosphate
buffer, pH 7.4, with 1% ethanol. After centrifugation
and the addition of Triton X-100, the supernate was diluted 10-fold
with phosphate buffer and 1% ethanol. In one aliquot (test), the
reaction was begun with the addition of 6 mmol/L
H2O2 in potassium phosphate buffer, pH 7.0, and
allowed to proceed for exactly 3 minutes before being terminated by the
addition of 6 N H2SO4. In a second aliquot
(blank), H2SO4 was added before
H2O2. In both aliquots, the remaining
H2O2 was quenched by the addition of 0.01 mol/L
KMnO4. All reactions were performed in an ice bath. In
addition, a standard was prepared containing 0.01 mol/L
KMnO4, phosphate buffer, and 6 N
H2SO4. Absorption was recorded at 480 nm.
Catalase activity was defined as
log[(Absstd-Absblank)/(Absstd-Abstest)]xK
and expressed as units per gram of wet weight.
Protein Isolation and Western Blot Analysis
In selected rats
in each group, a small sample of the LV was
harvested for assessment of the presence of HSP72. After each sample
was minced with a razor blade and alternately homogenized
(Wheaton dounce homogenizer, 15 mL) in 1 mL of lysis
buffer (5% sodium dodecyl sulfate, 1% 2-mercaptoethanol) and
boiled until tissue particles were no longer present, the samples
were quickly frozen in liquid nitrogen. Later the samples were thawed
and centrifuged, and precipitate was discarded. The total
protein concentration in each sample was determined by a modified Lowry
procedure.21 Equal amounts of protein (45 µg) were
loaded into lanes of 12.5% polyacrylamide gels. In addition,
protein samples from REF maintained at 37°C and heat shocked to
43°C were used as negative and positive controls. After
electrophoresis was performed, the proteins were transferred to
nitrocellulose paper, and equal protein loads were confirmed by Ponceau
staining. The Ponceau stain was then washed off, and the proteins were
probed with a primary antibody that is specific for the inducible HSP72
(C92 antibody). The nitrocellulose was then blotted with a rabbit
anti-mouse second antibody and developed for visual inspection.
Animal Model of Acute Myocardial Ischemia and
Reperfusion
Separate groups of heat-shocked and control rats were
randomized to receive either 3-AT (1000 mg/kg IV) or normal saline
intravenously as described above and subjected to a
protocol of myocardial ischemia and
reperfusion.13 14 The animals were intubated via a
tracheotomy and ventilated with a Harvard rodent respirator. With a
midline sternotomy, a reversible snare occluder was placed around the
proximal LCA and tested with a brief (2- to 3-second) occlusion to
ensure correct placement of the occluder. After a subsequent 20-minute
stabilization period, the LCA was occluded for 35 minutes and then
released for 120 minutes. During the period of surgical
instrumentation, core body temperature was maintained with a heating
pad.
Infarct Sizing
The ischemic risk area and infarct size in
each animal
were measured as described
previously.13 14 22 After 120
minutes of reperfusion, the LCA was reoccluded, and 1 mL of
phthalocyanine blue dye was infused into the tail vein, allowing dye to
stain the nonischemic portion of the heart. The heart was
then excised, rinsed of excess dye, trimmed of right
ventricular and atrial tissue, sliced transversely into
2-mm-thick sections, and immersed in a 1% solution of TTC until
the viable myocardium stained brick red. The LV sections
were fixed in 10% formalin for 24 hours, photographed (Olympus OM-2
camera with a 90-mm macrolens and 2x teleconverter), and weighed. In
each photograph, the ischemic risk area (unstained by
phthalocyanine blue dye) and the infarcted area (unstained by TTC) were
outlined and measured by planimetry. The area from each region was
averaged from photographs from each side of each section and multiplied
by the weight of tissue in that section. Infarct size was expressed
both as a percentage of total LV mass as well as a percentage of the
ischemic risk area.
Statistical Analysis
All values are expressed as
mean±SEM. Comparisons between
groups were assessed by one-way ANOVA with post hoc
analysis using the Student-Newman-Keuls test. Statistical
significance was defined as P<.05.
| Results |
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Stress Protein Levels
Western blot analysis was performed
using the C92
antibody, which recognizes only the inducible HSP72. As demonstrated in
Fig 1
, LV samples from heat-shocked rats
demonstrated marked HSP72 induction that was not affected by 3-AT
administration. In contrast, LV samples from nonheat-shocked
control rats that were either untreated or treated with 3-AT did not
demonstrate significant induction of HSP72 (Fig 1
).
These findings were noted in all hearts studied (n=4 for each group,
data not shown). REF cells maintained at 37°C did not show any HSP72
(negative control). In contrast, REF cells that were heat shocked to
43°C and allowed to recover for 24 hours demonstrated the presence of
HSP72 (positive control).
|
Infarct Size
Myocardial infarct size was significantly
reduced in
heat-shocked rats, both treated and untreated with 3-AT, as
demonstrated in Table 2
and Fig 1
.
Furthermore, catalase inhibition with 3-AT had no significant effect on
infarct size in either heat-shocked or control rats (Table 2
,
Fig 1
). There were no differences in the size of the
ischemic risk area among the four groups (Table
2
).
|
| Discussion |
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A number of investigators have demonstrated a potential role for heat-shock treatment and the induction of HSPs to protect the heart from subsequent ischemic injury. Currie and coworkers11 12 and Karmazyn and coworkers15 demonstrated that isolated, perfused hearts obtained from heat-shocked rats had better functional recovery after global ischemia and reperfusion than did hearts obtained from control rats. Donnelly et al13 showed that rats heat shocked to 42°C expressed a high level of myocardial HSP72 and had smaller infarcts after prolonged coronary artery occlusion and reperfusion than did control animals. This observation by Donnelly et al was confirmed by Currie et al23 and Walker et al24 in the rabbit model of ischemia and reperfusion. Furthermore, Hutter et al14 demonstrated a correlation between the amount of HSP72 induction and the degree of infarct size reduction. Rats subjected to progressively increased amounts of whole body hyperthermia demonstrated stepwise increases in the amount of cardiac HSP72 induction. After prolonged coronary artery occlusion and reperfusion, there was a progressive reduction in infarct size that correlated with the amount of HSP72 induced. Similarly, the degree of functional recovery of an isolated rabbit papillary muscle subjected to hypoxia and reoxygenation has been correlated with the amount of HSP70 induced by heat shock.25 Finally, a recent study by Marber et al26 demonstrated reduced contractile dysfunction and reduced infarct size in isolated, perfused transgenic mouse hearts that overexpress inducible HSP70 after being subjected to global ischemia and reperfusion. Although these studies indicated a possible relation between the induction of myocardial HSPs and protection from ischemic injury, the mechanism of protection is unclear.
On the other hand, there are considerable data to suggest that heat-shock treatment induces antioxidant activity within the heart11 12 15 16 and may attenuate the release of free radicals.27 However, the importance of this increased antioxidant activity in protecting the heart from ischemic injury is unclear. Currie et al11 and Karmazyn et al15 suggested that catalase induction may mediate the cardiac protection in animals that have undergone prior heat-shock treatment. Currie et al11 demonstrated that rat hearts obtained from heatshocked animals had enhanced postischemic ventricular recovery. These rat hearts had both increased levels of HSPs and increased myocardial catalase activity.11 The apparent importance of myocardial catalase activity in promoting postischemic ventricular recovery was demonstrated by Karmazyn et al,15 who showed that catalase inhibition with 3-AT abolished this effect in isolated, perfused rat hearts obtained from heat-shocked rats. These investigators concluded that the improved postischemic recovery in heat-shocked rats was in large part due to induction of catalase activity and its ability to neutralize H2O2, thereby decreasing membrane peroxidation. More recently, Plumier et al28 demonstrated that transgenic mouse hearts that overexpress human HSP70 exhibited improved recovery of contractile force after ischemia and reperfusion compared with nontransgenic mouse hearts. Because the two groups had similar myocardial catalase activity, it appears that myocardial HSP70 rather than catalase activity may have played a more important role in promoting functional recovery after ischemia and reperfusion.
Although catalase inhibition abolished the enhanced postischemic functional recovery in isolated hearts obtained from heat-shocked rats,15 the current study indicates that it does not affect infarct size in heat-shocked hearts in the in vivo rat model of ischemia and reperfusion. Treatment with 3-AT and inhibition of catalase activity failed to increase infarct size in either heat-shocked or nonheat-shocked control rats. This apparent lack of influence of myocardial catalase activity on infarct size in our study is consistent with the observations of others.26 29 In dogs subjected to 90 minutes of ischemia followed by 6 hours of reperfusion, pretreatment with catalase failed to reduce infarct size.29 Furthermore, in isolated transgenic mouse hearts that overexpress HSP70, infarct size was significantly reduced after ischemia and reperfusion, yet myocardial catalase activity was unaltered.26 Thus, although catalase activity may play a role in enhancing functional recovery of postischemic stunned myocardium, it does not appear to be an important determinant of infarct size in the rat and canine models of myocardial ischemia and reperfusion.
Although the mechanism of protection from ischemic injury after heat-shock treatment is unclear, there is a growing body of evidence to suggest that it may be related to the induction of HSPs and their ability to bind to damaged proteins within the cell. Recently, Mestril and coworkers30 demonstrated that transfected cell lines that overproduce inducible HSP70 were protected from subsequent exposure to hypoxia and hypoglycemia, a protocol designed to simulate ischemia. Beckmann and coworkers31 showed that HSP72/73 recognized and bound to mature polypeptides that were rendered nonnative due to thermal denaturation. Potentially, HSP72/73 may stabilize denatured or partially denatured proteins during conditions of ischemic stress, facilitating either their repair or removal and enhancing cell viability.32 However, it should be emphasized that heat-shock treatment results in the synthesis of a variety of proteins of varying molecular weights that may play a protective role in subsequent exposure to adverse environmental stress such as ischemia. Furthermore, it should be noted that the heat-shock treatment can alter intracellular calcium levels,33 34 ATP concentration,34 and pH,33 35 all of which could affect cell viability. Further studies are needed to further define the protective nature of the heat-shock response.
Conclusions
The present study indicates that catalase
inhibition with 3-AT
does not abolish the reduction of infarct size in heat-shocked
rats. Therefore, infarct size reduction after heat-shock treatment
does not appear to be dependent on the induction of myocardial catalase
activity. Although data exist to suggest a role for induction of HSP72
in reducing ischemic injury in heat-shocked rats, further
studies are needed to define the mechanism(s) of protection and the
potential role of other inducible HSPs.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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| Footnotes |
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Received April 26, 1995; revision received June 5, 1995; accepted July 24, 1995.
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