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Division of Endocrinology and Metabolism, Department of Medicine, University of California, San Diego, La Jolla, California 92093-0618
Clinical and
experimental studies have shown that myocardial dysfunction is an early
event during endotoxemia or septic shock. Several reports have shown
that rodents submitted to a mild heat shock become resistant to
lipopolysaccharides (LPS) or sepsis. The most abundant of the heat
shock proteins (HSP), the HSP70, has been postulated to be the
principal mediator of the observed protection against endotoxemia. We
have tested the hypothesis that a protective effect against endotoxemia
is achievable by the increased presence of the HSP70 in rodent
cardiomyocytes. We have found that a transgenic mouse line
overexpressing the rat HSP70 gene in the heart exhibits an
increased tolerance to LPS treatment {control estimated survival
function [
(t)] = 0.538, transgenic
(t) = 0.787, P < 0.05}. Interestingly, the increased presence of the HSP70 in the
hearts of these mice results in a decrease in the activation of the
inducible nitric oxide synthase (iNOS) after LPS treatment. We conclude
that HSP70 protection against LPS is most probably mediated through the
modulation of iNOS activation and the subsequent decreased synthesis of
nitric oxide in cardiomyocytes.
heat shock proteins; lipopolysaccharides; septic shock; crossprotection
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