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Am J Physiol Heart Circ Physiol 291: H2680-H2691, 2006. First published June 16, 2006; doi:10.1152/ajpheart.00395.2006
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Heat shock protects cardiac cells from doxorubicin-induced toxicity by activating p38 MAPK and phosphorylation of small heat shock protein 27

C. D. Venkatakrishnan,1 Arun K. Tewari,2 Leni Moldovan,1 Arturo J. Cardounel,3 Jay L. Zweier,1 Periannan Kuppusamy,1 and Govindasamy Ilangovan1

1Center for Biomedical EPR Spectroscopy and Imaging and Division of Cardiovascular Medicine, Department of Internal Medicine, 2Proteomics Core Facility, and 3Department of Pharmacology, Davis Heart and Lung Research Institute, The Ohio State University, Columbus, Ohio

Submitted 14 April 2006 ; accepted in final form 8 June 2006

Doxorubicin (DOX) and its derivatives are used as chemotherapeutic drugs to treat cancer patients. However, production of DOX-mediated reactive oxygen species (ROS) by prolonged use of these drugs has been found to cause dilative cardiomyopathy and congestive heart failure. Thus various preventive modalities have been developed to avoid this side effect. We have found that the DOX-mediated oxidant-induced toxicity in cardiac cells could be minimized by hyperthermia-induced small heat shock protein 27 (HSP27); that is, this protein acts as an endogenous antioxidant against DOX-derived oxidants such as H2O2. Heat shock-induced HSP27 was found to act as an antiapoptotic protein (reducing ROS and Bax-to-Bcl2 ratio) against DOX, and its phosphorylated isoforms stabilized F-actin remodeling in DOX-treated cardiac cells and, hence, attenuated the toxicity. Protein kinase assays and proteomic analyses suggested that higher expression of HSP27 and its phosphorylation are responsible for the protection in heat-shocked cells. Two-dimensional gel electrophoresis showed six isoforms (nonphosphorylated and phosphorylated) of HSP27. Matrix-assisted laser desorption/ionization time of flight analyses showed {alpha}- and beta-isoforms of HSP27, which are phosphorylated by various protein kinases. Ser15 and Ser85 phosphorylation of HSP27 by MAPK-assisted protein kinase 2 was found to be the key mechanism in reduction of apoptosis and facilitation of F-actin remodeling. The present study illustrates that hyperthermia protects cells from DOX-induced death through induction and phosphorylation of HSP27 and its antiapoptotic and actin-remodeling activities.

apoptosis; cardiomyopathy; hyperthermia



Address for reprint requests and other correspondence: G. Ilangovan, The Ohio State Univ., 420 West 12th Ave, Rm. 116A, Columbus, OH 43210 (e-mail: Govindasamy.Ilangovan{at}osumc.edu)




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