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Am J Physiol Heart Circ Physiol 294: H74-H87, 2008. First published September 28, 2007; doi:10.1152/ajpheart.00675.2007
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Insulin-induced myocardial protection in isolated ischemic rat hearts requires p38 MAPK phosphorylation of Hsp27

Gefeng Li,1,2 Imtiaz S. Ali,1,3 and R. William Currie2

1Division of Cardiac Surgery, Department of Surgery; and Departments of 2Anatomy and Neurobiology and 3Physiology and Biophysics, Dalhousie University, Halifax, Nova Scotia, Canada

Submitted 11 June 2007 ; accepted in final form 25 September 2007

Six hours after insulin treatment, hearts express heat shock protein 70 (Hsp70) and have improved contractile function after ischemia-reperfusion injury. In this study we examined hearts 1 h after insulin treatment for contractile function and for expression of Hsp70 and Hsp27. Adult, male Sprague-Dawley rats were assigned to groups: 1) sham, 2) control, 3) insulin injected (200 µU/g body wt), 4) heat shock treated (core body temperature, 42°C for 15 min), and 5) heat shock and insulin treated. At 1 h after these treatments, hearts were isolated, equilibrated to Langendorff perfusion for 30 min, and then subjected for 30 min no-flow global ischemia (37°C) followed by 2 h of reperfusion. Insulin-treated hearts had significantly increased contractile function compared with control hearts. At 1 h after insulin treatment, a minimal change in Hsp70 and Hsp27 content were detected. By 3 h after insulin treatment, a significant increase in Hsp70, but not Hsp27, was detected by Western blot analysis. By immunofluorescence, minimal Hsp70 was detected in insulin-treated hearts, whereas Hsp27 was detected in all hearts, indicative of its constitutive expression. Phosphospecific isoforms of Hsp27 were detected in insulin-, heat shock-, and heat shock and insulin-treated hearts. After ischemia and reperfusion, the insulin-treated hearts had significantly elevated levels of phosphorylated Hsp27. Inhibition of p38 MAPK with SB-203580 blocked the insulin-induced phosphorylation of Hsp27 and the improved functional recovery. In conclusion, insulin induces an apparent rapid phosphorylation of Hsp27 that is associated with improved functional recovery after ischemia-reperfusion injury.

heat shock protein; confocal microscopy; mitogen-activated protein kinase inhibitors



Address for reprint requests and other correspondence: R. W. Currie, Dept. of Anatomy and Neurobiology, Dalhousie Univ., Halifax, NS, B3H 1X5, Canada (e-mail: wcurrie{at}dal.ca)







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