Rationale: Ca 2؉ /calmodulin-dependent protein kinase (CaMK)II is a multifunctional kinase involved in vital cellular processes such as Ca 2؉ handling and cell fate regulation. In mammalian heart, 2 primary CaMKII isoforms, ␦B and ␦C, localize in nuclear and cytosolic compartments, respectively. Although previous studies have established an essential role of CaMKII-␦C in cardiomyocyte apoptosis, the functional role of the more abundant isoform, CaMKII-␦B, remains elusive. Objective: Here, we determined the potential role of CaMKII-␦B in regulating cardiomyocyte viability and explored the underlying mechanism. Methods and Results: In cultured neonatal rat cardiomyocytes, the expression of CaMKII-␦B and CaMKII-␦C was inversely regulated in response to H 2 O 2 -induced oxidative stress with a profound reduction of the former and an increase of the later. Similarly, in vivo ischemia/reperfusion (IR) led to an opposite regulation of these CaMKII isoforms in a rat myocardial IR model. Notably, overexpression of CaMKII-␦B protected cardiomyocytes against oxidative stress-, hypoxia-, and angiotensin II-induced apoptosis, whereas overexpression of its cytosolic counterpart promoted apoptosis. Using cDNA microarray, real-time PCR and Western blotting, we demonstrated that overexpression of CaMKII-␦B but not CaMKII-␦C elevated expression of heat shock protein (HSP)70 family members, including inducible (i)HSP70 and its homolog (Hst70). Moreover, overexpression of CaMKII-␦B led to phosphorylation and activation of heat shock factor (HSF)1, the primary transcription factor responsible for HSP70 gene regulation. Importantly, gene silencing of iHSP70, but not Hst70, abolished CaMKII-␦B-mediated protective effect, indicating that only iHSP70 was required for CaMKII-␦B elicited antiapoptotic signaling. Conclusions: We conclude that cardiac CaMKII-␦B and CaMKII-␦C were inversely regulated in response to oxidative stress and IR injury, and that in contrast to CaMKII-␦C, CaMKII-␦B serves as a potent suppressor of cardiomyocyte apoptosis triggered by multiple death-inducing stimuli via phosphorylation of HSF1 and subsequent induction of iHSP70, marking both CaMKII-␦ isoforms as promising therapeutic targets for the treatment of ischemic heart disease. (Circ Res. 2010;106:102-110.)Key Words: CaMKII isoforms Ⅲ CaMKII-␦B Ⅲ oxidative stress Ⅲ hypoxia Ⅲ cardiomyocyte apoptosis Ⅲ iHSP70 Ⅲ HSF1 C a 2ϩ /calmodulin-dependent protein kinase (CaMK)II is a ubiquitous and multifunctional serine/threonine protein kinase family, which consists of 30 distinct members encoded by 4 different genes (␣, , ␦, and ␥). The ␦ isoform of CaMKII is predominantly expressed in the heart of many mammalian species, including rat, mouse and human. [1][2][3][4] Two primary splicing variants of the ␦ isoform, CaMKII-␦B and CaMKII-␦C, have been cloned from rat heart. 1 The only difference between these isoforms is the additional 11 amino acids, conferring a nuclear targeting signal of CaMKII-␦B. 5 As a result, CaMKII-␦B and CaMKII-␦C localize to the nucleus and ...