SP70 proteins are central components of the cellular chaperone system associated with folding, assembly, disassembly and degradation of proteins. 1 During the last decade, a number of studies have suggested that stress-induced overexpression of HSP72 may confer protection against ischemia and reperfusion injury in the heart. After 24 h of brief heat stress or brief repeated ischemia (stress pretreatment), overexpression of HSP72 in the myocardium reduced infarct size 2-4 and improved contractile function 5,6 following sublethal ischemia. Significantly improved global left ventricular hemodynamic performance, 7 reduced loss of intracellular enzymes, 8 and a diminution of the duration of arrhythmias 9 compared to non-pretreated controls were also observed. However, most studies of HSP72 have focused on stresspretreated hearts and the protective role of overexpression of HSP72 in the ischemic heart has been demonstrated following a short period of ischemia. The expression of HSP72 in the non-stress-pretreated heart in the course of ischemia and reperfusion, which would resemble clinical myocardial ischemia and reperfusion, requires investigation. It is still unclear when and where HSP72 reaches its maximum expression, for how long HSP72 expression is sustained, and whether HSP72 expression relates to morphological changes through a permanent ischemia or reperfusion process. Therefore, we observed the time course of expression and localization of HSP72 in nonstress-pretreated hearts, using in vivo coronary artery occlusion and reperfusion rat models. We believe that this study may contribute to understanding of the role of HSP72 in ischemic heart disease.
Materials and MethodsAll studies were performed in accordance with to the "Guide for the Care and Use of Laboratory Animals" published by the US National Institutes of Health (NIH publication No 85-23, revised in 1985) and were approved by the Animal Experimentation Committee of Nippon Medical School.
Surgical ProceduresRat models of myocardial ischemia and reperfusion were employed as previously described. [10][11][12] Male Wistar rats weighing 250 to 300 g (Sankyou Laboratory Supplies, Tokyo, Japan) were anesthetized intraperitoneally with sodium pentobarbital (30 mg/kg body weight), tracheostomized and ventilated on a rodent respirator (Model 681, Harvard instruments). Intermittent positive pressure ventilation was given with a mixture of 95% oxygen and 5% carbon dioxide (1 ml/100 g body weight, 65 strokes/ min). A thoracotomy was performed via the left fourth intercostal space, and after pericardiotomy, the left main coronary artery was occluded near its origin with 5-0 nylon sutures, then the chest was closed. Piperacillin sodium (100 mg) was administered intramuscularly. Myocardial ischemic changes were confirmed by electrocardiogram findings (ST segment elevation) and by the pale color of the left ventricular surface as observed macroscopically. Reperfusion was performed as previously described. 12 The 4-0 cotton suture was released after 30 min of occlusi...