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1 Physiology, The Univeristy of Hong Kong, Hong Kong, China
* To whom correspondence should be addressed. E-mail: wongtakm{at}hkucc.hku.hk.
We hypothesize that activation of heat shock protein 70 (HSP70) by preconditioning, which is known to confer delayed cardioprotection, attenuates the impaired handling of Ca2+ at multiple sites. To test the hypothesis, we determined how the ryanodine receptor (RyR), sarcoplasmic reticulum Ca2+-ATPase (SERCA) and Na+-Ca2+ exchange (NCX) handled Ca2+ in rat ventricular myocytes preconditioned with a kappa-opioid receptor agonist, U50,488H (UP), followed by blockade of HSP70 with a selective antisense oligonucleotides and subsequently subjected to simulated ischemia. We determined: 1) the Ca2+ transients induced by electrical stimulation and caffeine, which provide the overall picture on Ca2+ homeostasis; 2) expression of RyR, SERCA and NCX, and 3) Ca2+ fluxes via NCX by the use of 45Ca2+ in the rat ventricular myocyte. We found that UP increased the activity of RyR, SERCA and NCX, and the expression of RyR and SERCA. These led to increases in release of Ca2+ from sarcoplasmic reticulum via RyR and in removal of Ca2+ from cytoplasm by re-uptake of Ca2+ to SR via SERCA and by extrusion of Ca2+ out of the cell via NCX. UP also reduced mitochondrial Ca2+ accumulation. All the effects of UP were either abolished or significantly attenuated by blockade of HSP70 synthesis with a selective antisense oligonucleotides. The results are evidence that activation of HSP70 by preconditioning improves the ischemia-impaired Ca2+ homeostasis at multiple sites in the heart, which may be responsible, at least partly, for attenuated Ca2+ overload, improved recovery in contractile function and cardioprotection.
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