1000/1000
Hot
Most Recent
Heat shock proteins (HSP) are induced after different stress situations. Some of these proteins, particularly HSP-27, function as markers to indicate cellular stress or damage and protect the heart during addictive processes. Morphine withdrawal induces an enhancement of sympathetic activity in parallel with an increased HSP-27 expression and phosphorylation, indicating a severe situation of stress. HSP-27 can interact with different intracellular signaling pathways. Propranolol and SL-327 were able to antagonize the activation of hypothalamic-pituitary adrenal (HPA) axis and the phosphorylation of HSP-27 observed during morphine withdrawal. Therefore, β-adrenergic receptors and the extracellular signal-regulated kinase (ERK) pathway would be involved in HPA axis activity, and consequently, in HSP-27 activation. Finally, selective blockade of corticotrophin releasing factor (CRF)-1 receptor and the genetic deletion of CRF1 receptors antagonize cardiac adaptive changes. These changes are increased NA turnover, HPA axis activation and decreased HSP-27 expression and phosphorylation. This suggests a link between HPA axis and HSP-27. On the other hand, morphine withdrawal increases µ-calpain expression, which in turn degrades cardiac troponin T (cTnT). This fact, together with a co-localization between cTnT and HSP-27, suggests that this chaperone avoids the degradation of cTnT by µ-calpain, correcting the cardiac contractility abnormalities observed during addictive processes. The aim of our research is to review the possible role of HSP-27 in the cardiac changes observed during morphine withdrawal and to understand the mechanisms implicated in its cardiac protective functions.
In humans, HSP-27 is one of the most important low molecular weight HSP. It is constitutively located in almost all cell types and tissues, but mainly expressed in cardiac tissue[1]. HSP-27 post-translational modification is carried out by phosphorylation at three serine residues (Ser 15, Ser 78, and Ser 82). This phosphorylation is mainly carried out by mitogen activated extracellular signals, although other protein kinases such as protein kinase D, in cell lines and pancreas, and protein kinase C, can also phosphorylate HSP-27, primarily in the residue Ser 82[2].
The essential proteins involved in the mechanism of cardiac contraction are actin, myosin, and troponins (Tn). In 1954, Huxley and Hanson[3] proposed the “sliding filament theory”, which states that muscle contraction is the result of the relative slippage of myosin filaments (thick filaments) and actin filaments (thin filaments). Tn is activated in the presence of Ca2+ to expose the actin and myosin binding site. Troponin is a complex formed by three proteins (TnT, TnI, and TnC), each one with a specific function: TnC, which is capable of binding Ca2+; TnT, which binds to tropomyosin in muscle fibers maintaining the bond between actin and myosin; and TnI, which binds to actin in thin myofilaments in order to hold the Tn / tropomyosin complex together, inhibiting the binding of actin and myosin filaments[4][5][6]. The N-terminal region of cardiac TnT and the COOH-terminal region of TnI can undergo a proteolysis by μ-calpain[7][8]. An increase in calpain activity has been observed to cause alterations in myocardial contractility in certain cardiac diseases, while the administration of calpain inhibitors improved cardiac function[9][10]. HSP-27 is somehow involved in cardiac contraction, because ischemia and thermal shock induce a translocation of HSP-27 to the bands Z in cardiac tissue[11][12][13]. The stabilization of actin filaments occurs thanks to the different phosphorylation/dephosphorylation processes, which prevent the degradation and depolymerization induced by oxidative damage or thermal shock[14]. This stabilization seems to be an action caused by the non-phosphorylated form, which is responsible for the HSP activity as a molecular chaperone[15][16], and also participates in the solubilization of the aggregates of denatured proteins after stress[17].
Other functions for HSP-27 would be the modulation of the redox state and the inhibition of apoptotic cell death[18][19] which it is suggested to be mediated by the phosphorylated form[19]. The inhibition of cell death occurs through the direct interaction of HSP-27 with members of the apoptotic machinery that lead to the suppression of the activity of the enzyme caspase, one of the main actors responsible for cell death. A wide range of human diseases and the administration of some drugs have been associated with endoplasmic reticulum stress, which can lead to oxidative stress and therefore, can create an increase in reactive oxygen species (ROS). Endoplasmic reticulum damage induces an increased HSP-27 expression, preventing the generation of ROS and caspase-3 activity and avoiding cell death[20]. In addition, HSP-27 overexpression inhibits cytochrome C release and, consequently, the translocation of pro-death molecules to mitochondria[21].
It is important to highlight that HSP-27 is expressed in both constitutive and inducible form in the cardiac tissue, which gives it an important cardioprotective role. This cardioprotective effect has been extensively studied in animal models. In those studies, it was observed an increase in cell survival against lethal damage caused by cardiac ischemia in mice that overexpress HSP, compared to those that do not overexpress the protein[22]. It has been suggested that HSP-27 contributes to the maintenance of membrane integrity in different types of stress[23] [29], protecting the heart through its functions as chaperone, facilitating the reconstitution of the cytoskeleton after stress. HSP-27 also works as an inducer of antioxidant mechanisms, since the production of free radicals is involved in the generation of myocardial lesions[24][25][26]. Thus, HSP-27 is considered as a potential target for the treatment of myocardial ischemia[6].
In conclusion, HSP-27 increased levels in different tissues suggest a protective role against different type of stress that cause cellular damage. HSP-27 could be considered as adaptive response proteins which enhance survival.