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Heat Shock Proteins in Myocardial Protection


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Rakesh C. Kukreja
Virginia Commonwealth University

Michael L. Hess
Virginia Commonwealth University

List price: $129.00
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ISBN: 978-1-58706-021-2
Pub date: 2000-08-01
115 pages
40 figures
2 tables


About this book

Myocardial ischemic syndromes pose a major medical problem and a significant economic health care concern. Reperfusion, although used in the clinical arena as essential to the survival of acutely ischemic heart muscle carries with it the risk of "reperfusion injury". Therefore the salvage of additional myocardium is highly desirable. Over a decade ago, it was shown that whole body heat shock activated a powerful endogenous protective mechanism that significantly improved myocardial salvage following prolonged ischemia and reperfusion injury in the heart. A characteristic feature of this heat shock response was the expression of a family of proteins known as heat shock proteins. Many of these proteins function as molecular chaperones, helping to refold proteins denatured as a consequence of lethal injuries and facilitating the synthesis of new proteins to replace those irreparably damaged. Altered expression of these proteins has been extensively documented in association with a diverse array of diseases such as ischemia and perfusion injury, cardiac hypertrophy, fever, inflammation, metabolic diseases, infection, cell and tissue trauma, aging, and cancer. Interestingly, some studies have now shown a direct correlation of the heat shock proteins produced and the degree of myocardial protection. This book is a thorough description of the current state of knowledge of the mechanisms of heat shock proteins induced cardiac protection at the cellular and molecular level, the controversies in this growing field and the potential of treating ischemic heart disease with overexpression of heat shock proteins in patients. The book will be especially useful for investigators interested in studying tissue injury and its protection with the overexpression of heat shock proteins.

Table of contents

Stress Proteins in Myocardial Protection

Heat Stress Proteins: A Possible Route to Myocardial Protection

Cardioprotection by Stress Proteins

Role of Heat Shock Proteins, Protein Kinase C and ATP-Sensitive Potassium Channel in Delayed Myocardial Protection

Hsp70 and Ischemia Tolerance in the Compromised Heart

Hsp72 in the Regulation of TNF-a Production: Mechanistic Implication of Protection Against Postischemic Myocardial Dysfunction

Preconditioning of Cardiac Myocytes: Studies Using Cultured Neonatal Rat Heart Myocytes and Simulated Ischemia

Antisense, Heat Shock Proteins and the Heart

Stress Proteins in Myocardial Protection: Culture Shock Protein, Heme Oxygenase-1 (Hsp32), Induced by Sublethal StressesProtects the Heart Against Oxidative Stress

Physiological Role of Heat Shock Protein 27

Ischemia/Reperfusion Injury and Heat Shock Proteins