Background. A cultured neonatal rat cardiomyocyte model is used to inv
estigate the expression of the inducible heat shock protein 70 (HSP70i
) during hypoxia/reoxygenation and metabolic stress. Methods and Resul
ts. The major HSP70i is increased in its expression at the mRNA and pr
otein level in myocytes exposed to hypoxia/reoxygenation and metabolic
stress by the addition of 2-deoxyglucose and sodium cyanide, which ar
e inhibitors known to block ATP production. Surprisingly, the appearan
ce of HSP70 mRNA precedes the intracellular ATP depletion caused by hy
poxia, which is contrary to what we observe when the cardiomyocytes ar
e subjected to metabolic stress. Conclusions. It has been postulated r
ecently that the decrease in intracellular ATP content in cells under
stress may be the trigger that leads to the induction of HSP70i by red
ucing the pool of free HSP70, thus activating the stress response. Our
results indicate that although this may be the case during metabolic
stress, another route of activation must be used during the early stag
es of hypoxia in cardiomyocytes. The induction of HSP70i also appears
to precede the onset of cellular damage as measured by the release of
cytoplasmic enzymes and preincorporated arachidonic acid. This indicat
es that cardiomyocytes are able to respond to hypoxia/reoxygenation an
d metabolic stress with increased HSP70i production and points to a po
tential protective role of heat shock proteins during ischemia/reperfu
sion injury.