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Serum heat shock protein 70 and oxidized LDL in patients with type 2 diabetes: does sex matter?

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Cell Stress and Chaperones Aims and scope

Abstract

Several studies suggest that the response to various stressors differs between the sexes. We aimed to study serum HSP70 and levels of oxidized-LDL (ox-LDL) as markers of oxidative stress in men and women with type 2 diabetes. We quantified serum HSP70 and levels of ox-LDL in three cohorts; patients with newly diagnosed diabetes, patients with long-standing diabetes and normal controls. The cohort of patients with newly diagnosed diabetes was followed up for 3 months under glucose-lowering therapy with metformin. Our findings showed that serum HSP70 level was increased in women with long-standing diabetes in comparison with men. HSP70 did not decrease after glucose lowering therapy in women with newly diagnosed diabetes, but it did decrease in men. There was no significant difference on ox-LDL between men and women in any of the studied cohorts. It decreased significantly in the cohort of patients with newly diagnosed diabetes after treatment, regardless of sex. There was no significant correlation between HSP70 and ox-LDL in any of the studied cohorts except among normal women. We suggest that diabetes induces an immune response and impairs cellular defense mechanisms against oxidative stress more commonly in women with type 2 diabetes than in men.

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References

  • Albert MA, Ridker PM (2006) C-reactive protein as a risk predictor: do race/ethnicity and gender make a difference? Circulation 114(5):e67–e74

    Article  PubMed  Google Scholar 

  • Asea A (2008) Hsp70: a chaperokine. Novartis Found Symp 291:173–179, discussion 179–183, 221–274

    Article  CAS  PubMed  Google Scholar 

  • Atalay M, Oksala N, Lappalainen J, Laaksonen DE, Sen CK, Roy S (2009) Heat shock proteins in diabetes and wound healing. Curr Protein Pept Sci 10(1):85–95

    Article  CAS  PubMed  Google Scholar 

  • Brownlee M (2005) The pathobiology of diabetic complications: a unifying mechanism. Diabetes 54(6):1615–1625

    Article  CAS  PubMed  Google Scholar 

  • De Leon-Nava MA, Morales-Montor J (2006) Immune sexual dimorphism: can sex steroids affect the th1/th2 cytokine profile? Rev Invest Clin 58(2):161–169

    PubMed  Google Scholar 

  • Diagnosis and classification of diabetes mellitus (2009) Diabetes Care 32 Suppl 1(1):S62–S67

    Google Scholar 

  • Donahoe SM, Stewart GC, McCabe CH, Mohanavelu S, Murphy SA, Cannon CP, Antman EM (2007) Diabetes and mortality following acute coronary syndromes. JAMA 298(7):765–775

    Article  CAS  PubMed  Google Scholar 

  • Gebhardt BR, Ries J, Caspary WF, Boehles H, Stein J (1999) Superoxide: a major factor for stress protein induction in reoxygenation injury in the intestinal cell line caco-2. Digestion 60(3):238–245

    Article  CAS  PubMed  Google Scholar 

  • Grimaldi CM (2006) Sex and systemic lupus erythematosus: the role of the sex hormones estrogen and prolactin on the regulation of autoreactive b cells. Curr Opin Rheumatol 18(5):456–461

    Article  CAS  PubMed  Google Scholar 

  • Gu K, Cowie CC, Harris MI (1999) Diabetes and decline in heart disease mortality in us adults. JAMA 281(14):1291–1297

    Article  CAS  PubMed  Google Scholar 

  • Hageman J, Kampinga HH (2009) Computational analysis of the human hsph/hspa/dnaj family and cloning of a human hsph/hspa/dnaj expression library. Cell Stress Chaperones 14(1):1–21, Epub 2008 Aug 2007

    Article  CAS  PubMed  Google Scholar 

  • Ireland HE, Leoni F, Altaie O, Birch CS, Coleman RC, Hunter-Lavin C, Williams JH (2007) Measuring the secretion of heat shock proteins from cells. Methods 43(3):176–183

    Article  CAS  PubMed  Google Scholar 

  • Jankord R, Turk JR, Schadt JC, Casati J, Ganjam VK, Price EM, Keisler DH, Laughlin MH (2007) Sex difference in link between interleukin-6 and stress. Endocrinology 148(8):3758–3764

    Article  CAS  PubMed  Google Scholar 

  • Kamper EF, Chatzigeorgiou A, Tsimpoukidi O, Kamper M, Dalla C, Pitychoutis PM, Papadopoulou-Daifoti Z (2009) Sex differences in oxidant/antioxidant balance under a chronic mild stress regime. Physiol Behav 98(1–2):215–222

    Article  CAS  PubMed  Google Scholar 

  • Kampinga HH, Hageman J, Vos MJ, Kubota H, Tanguay RM, Bruford EA, Cheetham ME, Chen B, Hightower LE (2009) Guidelines for the nomenclature of the human heat shock proteins. Cell Stress Chaperones 14(1):105–111, Epub 2008 Jul 2029

    Article  CAS  PubMed  Google Scholar 

  • Kragelund C, Kober L, Faber J, Steffensen R, Hildebrandt P (2007) Metabolic syndrome and mortality in stable coronary heart disease: relation to gender. Int J Cardiol 121(1):62–67

    Article  PubMed  Google Scholar 

  • Legato MJ, Gelzer A, Goland R, Ebner SA, Rajan S, Villagra V, Kosowski M (2006) Gender-specific care of the patient with diabetes: review and recommendations. Gend Med 3(2):131–158

    Article  PubMed  Google Scholar 

  • Mayer MP, Bukau B (2005) Hsp70 chaperones: cellular functions and molecular mechanism. Cell Mol Life Sci 62(6):670–684

    Article  CAS  PubMed  Google Scholar 

  • Molvarec A, Prohaszka Z, Nagy B, Szalay J, Fust G, Karadi I, Rigo J Jr (2006) Association of elevated serum heat-shock protein 70 concentration with transient hypertension of pregnancy, preeclampsia and superimposed preeclampsia: a case-control study. J Hum Hypertens 20(10):780–786, Epub 2006 Jun 2008

    Article  CAS  PubMed  Google Scholar 

  • Molvarec A, Prohaszka Z, Nagy B, Kalabay L, Szalay J, Fust G, Karadi I, Rigo J Jr (2007a) Association of increased serum heat shock protein 70 and c-reactive protein concentrations and decreased serum alpha(2)-hs glycoprotein concentration with the syndrome of hemolysis, elevated liver enzymes, and low platelet count. J Reprod Immunol 73(2):172–179, Epub 2006 Oct 2004

    Article  CAS  PubMed  Google Scholar 

  • Molvarec A, Rigo J Jr, Nagy B, Walentin S, Szalay J, Fust G, Karadi I, Prohaszka Z (2007b) Serum heat shock protein 70 levels are decreased in normal human pregnancy. J Reprod Immunol 74(1–2):163–169

    Article  CAS  PubMed  Google Scholar 

  • Molvarec A, Derzsy Z, Kocsis J, Boze T, Nagy B, Balogh K, Mako V, Cervenak L, Mezes M, Karadi I, Prohaszka Z, Rigo J Jr (2009a) Circulating anti-heat-shock-protein antibodies in normal pregnancy and preeclampsia. Cell Stress Chaperones 14(5):491–498, Epub 2009 Feb 2011

    Article  CAS  PubMed  Google Scholar 

  • Molvarec A, Rigo J Jr, Lazar L, Balogh K, Mako V, Cervenak L, Mezes M, Prohaszka Z (2009b) Increased serum heat-shock protein 70 levels reflect systemic inflammation, oxidative stress and hepatocellular injury in preeclampsia. Cell Stress Chaperones 14(2):151–159

    Article  CAS  PubMed  Google Scholar 

  • Molvarec A, Tamasi L, Losonczy G, Madach K, Prohaszka Z, Rigo J Jr (2010) Circulating heat shock protein 70 (hspa1a) in normal and pathological pregnancies. Cell Stress Chaperones 15(3):237–247

    Article  CAS  PubMed  Google Scholar 

  • Nakhjavani M, Morteza A, Khajeali L, Esteghamati A, Khalilzadeh O, Asgarani F, Outeiro TF (2010) Increased serum hsp70 levels are associated with the duration of diabetes. Cell Stress Chaperones. doi:10,1007/s12192-010-0204-z

    Google Scholar 

  • Njemini R, Demanet C, Mets T (2004) Inflammatory status as an important determinant of heat shock protein 70 serum concentrations during aging. Biogerontology 5(1):31–38

    Article  CAS  PubMed  Google Scholar 

  • Oglesbee MJ, Herdman AV, Passmore GG, Hoffman WH (2005) Diabetic ketoacidosis increases extracellular levels of the major inducible 70-kda heat shock protein. Clin Biochem 38(10):900–904

    Article  CAS  PubMed  Google Scholar 

  • Pandey KB, Mishra N, Rizvi SI (2009) Protein oxidation biomarkers in plasma of type 2 diabetic patients. Clin Biochem 23:23

    Google Scholar 

  • Payette C, Blackburn P, Lamarche B, Tremblay A, Bergeron J, Lemieux I, Despres JP, Couillard C (2009) Sex differences in postprandial plasma tumor necrosis factor-alpha, interleukin-6, and C-reactive protein concentrations. Metabolism 58(11):1593–1601

    Article  CAS  PubMed  Google Scholar 

  • Perez-Torres I, Roque P, El Hafidi M, Diaz-Diaz E, Banos G (2009) Association of renal damage and oxidative stress in a rat model of metabolic syndrome. Influence of gender. Free Radic Res 43(8):761–771

    Article  CAS  PubMed  Google Scholar 

  • Piarulli F, Lapolla A, Sartore G, Rossetti C, Bax G, Noale M, Minicuci N, Fiore C, Marchioro L, Manzato E, Fedele D (2005) Autoantibodies against oxidized ldls and atherosclerosis in type 2 diabetes. Diab Care 28(3):653–657

    Article  CAS  Google Scholar 

  • Pockley AG, De Faire U, Kiessling R, Lemne C, Thulin T, Frostegard J (2002) Circulating heat shock protein and heat shock protein antibody levels in established hypertension. J Hypertens 20(9):1815–1820

    Article  CAS  PubMed  Google Scholar 

  • Pockley AG, Georgiades A, Thulin T, de Faire U, Frostegard J (2003) Serum heat shock protein 70 levels predict the development of atherosclerosis in subjects with established hypertension. Hypertension 42(3):235–238

    Article  CAS  PubMed  Google Scholar 

  • Renie G, Maingrette F, Li L (2007) Diabetic vasculopathy and the lectin-like oxidized low-density lipoprotein receptor-1 (lox-1). Curr Diabetes Rev 3(2):103–110

    Article  PubMed  Google Scholar 

  • Soti C, Nagy E, Giricz Z, Vigh L, Csermely P, Ferdinandy P (2005) Heat shock proteins as emerging therapeutic targets. Br J Pharmacol 146(6):769–780

    Article  CAS  PubMed  Google Scholar 

  • Steinberg D (1997) Low density lipoprotein oxidation and its pathobiological significance. J Biol Chem 272(34):20963–20966

    Article  CAS  PubMed  Google Scholar 

  • Svensson PA, Asea A, Englund MC, Bausero MA, Jernas M, Wiklund O, Ohlsson BG, Carlsson LM, Carlsson B (2006) Major role of hsp70 as a paracrine inducer of cytokine production in human oxidized LDL treated macrophages. Atherosclerosis 185(1):32–38

    Article  CAS  PubMed  Google Scholar 

  • Tamasi L, Bohacs A, Tamasi V, Stenczer B, Prohaszka Z, Rigo J Jr, Losonczy G, Molvarec A (2009) Increased circulating heat shock protein 70 levels in pregnant asthmatics. Cell Stress Chaperones 15(3):295–300

    Article  PubMed  Google Scholar 

  • Veiraiah A (2005) Hyperglycemia, lipoprotein glycation, and vascular disease. Angiology 56(4):431–438

    Article  PubMed  Google Scholar 

  • Wang YR, Xiao XZ, Huang SN, Luo FJ, You JL, Luo H, Luo ZY (1996) Heat shock pretreatment prevents hydrogen peroxide injury of pulmonary endothelial cells and macrophages in culture. Shock 6(2):134–141

    Article  CAS  PubMed  Google Scholar 

  • Wei W, Liu Q, Tan Y, Liu L, Li X, Cai L (2009) Oxidative stress, diabetes, and diabetic complications. Hemoglobin 33(5):370–377

    Article  CAS  PubMed  Google Scholar 

  • White RE, Gerrity R, Barman SA, Han G (2010) Estrogen and oxidative stress: a novel mechanism that may increase the risk for cardiovascular disease in women. Steroids Epub ahead of print

  • Woodman RJ, Watts GF, Playford DA, Best JD, Chan DC (2005) Oxidized LDL and small LDL particle size are independently predictive of a selective defect in microcirculatory endothelial function in type 2 diabetes. Diabetes Obes Metab 7(5):612–617

    Article  CAS  PubMed  Google Scholar 

  • Wright E Jr, Scism-Bacon JL, Glass LC (2006) Oxidative stress in type 2 diabetes: the role of fasting and postprandial glycaemia. Int J Clin Pract 60(3):308–314

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Manouchehr Nakhjavani.

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Nakhjavani, M., Morteza, A., Meysamie, A. et al. Serum heat shock protein 70 and oxidized LDL in patients with type 2 diabetes: does sex matter?. Cell Stress and Chaperones 16, 195–201 (2011). https://doi.org/10.1007/s12192-010-0232-8

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  • DOI: https://doi.org/10.1007/s12192-010-0232-8

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