Abstract
There is increasing evidence that mitochondrial dysfunction and oxidative stress may be integral to the pathogenesis of type 2 diabetes mellitus. Heat shock protein (Hsp60) is a mitochondrial stress protein known to be induced under conditions of mitochondrial impairment. Although this intracellular protein is normally found in the mitochondrion, several studies have shown that this protein is also present in systemic circulation. In this study, we report the presence of elevated levels of Hsp60 in both saliva and serum of type 2 diabetic patients compared to non-diabetic controls. Hsp60 was detectable in the saliva of 10% of control and 93% of type 2 diabetic patients. Levels detected were in the range of 3–7 ng/ml in control and 3–75 ng/ml in type 2 diabetic patients. Serum Hsp60 levels in the range of 3–88 ng/ml were detected in 33% of control subjects, and levels in the range of 28–1,043 ng/ml were detected in 100% of type 2 diabetic patients. This is the first reporting of the presence of mitochondrial stress protein in salivary secretions. The serum Hsp60 levels were 16-fold higher compared to those in saliva, and there was a good positive correlation between salivary and serum Hsp60 levels (r = 0.55). While the exact mechanisms responsible for the secretion of Hsp60 into biological fluids such as saliva and blood are not yet known. The presence of this molecular marker of mitochondrial stress in saliva offers a non-invasive route to further investigate the biological functions of extracellular Hsp60 in type 2 diabetes mellitus and other conditions.
References
Boog C, de Graeff-Meeder E, Lucassen M, van der Zee R, Voorhorst-Ogink M, van Kooten P, Geuze H, van Eden W (1992) Two monoclonal antibodies generated against human hsp60 show reactivity with synovial membranes of patients with juvenile chronic arthritis. J Exp Med 175(6):1805–1810
Broadley SA, Hartl FU (2008) Mitochondrial stress signaling: a pathway unfolds. Trends Cell Biol 18:1–4
Ellins ES-TA, Steptoe A, Donald A, O'Meagher S, Halcox J, Henderson B (2008) The relationship between carotid stiffness and circulating levels of heat shock protein 60 in middle-aged men and women. J Hypertens 26(12):2389–2392
Fábián TK, Gaspar J, Fejérdy L, Kaán B, Bálint M, Csermely P, Fejérdy P (2003) Hsp70 is present in human saliva. Med Sci Monit 9(1):BR62-5
Fábián TK, Tóth Z, Fejérdy L, Kaán B, Csermely P, Fejérdy P (2004) Photo-acoustic stimulation increases the amount of 70 kDa heat shock protein (Hsp70) in human whole saliva. A pilot study. Int J Psychophysiol 52:211–216
Fortes M, Whitham M (2011) Salivary Hsp72 does not track exercise stress and caffeine-stimulated plasma Hsp72 responses in humans. Cell Stress Chaperones 16:345–352
Gleeson M, Dobson AJ, Firman DW, Cripps AW, Clancy RL, Wlodarczyk JH, Hensley MJ (1991) The variability of immunoglobulins and albumin in salivary secretions of children. Scand J Immunol 33:533–541
Gupta S, Knowlton AA (2007) HSP60 trafficking in adult cardiac myocytes: role of the exosomal pathway. Am J Physiol Heart Circ Physiol 292:H3052–H3056
Halcox JPJDJ, Shamaei-Tousi A, Henderson B, Steptoe A, Coates ARM, Singhal A, Lucas A (2005) Circulating human heat shock protein 60 in the blood of healthy teenagers: a novel determinant of endothelial dysfunction and early vascular injury? Arterioscler Thromb Vasc Biol 25:e141–e142
Imatoh T, Sugie T, Miyazaki M, Tanihara S, Baba M, Momose Y, Uryu Y, Une H (2009) Is heat shock protein 60 associated with type 2 diabetes mellitus? Diabetes Res Clin Pract 85:208–212
Maguire M, Poole S, Coates ARM, Tormay P, Wheeler-Jones C, Henderson B (2005) Comparative cell signalling activity of ultrapure recombinant chaperonin 60 proteins from prokaryotes and eukaryotes. Immunology 115:231–238
Martinus RD, Garth GP, Webster TL, Cartwright P, Naylor DJ, Høj PB, Hoogenraad NJ (1996) Selective induction of mitochondrial chaperones in response to loss of the mitochondrial genome. Eur J Biochem 240:98–103
Oliver SJ, Laing SJ, Wilson S, Bilzon JLJ, Walsh NP (2008) Saliva indices track hypohydration during 48 h of fluid restriction or combined fluid and energy restriction. Arch Oral Biol 53:975–980
Pfister G, Stroh CM, Perschinka H, Kind M, Knoflach M, Hinterdorfer P, Wick G (2005) Detection of HSP60 on the membrane surface of stressed human endothelial cells by atomic force and confocal microscopy. J Cell Sci 118:1587–1594
Pockley AG, Bulmer J, Hanks BM, Wright BH (1999) Identification of human heat shock protein 60 (Hsp60) and anti-Hsp60 antibodies in the peripheral circulation of normal individuals. Cell Stress Chaperones 4(1):29–35
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 42:235–238
Shamaei-Tousi A, Stephens JW, Bin R, Cooper JA, Steptoe A, Coates ARM, Henderson B, Humphries SE (2006) Association between plasma levels of heat shock protein 60 and cardiovascular disease in patients with diabetes mellitus. Eur Heart J 27:1565–1570
Soltys BJ, Gupta RS (1997) Cell surface localization of the 60 kDa heat shock chaperonin protein (hsp60) in mammalian cells. Cell Biol Int 21:315–320
Xu Q, Schett G, Seitz CS, Hu Y, Gupta RS, Wick G (1994) Surface staining and cytotoxic activity of heat-shock protein 60 antibody in stressed aortic endothelial cells. Circ Res 75:1078–1085
Xu Q, Schett G, Perschinka H, Mayr M, Egger G, Oberhollenzer F, Willeit J, Kiechl S, Wick G (2000) Serum soluble heat shock protein 60 is elevated in subjects with atherosclerosis in a general population. Circulation 102:14–20
Zhao Q, Wang J, Levichkin IV, Stasinopoulos S, Ryan MT, Hoogenraad NJ (2002) A mitochondrial specific stress response in mammalian cells. EMBO J 21:4411–4419
Acknowledgements
We would like to thank Mrs. A. Johnstone for her expert technical help during subject recruitment and saliva and blood collections at the Waikato Regional Diabetes Clinic.
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Yuan, J., Dunn, P. & Martinus, R.D. Detection of Hsp60 in saliva and serum from type 2 diabetic and non-diabetic control subjects. Cell Stress and Chaperones 16, 689–693 (2011). https://doi.org/10.1007/s12192-011-0281-7
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DOI: https://doi.org/10.1007/s12192-011-0281-7