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Increased circulating heat shock protein 70 (HSPA1A) levels in gestational diabetes mellitus: a pilot study

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Cell Stress and Chaperones Aims and scope

Abstract

Recent data indicate that serum Hsp70 (HSPA1A) levels are increased in type 1 and 2 diabetes mellitus. However, there is no report in the literature on circulating Hsp70 levels in gestational diabetes mellitus. In this pilot study, we measured serum Hsp70 levels in 11 pregnant women with pregestational diabetes, 38 women with gestational diabetes, and 40 healthy pregnant women with ELISA. Plasma glucose levels, serum insulin concentrations, HbA1c values, and the Homeostatic Model Assessment-Insulin Resistance (HOMA-IR) index were also determined. According to our results, serum Hsp70 concentrations were significantly higher in women with pregestational and gestational diabetes mellitus than in healthy pregnant women. In addition, pregestational diabetic women had significantly higher Hsp70 levels than those with gestational diabetes. Furthermore, in the group of women with gestational diabetes mellitus, serum Hsp70 levels showed a significant positive correlation with HbA1c values. However, there was no other relationship between clinical features and metabolic parameters of the study subjects and their serum Hsp70 levels in either study group. In conclusion, we demonstrated for the first time in the literature that serum Hsp70 levels are increased and correlate with HbA1c values in women with gestational diabetes mellitus. Nevertheless, further studies are needed to determine whether circulating Hsp70 plays a causative role in the pathogenesis of gestational diabetes or elevated serum Hsp70 levels are only consequences of the disease.

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References

  • Alberti KG, Zimmet PZ (1998) Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med : J Br Diabet Assoc 15:539–553

    Article  CAS  Google Scholar 

  • Asea A (2005) Stress proteins and initiation of immune response: chaperokine activity of hsp72. Exerc Immunol Rev 11:34–45

    PubMed Central  PubMed  Google Scholar 

  • Asea A et al (2000) HSP70 stimulates cytokine production through a CD14-dependant pathway, demonstrating its dual role as a chaperone and cytokine. Nat Med 6:435–442

    Article  CAS  PubMed  Google Scholar 

  • Asea A et al (2002) Novel signal transduction pathway utilized by extracellular HSP70: role of toll-like receptor (TLR) 2 and TLR4. J Biol Chem 277:15028–15034

    Article  CAS  PubMed  Google Scholar 

  • Ategbo JM et al (2006) Modulation of adipokines and cytokines in gestational diabetes and macrosomia. J Clin Endocrinol metab 91:4137–4143

    Article  CAS  PubMed  Google Scholar 

  • Basu S, Binder RJ, Ramalingam T, Srivastava PK (2001) CD91 is a common receptor for heat shock proteins gp96, hsp90, hsp70, and calreticulin. Immunity 14:303–313

    Article  CAS  PubMed  Google Scholar 

  • Ben-Haroush A, Yogev Y, Hod M (2004) Epidemiology of gestational diabetes mellitus and its association with type 2 diabetes. Diabet Med : J Br Diabet Assoc 21:103–113

    Article  CAS  Google Scholar 

  • Bruce CR, Carey AL, Hawley JA, Febbraio MA (2003) Intramuscular heat shock protein 72 and heme oxygenase-1 mRNA are reduced in patients with type 2 diabetes: evidence that insulin resistance is associated with a disturbed antioxidant defense mechanism. Diabetes 52:2338–2345

    Article  CAS  PubMed  Google Scholar 

  • Calabrese V et al (2007) Oxidative stress and cellular stress response in diabetic nephropathy. Cell Stress Chaperones 12:299–306

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Calabrese V et al (2012) Oxidative stress, glutathione status, sirtuin and cellular stress response in type 2 diabetes. Biochim Biophys Acta 1822:729–736

    Article  CAS  PubMed  Google Scholar 

  • Casey BM, Lucas MJ, McIntire DD, Leveno KJ (1997) Pregnancy outcomes in women with gestational diabetes compared with the general obstetric population. Obstet Gynecol 90:869–873

    Article  CAS  PubMed  Google Scholar 

  • Chung J et al (2008) HSP72 protects against obesity-induced insulin resistance. Proc Natl Acad Sci U S A 105:1739–1744

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Dahlgren J (2006) Pregnancy and insulin resistance. Metab Syndr Relat Disord 4:149–152

    Article  CAS  PubMed  Google Scholar 

  • Dudley DJ (2007) Diabetic-associated stillbirth: incidence, pathophysiology, and prevention. Obstet Gynecol Clin N Am 34:293–307

    Article  Google Scholar 

  • Dybdahl B et al (2002) Inflammatory response after open heart surgery: release of heat-shock protein 70 and signaling through toll-like receptor-4. Circulation 105:685–690

    Article  CAS  PubMed  Google Scholar 

  • Dybdahl B, Slordahl SA, Waage A, Kierulf P, Espevik T, Sundan A (2005) Myocardial ischaemia and the inflammatory response: release of heat shock protein 70 after myocardial infarction. Heart 91:299–304

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Fischer CP et al (2006) Vitamin E isoform-specific inhibition of the exercise-induced heat shock protein 72 expression in humans. J Appl Physiol 100:1679–1687

    Article  CAS  PubMed  Google Scholar 

  • Hightower LE (1991) Heat shock, stress proteins, chaperones, and proteotoxicity. Cell 66:191–197

    Article  CAS  PubMed  Google Scholar 

  • Hod M, Merlob P, Friedman S, Schoenfeld A, Ovadia J (1991) Gestational diabetes mellitus. A survey of perinatal complications in the 1980s. Diabetes 40(Suppl 2):74–78

    Article  PubMed  Google Scholar 

  • Hunter-Lavin C, Davies EL, Bacelar MM, Marshall MJ, Andrew SM, Williams JH (2004a) Hsp70 release from peripheral blood mononuclear cells. Biochem Biophys Res Commun 324:511–517

    Article  CAS  PubMed  Google Scholar 

  • Hunter-Lavin C et al (2004b) Folate supplementation reduces serum hsp70 levels in patients with type 2 diabetes. Cell Stress Chaperones 9:344–349

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Jaffe S et al (2013) Induction of the 72 kDa heat shock protein by glucose ingestion in black pregnant women. Cell Stress Chaperones 18:527–530

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Kavanagh K, Flynn DM, Jenkins KA, Zhang L, Wagner JD (2011) Restoring HSP70 deficiencies improves glucose tolerance in diabetic monkeys American journal of physiology. Endocrinol Metab 300:E894–E901

    CAS  Google Scholar 

  • Kim C, Newton KM, Knopp RH (2002) Gestational diabetes and the incidence of type 2 diabetes: a systematic review. Diabetes Care 25:1862–1868

    Article  PubMed  Google Scholar 

  • Kimura F et al (2004) Circulating heat-shock protein 70 is associated with postoperative infection and organ dysfunction after liver resection. Am J Surg 187:777–784

    Article  CAS  PubMed  Google Scholar 

  • Krause M et al (2014) Elevated levels of extracellular heat-shock protein 72 (eHSP72) are positively correlated with insulin resistance in vivo and cause pancreatic beta-cell dysfunction and death in vitro. Clin Sci 126:739–752

    Article  CAS  PubMed  Google Scholar 

  • Kurucz I, Morva A, Vaag A, Eriksson KF, Huang X, Groop L, Koranyi L (2002) Decreased expression of heat shock protein 72 in skeletal muscle of patients with type 2 diabetes correlates with insulin resistance. Diabetes 51:1102–1109

    Article  CAS  PubMed  Google Scholar 

  • Lappas M, Hiden U, Desoye G, Froehlich J, Hauguel-de Mouzon S, Jawerbaum A (2011) The role of oxidative stress in the pathophysiology of gestational diabetes mellitus. Antioxid Redox Signal 15:3061–3100

    Article  CAS  PubMed  Google Scholar 

  • McCarty MF (2006) Induction of heat shock proteins may combat insulin resistance. Med Hypotheses 66:527–534

    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 20:780–786

    Article  CAS  PubMed  Google Scholar 

  • Molvarec A et al (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 73:172–179

    Article  CAS  PubMed  Google Scholar 

  • Molvarec A et al (2007b) Serum heat shock protein 70 levels are decreased in normal human pregnancy. J Reprod Immunol 74:163–169

    Article  CAS  PubMed  Google Scholar 

  • Molvarec A et al (2009) Increased serum heat-shock protein 70 levels reflect systemic inflammation, oxidative stress and hepatocellular injury in preeclampsia. Cell Stress Chaperones 14:151–159

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Molvarec A, Szarka A, Walentin S, Beko G, Karadi I, Prohaszka Z, Rigo J Jr (2011) Serum heat shock protein 70 levels in relation to circulating cytokines, chemokines, adhesion molecules and angiogenic factors in women with preeclampsia. Clin Chim Acta; Int J Clin Chem 412:1957–1962

    Article  CAS  Google Scholar 

  • Morteza A, Nakhjavani M, Larry M, Nargesi AA, Esteghamati A (2013) Heat shock protein 70 and albuminuria in patients with type 2 diabetes: a matched case control study. Cell Stress Chaperones 18:815–819

    Article  CAS  PubMed Central  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 15:959–964

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Nakhjavani M et al (2011) Serum heat shock protein 70 and oxidized LDL in patients with type 2 diabetes: does sex matter? Cell Stress Chaperones 16:195–201

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Nakhjavani M, Morteza A, Asgarani F, Khalilzadeh O, Ghazizadeh Z, Bathaie SZ, Esteghamati A (2012) The dual behavior of heat shock protein 70 and asymmetric dimethylarginine in relation to serum CRP levels in type 2 diabetes. Gene 498:107–111

    Article  CAS  PubMed  Google Scholar 

  • Njemini R, Lambert M, Demanet C, Mets T (2003) Elevated serum heat-shock protein 70 levels in patients with acute infection: use of an optimized enzyme-linked immunosorbent assay. Scand J Immunol 58:664–669

    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 38:900–904

    Article  CAS  PubMed  Google Scholar 

  • Pockley AG (2003) Heat shock proteins as regulators of the immune response. Lancet 362:469–476

    Article  CAS  PubMed  Google Scholar 

  • Pockley AG, Shepherd J, Corton JM (1998) Detection of heat shock protein 70 (Hsp70) and anti-Hsp70 antibodies in the serum of normal individuals. Immunol Investig 27:367–377

    Article  CAS  Google Scholar 

  • Rodrigues-Krause J et al (2012) Divergence of intracellular and extracellular HSP72 in type 2 diabetes: does fat matter? Cell Stress Chaperones 17:293–302

    Article  PubMed Central  PubMed  Google Scholar 

  • Saito FH, Damasceno DC, Dallaqua B, Linhares IM, Rudge MV, De Mattos Paranhos Calderon I, Witkin SS (2013) Heat shock protein production and immunity and altered fetal development in diabetic pregnant rats. Cell Stress Chaperones 18:25–33

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Shaat N, Groop L (2007) Genetics of gestational diabetes mellitus. Curr Med Chem 14:569–583

    Article  CAS  PubMed  Google Scholar 

  • Simar D, Jacques A, Caillaud C (2012) Heat shock proteins induction reduces stress kinases activation, potentially improving insulin signalling in monocytes from obese subjects. Cell Stress Chaperones 17:615–621

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Tamasi L et al (2010) Increased circulating heat shock protein 70 levels in pregnant asthmatics. Cell Stress Chaperones 15:295–300

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Winkler G et al (2002) Tumor necrosis factor system in insulin resistance in gestational diabetes. Diabetes Res Clin Pract 56:93–99

    Article  CAS  PubMed  Google Scholar 

  • Yabunaka N, Ohtsuka Y, Watanabe I, Noro H, Fujisawa H, Agishi Y (1995) Elevated levels of heat-shock protein 70 (HSP70) in the mononuclear cells of patients with non-insulin-dependent diabetes mellitus. Diabetes Res Clin Pract 30:143–147

    Article  CAS  PubMed  Google Scholar 

  • Yogev Y, Xenakis EM, Langer O (2004) The association between preeclampsia and the severity of gestational diabetes: the impact of glycemic control. Am J Obstet Gynecol 191:1655–1660

    Article  PubMed  Google Scholar 

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Acknowledgments

The skillful technical assistance of Szigeti Antalné is acknowledged with many thanks. This work was supported by the János Bolyai Research Scholarship of the Hungarian Academy of Sciences, as well as by a research grant from the Hungarian Scientific Research Fund (PD 109094).

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Correspondence to Attila Molvarec.

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Garamvölgyi, Z., Prohászka, Z., Rigó, J. et al. Increased circulating heat shock protein 70 (HSPA1A) levels in gestational diabetes mellitus: a pilot study. Cell Stress and Chaperones 20, 575–581 (2015). https://doi.org/10.1007/s12192-015-0579-y

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  • DOI: https://doi.org/10.1007/s12192-015-0579-y

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