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Harn-Shen Chen Division of Endocrinology and Metabolism, Department of Medicine, Institute of Physiology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Sec 2, Taipei 11217, Taiwan, ROC
Division of Endocrinology and Metabolism, Department of Medicine, Institute of Physiology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Sec 2, Taipei 11217, Taiwan, ROC

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Tzu-En Wu Division of Endocrinology and Metabolism, Department of Medicine, Institute of Physiology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Sec 2, Taipei 11217, Taiwan, ROC

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Chi-Chang Juan Division of Endocrinology and Metabolism, Department of Medicine, Institute of Physiology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Sec 2, Taipei 11217, Taiwan, ROC

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Hong-Da Lin Division of Endocrinology and Metabolism, Department of Medicine, Institute of Physiology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Sec 2, Taipei 11217, Taiwan, ROC
Division of Endocrinology and Metabolism, Department of Medicine, Institute of Physiology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Sec 2, Taipei 11217, Taiwan, ROC

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Heat shock protein 60 (HSPD1) plays a critical role in myocardial protection. Its reduced expression may lower myocardial protection against ischemic injury in the diabetic state. This study was conducted to investigate the natural course of fructose-fed insulin-resistant rats, define changes in myocardial HSPD1 expression, and determine the effects of thiazolidinedione or anti-hypertensive treatment. Results showed that insulin resistance with hyperinsulinemia and hypertension developed after 6 weeks of fructose feeding. This time-course study also showed that myocardial HSPD1 expression was mildly increased in week 6 (P=0.05) and significantly increased in week 8. Rosiglitazone-treated rats had restored systolic blood pressure (BP) and normalized plasma insulin level during oral glucose tolerance tests, whereas amlodipine-treated rats restored only systolic BP. Both amlodipine and rosiglitazone treatments normalized the abundance of myocardial HSPD1 expression in fructose-fed rats. When these rats received streptozotocin injection and diabetes developed, myocardial HSPD1 expression decreased despite persistent hypertension. In conclusion, this is the first study to report that myocardial HSPD1 expression is increased in high-fructose-fed rats, which may be due to increased BP. Once the high-fructose-fed rats developed diabetes with insulin deficiency, the myocardial HSPD1 expression decreased in spite of persistent hypertension.

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Harn-Shen Chen Department of Medicine, Biological Chemistry, Physiology and Biophysics, Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-4086, USA
epartment of Medicine, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University, Taiwan
Department of Physiology, Loyola University, Chicago, Illinois 60153, USA

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Jia Jia Department of Medicine, Biological Chemistry, Physiology and Biophysics, Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-4086, USA
epartment of Medicine, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University, Taiwan
Department of Physiology, Loyola University, Chicago, Illinois 60153, USA

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Hou-Fen Su Department of Medicine, Biological Chemistry, Physiology and Biophysics, Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-4086, USA
epartment of Medicine, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University, Taiwan
Department of Physiology, Loyola University, Chicago, Illinois 60153, USA

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Hong-Da Lin Department of Medicine, Biological Chemistry, Physiology and Biophysics, Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-4086, USA
epartment of Medicine, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University, Taiwan
Department of Physiology, Loyola University, Chicago, Illinois 60153, USA

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Jaw-Wen Chen Department of Medicine, Biological Chemistry, Physiology and Biophysics, Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-4086, USA
epartment of Medicine, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University, Taiwan
Department of Physiology, Loyola University, Chicago, Illinois 60153, USA

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Shing-Jong Lin Department of Medicine, Biological Chemistry, Physiology and Biophysics, Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-4086, USA
epartment of Medicine, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University, Taiwan
Department of Physiology, Loyola University, Chicago, Illinois 60153, USA

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Jia-Ying Yang Department of Medicine, Biological Chemistry, Physiology and Biophysics, Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-4086, USA
epartment of Medicine, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University, Taiwan
Department of Physiology, Loyola University, Chicago, Illinois 60153, USA

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Hui-Chin Lai Department of Medicine, Biological Chemistry, Physiology and Biophysics, Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-4086, USA
epartment of Medicine, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University, Taiwan
Department of Physiology, Loyola University, Chicago, Illinois 60153, USA

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Ruben Mestril Department of Medicine, Biological Chemistry, Physiology and Biophysics, Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-4086, USA
epartment of Medicine, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University, Taiwan
Department of Physiology, Loyola University, Chicago, Illinois 60153, USA

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Ping H Wang Department of Medicine, Biological Chemistry, Physiology and Biophysics, Center for Diabetes Research and Treatment, University of California, Irvine, California 92697-4086, USA
epartment of Medicine, Taipei Veterans General Hospital and Institute of Clinical Medicine, National Yang-Ming University, Taiwan
Department of Physiology, Loyola University, Chicago, Illinois 60153, USA

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The 70 kDa heat shock protein family plays important cardiac protective roles against myocardial injuries. Reduced myocardial protection is a common feature of diabetic myocardium. This study was carried out to define the changes in the 70 kDa heat shock protein family in the myocardium in the of streptozotocin-diabetes rats, and to explore the mechanisms through which diabetes alters the abundance of Hsp70/Hsc70 in cardiac muscle. In the diabetic myocardium, the abundance of Hsc70 was significantly reduced. The abundance of Hsp70 was low in cardiac muscle and was not induced in the diabetic myocardium. Unlike Hsp60, Hsp70 and Hsc70 did not augment insulin-like growth factor-I receptor signaling in cardiac muscle cells. In cultured cardiomyocytes, insulin directly increased the abundance of Hsc70, whereas insulin could not modulate Hsp70. Treating diabetic rats with insulin restored myocardial Hsc70 level, but phlorizin treatment failed to restore myocardial Hsc70. These in vivo and in vitro studies showed that downregulation of Hsc70 in diabetic myocardium was secondary to insulin deficiency. Thus, insulin played a major role in maintaining adequate expression of Hsc70 in cardiac muscle.

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