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Here it prevented apoptosis and oxidative stress and thereby neuronal death. The more physiological hHSP27 (i.e., the Title Loaded From File phosphorylated multimeric complex) and not rHSP27 protected ischemic brainsagainst damage. HSP27 tends to form variable-sized oligomers[30?2], depending on posttranslational modifications. Phosphorylation leads to the formation of small oligomers [30,31,33], monomers, and dimers [34,35], which act as molecular chaperones, interfere with caspase activation, modulate oxidative stress, and regulate the cytoskeleton [7]. hHSP27 formed more dimers,HSP27 Protects against Ischemic Brain InjuryHSP27 Protects against Ischemic Brain InjuryFigure 5. Localization of injected FITC-hHSP27 on the ischemic and non-ischemic sides of mouse brain. A , FITC-hHSP27 (green, A,B); NeuN, a neuronal marker protein (red, C,D); merge (E ), FITC, fluorescein isothiocyanate. Scale bar = 100 um. doi:10.1371/journal.pone.0066001.gFigure 6. Effects of hHSP27 on cell death. A, Photomicrographs of anti-cytochrome c, anti-cleaved caspase-9, anti-cleaved caspase-3, and TUNEL staining in the infarct boundary zones in controls and the hHSP27-treated group prepared 24 h after reperfusion. Scale bars = 50 mm. B, Number of cytochrome c-, cleaved caspase-9-, cleaved caspase-3-, and TUNEL-positive cells. C, Immunoblots of cytochrome c, Tom20 (mitochondrial marker), and actin, 24 h after reperfusion. D, Densitometric analysis of cytochrome c protein in cytosolic fractions of isolated hHSP27. Data are means6SEM (B,D). **P,0.001 vs. controls. TUNEL, terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick-end labeling; hHSP27, human heat shock protein. doi:10.1371/journal.pone.0066001.gHSP27 Protects against Ischemic Brain InjuryFigure 7. Effects of hHSP27 on oxidative stress and inflammatory response. A, Photomicrographs of 8-OHdG-, HHE-, Iba-1-, and GFAPimmunostaining in the infarct boundary zones in the control and hHSP27 groups 24 h after reperfusion. Bars = 50 mm. B, Numbers of 8-OHdG-, HHE? Iba-1-, and GFAP-positive cells in control and hHSP27-treated mice. Data are means6SEM (B). **P,0.001 vs. controls. 8-OHdG, 8hydroxydeoxyguanosine; HHE, 4-hydroxy-2-hexenal; Iba-1, ionized calcium-binding Title Loaded From File adapter molecule-1; GFAP, glial fibrillary acidic protein; hHSP27, human heat shock protein. doi:10.1371/journal.pone.0066001.gtetramers, and multimers and less large oligomers than rHSP27. Dephosphorylation of hHSP27 increased the large oligomers and decreased the dimers, tetramers, and multimers, resulting in a loss of its protective effects. Phosphorylation may be a key factor in brain protection. Our results suggested that the injection of phosphorylated dimeric, tetrameric, and multimeric hHSP27 was important for brain protection in our model of ischemia/ reperfusion. We speculated that intravenously injected hHSP27 may not only increase the concentration of endogenous HSP25, which is the mouse homolog of HSP27, but also may have a novelexposure effect to the neurons. hHSP27 was also localized in extracellular space in brain, and usually the concentration of HSP27 was very low in the extracellualr space. Further studies will be needed to ascertain the mechanisms by which intravenously injected hHSP27 provides neuronal cell protection. Isolated hHSP27 also contained small amounts of ab-crystalline and HSP20, which were part of high molecular weight HSP27 oligomers. Because they were co-purified with antibodies specific for HSP27 suggests that they were not simpl.Here it prevented apoptosis and oxidative stress and thereby neuronal death. The more physiological hHSP27 (i.e., the phosphorylated multimeric complex) and not rHSP27 protected ischemic brainsagainst damage. HSP27 tends to form variable-sized oligomers[30?2], depending on posttranslational modifications. Phosphorylation leads to the formation of small oligomers [30,31,33], monomers, and dimers [34,35], which act as molecular chaperones, interfere with caspase activation, modulate oxidative stress, and regulate the cytoskeleton [7]. hHSP27 formed more dimers,HSP27 Protects against Ischemic Brain InjuryHSP27 Protects against Ischemic Brain InjuryFigure 5. Localization of injected FITC-hHSP27 on the ischemic and non-ischemic sides of mouse brain. A , FITC-hHSP27 (green, A,B); NeuN, a neuronal marker protein (red, C,D); merge (E ), FITC, fluorescein isothiocyanate. Scale bar = 100 um. doi:10.1371/journal.pone.0066001.gFigure 6. Effects of hHSP27 on cell death. A, Photomicrographs of anti-cytochrome c, anti-cleaved caspase-9, anti-cleaved caspase-3, and TUNEL staining in the infarct boundary zones in controls and the hHSP27-treated group prepared 24 h after reperfusion. Scale bars = 50 mm. B, Number of cytochrome c-, cleaved caspase-9-, cleaved caspase-3-, and TUNEL-positive cells. C, Immunoblots of cytochrome c, Tom20 (mitochondrial marker), and actin, 24 h after reperfusion. D, Densitometric analysis of cytochrome c protein in cytosolic fractions of isolated hHSP27. Data are means6SEM (B,D). **P,0.001 vs. controls. TUNEL, terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick-end labeling; hHSP27, human heat shock protein. doi:10.1371/journal.pone.0066001.gHSP27 Protects against Ischemic Brain InjuryFigure 7. Effects of hHSP27 on oxidative stress and inflammatory response. A, Photomicrographs of 8-OHdG-, HHE-, Iba-1-, and GFAPimmunostaining in the infarct boundary zones in the control and hHSP27 groups 24 h after reperfusion. Bars = 50 mm. B, Numbers of 8-OHdG-, HHE? Iba-1-, and GFAP-positive cells in control and hHSP27-treated mice. Data are means6SEM (B). **P,0.001 vs. controls. 8-OHdG, 8hydroxydeoxyguanosine; HHE, 4-hydroxy-2-hexenal; Iba-1, ionized calcium-binding adapter molecule-1; GFAP, glial fibrillary acidic protein; hHSP27, human heat shock protein. doi:10.1371/journal.pone.0066001.gtetramers, and multimers and less large oligomers than rHSP27. Dephosphorylation of hHSP27 increased the large oligomers and decreased the dimers, tetramers, and multimers, resulting in a loss of its protective effects. Phosphorylation may be a key factor in brain protection. Our results suggested that the injection of phosphorylated dimeric, tetrameric, and multimeric hHSP27 was important for brain protection in our model of ischemia/ reperfusion. We speculated that intravenously injected hHSP27 may not only increase the concentration of endogenous HSP25, which is the mouse homolog of HSP27, but also may have a novelexposure effect to the neurons. hHSP27 was also localized in extracellular space in brain, and usually the concentration of HSP27 was very low in the extracellualr space. Further studies will be needed to ascertain the mechanisms by which intravenously injected hHSP27 provides neuronal cell protection. Isolated hHSP27 also contained small amounts of ab-crystalline and HSP20, which were part of high molecular weight HSP27 oligomers. Because they were co-purified with antibodies specific for HSP27 suggests that they were not simpl.

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