The stress-evoked HSP72 and constitutive HSC70 members of the HSPA family studied here belong to the first cytosol molecular chaperones, which aid in the folding or refolding of newly synthesized cellular proteins and transporting them to appropriate cellular compartments [
26]. During a cellular stress response, cytosolic HSPA cooperating with HSPC was shown to prevent cell death by refolding misfolded proteins after exposure to high temperature, cytokines, alcohols, heavy metals, radiation, metabolites or free radicals [
27]. In our study, we noted an augmented cytosolic level of HSP72 in the PFC and HIP of rats exposed to long-term (8-week) CMS, which was normalized by antidepressant therapy with IMI. It is worth adding that in the HIP, the increase in cytosolic HSP72 levels in the CMS group was accompanied by augmented mRNA synthesis. In the PFC, however, CMS did not affect the mRNA level of HSP72. We suspect that the HSP72 increase in the PFC was due to the rearrangement of the amount of this protein between fractions, which was shown to occur, particularly under cellular stress [
4]. In general, the induction of HSP72 in the cytosol enhances the ability of stress cells to cope with an increased amount of unfolded/denatured proteins [
28]. Therefore, we think that the increased cytosolic level of HSP72 seen under CMS reflects the cellular refolding stress response. Accordingly, in experimental models, HSP72 overexpression or upregulation was shown to protect against stress-induced damage to the cell [
10], reduce neurological injuries [
11,
12,
29,
30], and alleviate the process of neurodegeneration [
13]. The induction of HSP72 in HIP slices reduced the vulnerability of CA1 to glutamate-dependent neurotoxicity [
31], while in the PFC, it prevented the long-term serotoninergic neurotoxicity evoked by 3,4-methylenedioxymethamphetamine (MDMA, ecstasy) administration [
32]. On the other hand, increased activity of HSPA is known to accompany disease states. A clinical study identified an increased level of HSP72 as a risk factor for depression [
33]. Additionally, increased interaction of HSP72 with glucocorticoid receptor (GR) in the lymphocytes of bipolar patients was described [
9]. Our results, performed using a validated preclinical model of depression, agree with clinical observations and indicate that a pathological increase in the cytosolic level of HSP72 within the PFC and HIP, likely connected to an impaired protein refolding process, can be resolved by IMI. It should be noted that IMI alone, in our study, did not influence the HSP level. However, alleviated by CMS, the cytosolic level of HSP72 in the PFC and HIP indicated that this chaperone is an important target for classic antidepressant pharmacotherapy. Literature data showing the effects of chronic IMI treatment on HSP expression are different from ours. Elakovic et al. showed that HSP72 and HSP90A levels were decreased in the cortex and increased in the HIP of male rats [
34]. The reason for this discrepancy is likely a different regimen of IMI administration. Although the route of treatment, dose per day and time of decapitation after the last dose were the same in both cases, in our model, IMI was administered for 5 weeks, which was much longer than in the study of Elakovic (3 weeks). The IMI treatment we applied was chosen based on previous data showing a maximal anti-anhedonic effect in a rat model of CMS after 5 weeks of IMI application and no effect after 3 weeks of IMI [
35]. The lack of changes in HSP levels after the administration of IMI alone that we have shown in our study allows us to ensure that the results we present are specifically related to the mechanisms of depression and the effectiveness of antidepressant treatment generated by CMS molecular changes.
Although IMI treatment in our study normalized the cytosolic level of HSP72, its mRNA level was augmented in the PFC and HIP of rats resistant to antidepressant therapy. These results suggest that increased synthesis of HSP72 plays an essential role in patients' resistance to antidepressant treatment. Regarding the potential engagement of HSPA in the cellular mechanism underlying resistance to antidepressants, it should be mentioned that in addition to protein folding/refolding functions in the cytosol, HSPA is engaged in the activation of protein degradation pathways, specifically oxidative stress reactions and the unfolded protein response [
4]. These processes initiated in mitochondria and the endoplasmic reticulum (ER) were shown in preclinical and clinical studies. For example, in animal models of unadaptable stress, elevated HSP 72 levels were accompanied by increased amounts of free radicals and oxidative stress reactions in the brain [
36,
37]. Moreover, clinical studies have shown a significant relationship between depressive episodes and oxidative stress markers in blood serum [
38]. A clinical study performed in depressed patients also evidenced the presence of ER stress and the mediation of the unfolded protein response in the brains of suicidal patients [
39].
The study showed that the elevation of HSP72 was abolished by chronic treatment with IMI, which may silence cellular stress reactions connected with apoptosis processes. Increased proapoptotic serum activity in patients with major depression was shown [
42]. Additionally, accelerated apoptosis of blood leukocytes was found in the blood of patients with major depression [
43,
44]. Others have indicated that the antidepressant desipramine reverses this proapoptotic effect of CMS [
40]. Neuroprotection by imipramine against apoptosis in hippocampus-derived neuronal stem cells through the activation of the neurotrophic factor BDNF and the MAPK kinase pathway has been shown recently by others [
45,
46]. Additionally, antidepressant drugs, fluoxetine, reboxetine, tranylcypromine and electroconvulsive seizures upregulated the expression of BCL-2 family members in selected brain structures of rats [
47]. Desipramine could also activate BCL-2 expression and inhibit apoptosis in hippocampus-derived adult neuronal stem cells [
48]. Another antidepressant drug, moclobemide, also upregulated Bcl-2 expression and induced neuronal stem cell differentiation [
49].
Adrenergic receptors involved in the action of antidepressant drugs are mediators of stress induction of extracellular HSP72 in the plasma of rats [
50]. Additionally, the intracellular level of HSP72 is upregulated via the alpha-1 adrenoceptor pathway [
51,
52,
53,
54]. Moreover, our previous paper showed that brief maternal separation affected brain α1-adrenoceptors and apoptotic signaling in adult mice [
15]. In addition, others have shown the involvement of the adrenergic pathway in HSP72 induction in rats [
55]. This may be the possible mechanism of the neuroprotective effects of some antidepressant drugs with an adrenergic component of action.