McClung JP, Hasday JD, He J, Montain SJ, Cheuvront SN, Sawka MN, Singh IS. Exercise-heat acclimation in humans alters baseline levels and ex vivo heat inducibility of HSP72 and HSP90 in peripheral blood mononuclear cells. Am J Physiol Regul Integr Comp Physiol 294: R185-R191, 2008. First published October 31, 2007 doi:10.1152/ajpregu.00532.2007.-The induction of cellular acquired thermal tolerance (ATT) during heat acclimation (HA) in humans is not well described. This study determined whether exercise-HA modifies the human heat shock protein (HSP)72 and HSP90 responses and whether changes are correlated with physiological adaptations to HA. Using a 10-day HA protocol comprising daily exercise (treadmill walking) in a hot environment (T a ϭ 49°C, 20% RH), we analyzed baseline and ex vivo heat-induced expression of HSP72 and HSP90 in peripheral blood mononuclear cells (PBMCs) isolated prior to exercise from eight subjects on day 1 and 10 of the HA protocol. Classical physiological responses to HA were observed, including significantly reduced heart rate and core body temperature, and significantly increased sweating rate. Baseline levels of HSP72 and HSP90 were significantly increased following acclimation by 17.7 Ϯ 6.1% and 21.1 Ϯ 6.5%, respectively. Ex vivo induction of HSP72 in PBMCs exposed to heat shock (43°C) was blunted on day 10 compared with day 1. A correlation was identified (r 2 ϭ 0.89) between changes in core temperature elevation and ex vivo HSP90 responses to heat shock between days 1 and 10, indicating that volunteers demonstrating the greatest physiological HA tended to exhibit the greatest blunting of ex vivo HSP induction in response to heat shock. In summary, 1) exercise-HA resulted in increased baseline levels of HSP72 and HSP90, 2) ex vivo heat inducibility of HSP72 was blunted after HA, and 3) volunteers demonstrating the greatest physiological HA tended to exhibit the greatest blunting of ex vivo HSP induction in response to heat shock. These data demonstrate that physiological adaptations in humans undergoing HA are accompanied by both increases in baseline levels and changes in regulation of cytoprotective HSPs. stress; hyperthermia; adaptation; exertional tolerance HEAT ACCLIMATION (HA) REFERS to biological adaptations that reduce physiological strain (e.g., heart rate and body temperature), improve comfort, and improve physical exercise capabilities after repeated days of heat exposure (28, 30). Acquired thermal tolerance (ATT) refers to the cellular changes induced by repeated exposure to heat that confer cytoprotection against subsequent, more extreme, and potentially lethal heat exposure (11,17,33). For example, rodents with fully developed ATT can survive a 60% greater heat load compared with heat-naïve animals (21). Heat acclimation and ATT are complementary with the former reducing physiological strain and the latter providing cellular protection against serious heat injury for any degree of physiological strain. Few studies have examined the coincident induction of HA and ATT ...