Heat-shock proteins (HSPs), or so-called 'stress proteins' may play an
important role in cutaneous pathophysiology. HSPs are a group of high
ly conserved molecules that are expressed by all cells when subjected
to heat or other forms of physical or chemical stress. The physiologic
al roles of stress proteins are varied and are important in stress and
nonstress conditions. They bind to other cellular proteins and partic
ipate in protein folding pathways during stress and also during the sy
nthesis of new polypeptides. HSPs are also essential for thermotoleran
ce and for prevention and repair of damage caused in DNA after ultravi
olet exposure. Although HSPs are expressed in the skin in both epiderm
is and dermis, HSPs may influence many other cellular processes in the
inflammatory and immune skin response. Many authors have speculated o
n a link between HSPs and human skin disease characterized by inflamma
tion and proliferation.