Virtually all cells, including the prokaryotic microorganisms and the
highly differentiated eukaryotic cells in human tissues, contain a sma
ll set of normally silent genes that are rapidly activated by a heat s
hock that raises the temperature only 5 to 10% above that of the norma
l physiologic range for that organism. Concomitantly, many active gene
s are turned off. Other kinds of stress, such as exposure to alcohol o
r other organic agents, heavy metals, oxidants, and agents capable of
perturbing protein structure, produce a similar response, and many of
these activate the same set of genes. The proteins encoded by these st
ress-activated genes are called heat shock proteins (hsp). They are st
rongly conserved in structure among widely divergent biologic species,
and many function as ''molecular chaperones'' by forming transient co
mplexes with partially folded or misfolded polypeptides so as to preve
nt their irreversible denaturation. Most hsp are members of gene/prote
in families, and isoforms are frequently found under normal physiologi
c conditions in many compartments of the cell where they act also as c
haperones, binding to a variety of polypeptides to facilitate folding,
oligomerization, transport, metabolic activity, and degradation. Few
of the polypeptide ''targets'' that complex with stress-induced forms
of hsp have been identified, but a number of cellular components have
been shown to be particularly stress sensitive. They include macromole
cular complexes involved in the maintenance of chromosome replication
and transcription, mRNA splicing, and ribosome assembly. Mitochondria
and the intermediate filament network are also highly sensitive, where
as the protein synthetic machinery and vesicles of the secretory pathw
ay are relative stable to physiologic stress. The factors regulating h
eat shock genes in the eukaryote are highly conserved among widely div
ergent species and include promoters consisting of arrays of Short, in
verted sequences in the DNA, caned the heat shock element, and heat sh
ock factors, which are large polypeptides that occupy these promoters
soon after the cell senses the temperature shift. The sensor(s) that s
ignal the cell to initiate binding of heat shock factors to the heat s
hock element, thereby activating gene transcription, have not been ide
ntified, but misfolded proteins are postulated to play a key role in t
his event. The response is also transient, and other factors down-regu
late the system. Cells that have been mildly prestressed so that they
contain significant levels of the hsp become tolerant to stress condit
ions that would normally kill the cell. In this way, organisms survive
environmental conditions that might otherwise prove fatal.