Heat shock proteins (HSPs) are families of polypeptides that are induc
ed in response to various forms of physical, chemical, and biological
stress. These are highly conserved proteins from bacteria to humans. I
n the stressed cells, they fulfill a ''housekeeping'' function and aid
in the process of protein folding, assembly, and transport. In many m
icroorganisms, HSPs, particularly of the HSP70 family, are immunodomin
ant antigens that are immunologically cross-reactive with their mammal
ian counterparts. Antibodies to bacterial and host HSPs have been iden
tified in association with numerous autoimmune diseases such as rheuma
toid arthritis, systemic lupus erythematosus, Graves' disease, and oth
ers. The role that HSPs may play in the pathogenesis and immunoregulat
ion of autoimmune phenomena is discussed.