The heat shock proteins are known to protect cells against diverse injuries
such as cytotoxicity by TNF alpha acting mainly as chaperones for denature
d proteins. Lipopolysaccharide stimulates the production and the release of
numerous endogenous mediators of sepsis: tumor necrosis factor alpha, inte
rleukin-l, and interleukin-6 that induce fever production. Moreover, temper
ature at 40 degrees C is sufficient to induce heat shock and attenuate both
TNF alpha and IL-I expression. We demonstrate a distinct profile in gene e
xpression of HSP 70 family in leukocytes obtained from different phases of
septic patients. Our findings strongly suggest that HSP 70 may play a role
in the outcome of septic shock patients.