J. Schaefer et al., MECHANISMS OF AUTOPROTECTION AND THE ROLE OF STRESS-PROTEINS IN NATURAL DEFENSES, AUTOPROTECTION, AND SALUTOGENESIS, Medical hypotheses, 51(2), 1998, pp. 153-163
We hypothesize that in all physiotherapeutically oriented procedures o
f naturotherapy - such as helio-, climate-, thalasso- or hydrotherapy
or certain forms of physical exercise - the transient expression of st
ress-proteins (heat-shock proteins, HSPs) is an important element of s
alutogenesis. These therapeutical procedures all cause a transitory 'd
isturbance' by an unspecific stressor that leads to functional respons
es. These functional responses can be trained and thus increase the fo
rces and the capacity for resistance of the organism. The autoprotecti
ve mechanisms which we want to deal with in more detail are based on t
he functions of the heat-shock proteins (HSPs, stress-response protein
s, 'chaperones') and represent archaic autoprotective responses. In ad
dition, more complex mechanisms of autoprotection seem to have evolved
that may play a role in the natural defenses against disease and whic
h show a hierarchy of various genomically conserved strategies with di
fferent time-constants and time windows. This becomes apparent by stud
ying autoprotective responses of the cardiovascular system of warm-blo
oded animals under ischemic stress. Recent extensive experimental prot
ocols and clinical observations in elucidating the molecular basis of
cardiac ischemia show that powerful autoprotective mechanisms are invo
lved in the phenomena of 'hibernation', 'stunning', and 'ischemic prec
onditioning'. The system of the heat-shock proteins may therefore be r
egarded as a basic model for the principle of autoprotection and salut
ogenesis.