Proteins represent both structural and functional elements of biologic
al organisms, however, their structural and catalytic function is dire
ctly linked to the acquisition and maintenance of a complex three-dime
nsional conformation. A molecular machinery to accomplish protein fold
ing and maintenance in vivo is provided by a variety of molecular chap
erones that include both 'classical' heat shock proteins (Hsps), gluco
se-regulated proteins (Grps), and a separate class of stress glycoprot
eins (S-Gps). Different chaperones associate to form functional comple
xes (chaperone 'machines') and work coordinately to accomplish specifi
c functions during the folding of particular proteins. In this review,
we will summarize recently acquired new insights into the complexitie
s of chaperones, the current state of S-Gps and their interactions wit
h Hsps, and of specific chaperones that appear to be designed for the
folding of cellular glycoproteins. Finally, we discuss the physiologic
al role of chaperones by examining their function in specific cellular
processes, namely tumor/host interactions and diseases associated wit
h aberrant prion protein folding.