Heat shock proteins (HSPs) are detected in all cells, prokaryotic and
eukaryotic, In vivo and in vitro studies have shown that various stres
sors transiently increase production of HSPs as protection against har
mful insults. Increased levels of HSPs occur after environmental stres
ses, infection, normal physiological processes, and gene transfer. Alt
hough the mechanisms by which HSPs protect cells are not clearly under
stood, their expression can be modulated by cell signal transducers, s
uch as changes in intracellular pH, cyclic AMP, Ca2+, Na+, inositol tr
isphosphate, protein kinase C, and protein phosphatases, Most of the H
SPs interact with other proteins in cells and alter their function. Th
ese and other protein-protein interactions may mediate the little unde
rstood effects of HSPs on various cell functions. In this review, we f
ocus on the structure of the HSP-70 family (HSP-70s), regulation of HS
P-70 gene expression, their cytoprotective effects, and the possibilit
y of regulating HSP-70 expression through modulation of signal transdu
ction pathways. The clinical importance and therapeutic potential of H
SPs are discussed. (C) 1998 Elsevier Science Inc.