We report direct experimental evidence that human ␣B-crystallin, a member of the small heat shock protein family, actively participates in the refolding of citrate synthase (CS) in vitro. In the presence of 3.5 mM ATP, CS reactivation by ␣B-crystallin was enhanced approximately twofold. Similarly, 3.5 mM ATP enhanced the chaperone activity of ␣B-crystallin on the unfolding and aggregation of CS at 45°C. Consistent with these findings, cell viability at 50°C was improved nearly five orders of magnitude in Escherichia coli expressing ␣B-crystallin. SDS͞PAGE analysis of cell lysates suggested that ␣B-crystallin protects cells against physiological stress in vivo by maintaining cytosolic proteins in their native and functional conformations. This report confirms the action of ␣B-crystallin as a molecular chaperone both in vitro and in vivo and describes the enhancement of ␣B-crystallin chaperone functions by ATP.Molecular chaperones of the large heat shock protein families not only suppress protein unfolding and aggregation in response to stress but also actively participate in the refolding of denatured proteins in vitro, often in an ATP-dependent manner (1, 2). ␣B-crystallin is a protein that shares sequence and functional similarities with small heat shock proteins (sHsps) from numerous species (3, 4). ␣B-crystallin is expressed constitutively at high levels in the lens of the eye and at lower levels in many nonlens cells and tissues and is up-regulated dramatically in response to stress and pathological conditions in vivo (3, 5). Chaperone-like activity has been described for ␣B-crystallin from humans and various other species in suppressing protein unfolding and aggregation in response to thermal or chemical stress (4,(6)(7)(8)(9). Although the participation of ␣-crystallin and other sHsps in the refolding of proteins has been reported (4, 6, 10), the enhancement by ATP on the reactivation and refolding of proteins by ␣B-crystallin has not. To functionally characterize ␣B-crystallin as a molecular chaperone, its effects on the unfolding and refolding of citrate synthase (CS) in the presence and absence of ATP were studied in vitro. CS was chosen as a model protein for the characterization of unfolding and refolding reactions because it has been used extensively with molecular chaperones that include GroEL, Hsp90, and the sHsps (6,(11)(12)(13)(14).ATP is an abundant phosphorous metabolite in lenses from many species (15) that is present in lens cells at concentrations as high as 6.7 mM (16,17), which is among the highest levels of any cell in the body (18). High concentrations of ATP (4-8 mM) are found in skeletal muscle (19), in which high levels of ␣B-crystallin are expressed (20). The activity of GroEL and other chaperones on unfolding and refolding of proteins has been characterized at high concentrations of ATP (6,11,(21)(22)(23)(24), which may reflect a functional relationship between high concentrations of ATP and chaperone activity in all cells. The functional experiments with ␣B-crystallin in th...