The CLU gene contains nine exons and produces several mRNA isoforms, although most are expressed at very low levels. The dominant isoform encodes a secreted form of clusterin, which is a disulfide-linked heterodimeric glycoprotein with an approximate molecular mass of 75-80 kDa . The mature protein consists of two chains, α and β, linked by disulfide bonds. There are also truncated versions of clusterin, such as a 55 kDa form localized to the nucleus, which has pro-apoptotic activities .
Clusterin functions as an extracellular molecular chaperone. It binds to misfolded proteins in body fluids, neutralizing their toxicity and facilitating their cellular uptake through receptor-mediated endocytosis. Once internalized, the complexes are trafficked to lysosomes for degradation . Clusterin is involved in several biological processes, including:
Clusterin is implicated in various diseases, including neurodegenerative diseases, cancers, inflammatory diseases, and aging . Its expression is finely regulated by cytokines, growth factors, and stress-inducing agents, leading to elevated levels in states of cellular disturbance. For example, in the eye, clusterin expression is significantly increased in conditions like age-related macular degeneration and Fuch’s corneal dystrophy .
Recent research has focused on the role of clusterin in tissue remodeling, wound healing, and its potential as a therapeutic target. Its ability to protect cells from apoptosis and its involvement in lipid transport and complement inhibition make it a protein of interest in the study of various pathologies .