Review
Clusterin/Apolipoprotein J in human aging and cancer

https://doi.org/10.1016/S1357-2725(02)00041-9Get rights and content

Abstract

Clusterin/Apolipoprotein J (ApoJ) is a heterodimeric highly conserved secreted glycoprotein being expressed in a wide variety of tissues and found in all human fluids. Despite being cloned since 1989, no genuine function has been attributed to ApoJ so far. The protein has been reportedly implicated in several diverse physiological processes such as sperm maturation, lipid transportation, complement inhibition, tissue remodeling, membrane recycling, cell–cell and cell–substratum interactions, stabilization of stressed proteins in a folding-competent state and promotion or inhibition of apoptosis. ApoJ gene is differentially regulated by cytokines, growth factors and stress-inducing agents, while another defining prominent and intriguing ApoJ feature is its upregulation in many severe physiological disturbances states and in several neurodegenerative conditions mostly related to advanced aging. Moreover, ApoJ accumulates during the viable growth arrested cellular state of senescence, that is thought to contribute to aging and to tumorigenesis suppression; paradoxically ApoJ is also upregulated in several cases of in vivo cancer progression and tumor formation. This review focuses on the reported data related to ApoJ cell-type and signal specific regulation, function and site of action in normal and cancer cells. We discuss the role of ApoJ during cellular senescence and tumorigenesis, especially under the light of the recently demonstrated various ApoJ intracellular protein forms and their interaction with molecules involved in signal transduction and DNA repair, raising the possibility that its overexpression during cellular senescence might cause a predisposition to cancer.

Introduction

Clusterin/Apolipoprotein J (ApoJ) was firstly identified in ram rete testis fluid at 1983 as a secreted glycoprotein enhancing cell aggregation in vitro (named thus as Clusterin) [1] and since then many species homologues were purified and the corresponding genes were cloned. In each case, however, a new name was given for this protein (gene) based on the source of purification (or gene cloning) (Table 1). In humans, it was firstly purified from serum and the cloned gene was named as CLI (complement cytolysis inhibitor) [2], SP-40,40 (secreted protein 40,40) [3] or ApoJ [4] due to similarities with other known apolipoproteins. A comparison of the ApoJ protein sequences among mammalian species reveals a high degree of conservation of ∼70–85%, while attempts to clone its homologues in the worm or the fly by using specific primers spanning the conserved regions of the gene appeared negative (our unpublished results). These two observations along with its wide tissue distribution in animal tissues (see below) and the absence of functional ApoJ polymorphisms in humans ([5], our unpublished data) suggest that the protein has evolved in vertebrates to accomplish a function of fundamental biological importance.

Despite the systematic and combined effort of several groups (a literature survey results in >750 articles) ApoJ function has remained elusive; the main cause being the intriguingly distinct and usually opposing functions proposed in an array of various cell types and tissues, including senescent and cancer cells. ApoJ is upregulated in both senescence (thought to represent a model to study in vivo aging and to protect cells from neoplastic transformation) and in vivo tumorigenesis. In the current report, we review on the ApoJ properties and we attempt to provide an explanation for these seemingly contradictory and confusing expression patterns reported.

Section snippets

Molecular links between cellular senescence, aging and cancer

An inevitable consequence of life for nearly all organisms is aging that, in turn, among others is a risk factor for many diseases including cancer (reviewed in [6]). Despite, however, extensive effort only a few models of increased life-span or premature aging have been found in mammals, suggesting that the aging phenotype is not “encoded” by a single gene family, but it is a rather multi-factorial process affecting several cellular pathways. Models of increased lifespan in mammals include

ApoJ: protein structure, tissue expression pattern and gene regulation

ApoJ protein in humans is encoded by a mRNA being transcribed from a single copy gene located at chromosome 8 [52] that exhibits an almost ubiquitous tissue expression pattern during both development and in adults [2], [52]. The primary translation product [52] is a polypeptide of 449 amino acids, where the first 22 amino acids represent the classical hydrophobic secretory signal sequence (Fig. 1). Maturation of the primary translation molecule include disulfide-bonding of the 10 symmetrically

Puzzling differences of proposed ApoJ functions in distinct cell types and tissues

As a consequence of its wide distribution and complicated regulation ApoJ protein has been implicated in many diverse physiological processes including lipid transportation [2], [59], [64], sperm maturation [89], [90], [91] and complement inhibition [2], [63] although this later function appears doubtful according to a recent study [92]. Other functions attributed to ApoJ suggest its involvement in the classical secretory pathway due to its close relation to the secretogranin proteins (reviewed

Role of ApoJ in cellular senescence, aging and cancer

By taking advantage of conditional SV40 T Ag rat embryo fibroblast cell lines which undergo senescence upon T Ag inactivation [123], we recently cloned ApoJ as a gene induced by the senescence phenotype [80]. We have also provided evidence that ApoJ is also overexpressed in normal human [36], [82] and rat [80] embryonic fibroblasts, as well as in human osteoblasts [80] undergoing RS. Subsequent functional analysis of ApoJ upregulation in senescent HDFs showed that stable overexpression of ApoJ

Concluding remarks—future prospects

ApoJ is a fascinating protein that challenges for long our ability to understand and integrate its chimerical reported properties into a genuine function. The major reason for this considerable ambiguity is its association with extremely diverged physiological (development, aging) and pathological (neurodegeneration and/or tumorigenic transformation) processes and its ascription with many and usually contradictory functions. A recently proposed and well documented theory that attempts to unify

Acknowledgements

We apologize to those investigators whose work, due to space constrains, was not cited. IPT is a recipient of a post-doctoral fellowship granted by the Hellenic State Scholarship Foundation. Cited work on ApoJ in our lab is supported by the following grants to ESG: European Union full-costs Biomed-2 “Genage” (BMH4-CT98-3149), IPER (94/214) and PENED (99EΔ-16) from the Hellenic General Secretariat of Research and Technology.

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