“…Clusterin mRNA was first identified as an apoptosis-associated transcript when it was cloned from regressing rat ventral prostate and localized to dying epithelial cells by in situ hybridization (11,12). Increases in clusterin mRNA and protein levels have been consistently detected in apoptotic heart, brain, lung, liver, kidney, pancreas, and retinal tissue both in vivo and in vitro, establishing clusterin gene expression as a marker of apoptotic cell loss (8,10,11,(13)(14)(15)(16)(17)(18)(19)(20). However, clusterin protein has also been implicated in physiological processes that do not involve apoptosis, including the control of complement-mediated cell lysis, transport of -amyloid precursor protein, shuttling of aberrant -amyloid across the blood-brain barrier, lipid scavenging, membrane remodeling, cell aggregation, and protection from immune detection and tumor necrosis factor ␣-induced cell death (1,5,6,9,(21)(22)(23).…”