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Clusterin as a novel Bcl-2 Homology 3 (BH3)-only protein mediating apoptosis :Nuclear clusterin by ethanol treatment induced neuronal cell death Nayoung Kim, Gu Seob Roh, Hyun Joon Kim, Sang Soo Kang, Gyeong Jae Cho , Wan Sung Choi Department of Anatomy and Neurobiology, Institute of Health Sciences, College of Medicine, Gyeongsang National University, 92 Chilam-dong, Jinju, Gyeongnam 660-751, Korea Clusterin, a heterdoimeric glycoprotein expressed in many types of cells and tissues, is known to increase in response to a variety of cytotoxic stimuli and in neurodegenerative diseases; however, its exact role in cells is still unclear. Ethanol is known to trigger apoptotic neurodegeneration, and ethanol administration to immature rats during the period of brain development induces cell death. Nonetheless, the effect of ethanol on clusterin expression and function is not known. In the present study, clusterin expression and its role in ethanolinduced cell death were investigated. After ethanol administration, clusterin was overexpressed in most parts of the brain, especially in the cortex and the laterodorsal thalamic nucleus. Clusterin was detected in cell nuclei and colocalized with TUNEL-positive cells. In addition, iso-forms of clusterin that have been linked to cell death were significantly increased in ethanol-treated rat brain. Clusterin siRNA partially inhibited ethanol-induced cell death, and transfection of a clusterin cDNA lacking a leader peptide enhanced both the nuclear localization of clusterin and cell death. Together, these results suggest that the ethanol-induced nuclear overexpression of clusterin does not protect cells, but rather leads to cell death. Clusterin (Clu) is ubiquitously expressed and implicated in diverse, yet contrasting, cellular processes such as apoptosis and anti-apoptosis1,2. Whereas Clu is known to inhibit the proapoptotic function of Bax in some cellular contexts3, the molecular mechanism by which Clu can also promote apoptosis in other contexts is currently unknown. In this study, we found that the nuclear form of Clu localized in the mitochondria and interacted directly with antiapoptotic Bcl-XL. Using computational and biochemical analyses, we discovered a conserved BH3 motif on Clu, which is responsible for its interaction with Bcl-XL. Because BH3-dependent association of nClu with Bcl-XL interferes with the interaction of Bcl-XL with Bax, overexpression of nClu allowed Bax activation and elicited the subsequent mitochondrial apoptotic pathway. The mechanism of BH3-mediated Bcl-XL interaction may explain how Clu mediates pro-apoptotic function in specific cellular contexts. Our results reveal a novel molecular function for Clu and may provide the molecular mechanism for its reported apoptotic effects, expanding our knowledge of mitochondria-mediated cell death.