Clusterin for use in the treatment of thrombotic microangiopathies
The present invention concerns clusterin for use in the treatment of thrombotic microangiopathies, and a pharmaceutical composition comprising clusterin for use in the treatment of thrombotic microangiopathies, said composition not comprising von Willebrand factor protease. The present invention also concerns an ex vivo method for stratifying a patient suffering, or likely to be suffering, from TMA, comprising the following steps: 1) measuring, in a biological sample from said patient, the amount L C of clusterin, and 2) comparing the amount L c measured in step 1) with an amount L ref of clusterin by calculating the score S1=L C /L ref , in which: •If S1≤1, the patient is considered to be likely to benefit from a treatment of the TMA with clusterin, •If S1>1, the patient is not considered to be likely to benefit from treatment of TMA with clusterin.
1. A method of treating a thrombotic microangiopathy in a subject, comprising detecting a deficiency in serum clusterin level in said subject and treating the thrombotic microangiopathy by increasing serum clusterin levels in said subject by administering to the subject a therapeutically effective amount of a pharmaceutical composition wherein the composition consists of clusterin as an active agent, wherein the pharmaceutical composition excludes a von Willebrand factor-cleaving protease.
2. The method of claim 1 , wherein said clusterin is a human clusterin of sequence SEQ ID No.: 1.
3. The method of claim 1 , wherein said clusterin has a peptide sequence which has at least 90% identity with the sequence SEQ ID No.: 1.
4. The method of claim 1 , wherein said clusterin is a recombinant clusterin, a plasma clusterin, or a synthetic clusterin.
5. The method of claim 1 , wherein the thrombotic microangiopathy is thrombotic thrombocytopeniaurpura (TTP), hemolytic uremic syndrome (HUS) associated or not associated with bacteria, HELLP syndrome, or a secondary thrombotic microangiopathy.
6. The method of claim 1 , comprising oral or parenteral administration of said clusterin.
7. The method of claim 6 , wherein said parenteral administration is intravenous administration, intramuscular administration, or subcutaneous administration.