Netrin signaling. The dependence receptor model is described. (A) In absence of netrin binding, DCC and UNC5 are cleaved in their intracellular domain by an active caspase. DCC cleavage leads to the exposure of the addiction dependence domain (ADD) upstream of the caspase cleavage site. This may facilitate the binding of caspase 9 in a complex that involves the adaptor protein APPL (also named DIP13α for DCC-interacting protein 13) to further allow caspase-3 activation. Contrary to ADD exposure in DCC, cleavage of UNC5H releases the death domain from the C-terminal region. This peptide might interact with the death associated protein kinase (DAPK), inducing apoptosis through the activation of caspase-3 and 9. It might also interact with the neurotrophin receptor interacting melanoma-associated antigen (MAGE) homolog NRAGE, inducing apoptosis through either inhibition of the caspase inhibitor XIAP or activation of c-JNK (c-JUN N-terminal kinase). (B) As a consequence of netrin-1 binding, DCC/UNC5 caspase cleavage is blocked. Activation of DCC might release the adaptor APPL, and DCC recruits multiple partners (not represented). Caspase-9 is not activated and mitochondrial-mediated apoptosis is blocked. In addition, DCC might trap caspase-3.22,23,164 UNC5B is a p53 target gene, although binding of netrin-1 inhibits p53-induced apoptosis. Association of netrin-1 to integrins modifies cell adhesion and involves small G proteins for actin reorganization. In addition to apoptosis inhibition, consequences of netrin-1 binding to DCC/UNC5B are regulation of cell motility, invasion and morphogenesis of the vascular system through cytoskeletal rearrangements. Gray box: ADD. Double arrows: proteolytic cleavage. Adapted from reference 22.