IntroductionThe vascular and nervous systems have a treelike branched structure originating from a center and reaching all tissues. Often vessels and nerves run parallel, suggesting that they are guided by common guidance mechanisms. Indeed, there is evidence that axonal guidance cues are also involved in blood-vessel formation. VEGF, an essential regulator of vascular development, has recently been shown to regulate neuronal development. [1][2][3][4] Class 3 semaphorins, a family of 6 secreted glycoproteins that includes Sema3A-3F, function as axonal chemorepellents for growth cones during neuronal development. [5][6][7] Their receptors are composed of a ligand-binding chain consisting of neuropilins and a signal-transducing chain consisting of plexins. 8 Except for Sema3E, which directly binds to plexin-D1, 9 Sema3A, 3B, 3C, and 3D need to bind to neuropilin-1 (Npn-1) or Npn-2 to signal. [10][11][12][13][14] Class 3 semaphorins use distinct combinations of neuropilins and plexins as their receptor system 13,[15][16][17] ; Sema3A uses Npn-1-plexin-A1, -A2, or -A4. 16,17 Recent studies in mice with targeted deletions of semaphorin signal components have revealed an essential role of semaphorin signaling in normal vascular development. 9,15,18 The VEGF family of proteins is required for angiogenesis during development and after birth, and contributes to neuronal growth, immune regulation, and hematopoiesis. 3,[19][20][21] Npn-1 serves as a VEGF-A isotype-specific receptor. 22 The VEGF-A gene is organized in 8 exons that generate different isoforms, VEGF 121 , VEGF 145 , VEGF 165 , VEGF 189 , and VEGF 206 , by alternative splicing. Exon 7, which codes for a Npn-1 binding site, is expressed in VEGF 165 , VEGF 189 , and VEGF 206 . 23 Although VEGF receptors are required for VEGF 165 signaling, Npn-1 acts as a coreceptor for VEGF 165 that enhances VEGF 165 binding to VEGF receptor-2 (VEGFR-2/KDR/Flk-1) and VEGF 165 activity. 24 VEGF-B isoforms (VEGF-B 167 and VEGF-B 186 ) and placenta growth factor-2 (PlGF-2) bind to Npn-1 and activate VEGFR-1 (Flt-1). [25][26][27] The VEGF-like protein from orf virus NZ2 binds to Npn-1 and activates VEGFR-2. 28 Due to its ability to bind various ligands, Npn-1 appears to serve as a "hub" receptor for different ligands. The multiple domain structure of Npn-1 extracellular domain may explain how Npn-1 interacts with various ligands. Npn-1 has a large extracellular domain of 860 amino acids, which consists of 3 subdomains, a1, a2 (CUB), b1, b2 (coagulation factor V/VIII), and c (MAM) domains. Sema3A binds to Npn-1 via a1a2b1 domains, whereas VEGF 165 binds via b1b2 domains. 29 Heparin and PlGF-2 also bind to the b1b2 domain. 27 Consistent with Npn-1 playing multiple roles, Npn-1-deficient mice are embryonically lethal and display severe abnormalities in the nervous and cardiovascular systems. 30,31 Endothelial-cell-specific Npn-1-null mice showed severe vascular defects. 32 In vitro, Npn-1 plays a role in cell-to-cell adhesion. 33 Npn-1 mediates distinct functions by choice of ligan...