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. 2021 Dec 27;23(1):275. doi: 10.3390/ijms23010275

Table 2.

In vitro and in vivo studies on netrin-1 and mechanisms in chronic inflammation.

Chronic Inflammation
Model Receptor Netrin-1 Expression Outcome Ref.
Atherosclerosis
Analysis of p.R590L variant of netrin-1 (mutNetrin-1) UNC5B
DCC
Neogenin
Decrease in binding capacity to UNC5B and DCC and an increase in binding capacity to neogenin.
Stimulation of monocyte adhesion and expression of IL-6, CCL2, and ICAM-1.
Diminishing macrophages and smooth muscle cell migration.
[97]
Induction of Raw264.7 macrophages with oxLDL UNC5B Downregulation of CCR7 expression and inhibition of macrophage migration. [98]
Bone marrow transplantation of Ntn-1−/−-deficient cells in LDLR−/− KO mice on western diet in plaque progression UNC5B
Neogenin
Hematopoetic netrin-1 KO prevents atherosclerosis development by mitigating MØ and VSMC influx and facilitating MØ egress [99]
Monocyte- and macrophage-specific tamoxifen-inducible CX3CR1-driven cre recombinase netrin-1 floxed mice (Ntn1fl/fl Cx3cr1creERT2+) in plaque regression UNC5B Reduced plaque size and complexity in aortic wall, inflammation resolution, IL-10 production, and efferocytosis by myeloid Ntn1 deletion. [100]
Obesity
Mouse model of diet-induced obesity Unc5B ⇑ in obese, but not lean adipose tissue Expression of netrin-1 and its receptor are regulated by saturated fatty acid. Macrophages with a reduced migratory capacity. Restored by blocking netrin-1. [52]
Hematopoietic deletion of Ntn1 Relief of adipose tissue macrophage emigration, reduction of inflammation, and improvement of insulin sensitivity. [52]
Mouse model with myeloid-
specific deletion of netrin-1 (Ntn1fl/fl LysMCre+/−; Ntn1 mac)
not defined Ntn1 mac mice: modest decrease in HFD-induced adiposity and adipocyte size.
Ntn1 mac macrophages: reduced expression of genes involved in arachidonic acid metabolism and decreases in proinflammatory eicosanoids.
Myeloid-specific deletion of netrin-1 caused a decrease of ATMs, particularly the resident macrophage subset.
Macrophages reprogram the ATM phenotype, leading to reduced adipose inflammation and improved lipid handling and metabolic function.
[101]
Diabetes
Adipose-derived stem cells modified by netrin-1 gene (NTN-1) in vitro, condition of high glucose Proliferation, migration, adhesion, and inhibition of the apoptosis of ADSCs. [102]
Injected adipose-derived stem cells modified by netrin-1 gene (NTN-1) in vivo (sciatic
denervated mice with type 2 diabetes mellitus)
Capillaries and endothelium were formed by differentiation of N-ADSCs, higher density of microvessels. Upregulation of AKT/PI3K/eNOS/P-38/NF-κB signaling pathways. [102]
Exogenous netrin-1 in UNC5B-depleted human renal glomerular endothelial cells (HRGECs) UNC5B not defined Inhibition of cell migration and tubulogenesis.
Association with SRC pathway deactivation
UNC5B antagonizes netrin-1 and that UNC5B upregulation for the enhancement of angiogenesis.
[103]
Destructive Joint Disease / Osteoarthritis
Female mice with or without knockout of netrin-1 or receptor to detect differences in expression and effect on bone structure. UNC5B Activation of SHP1, inhibition of multinucleation of osteoclasts and preventing bone erosion in autoimmune arthritis. [104]
Mouse model with implanted ultrahigh-molecular-weight-polyethylene particles (UHMWPE) over the calvaria and weekly injection of antibodies for netrin-1 and its receptor UNC5B not defined Reduced particle-induced bone pitting, inflammatory processes, and TRAP (tartrate-resistant acid phosphatase)-positive osteoclasts. [105]
RAW 264.7 mouse monocyte macrophages and air pouch
model of bone resorption
UNC5B not defined Effect of netrin-1 via the ERK1/2 signaling pathway on osteoclast development by promoting autophagy. [106]