Blood vessels and nerves often follow parallel trajectories, suggesting that distal targets use common cues that induce vascularization and innervation. Netrins are secreted by the floor plate and attract commissural axons toward the midline of the neural tube. Here, we show that Netrin-1 is also a potent vascular mitogen. Netrin-1 stimulates proliferation, induces migration, and promotes adhesion of endothelial cells and vascular smooth muscle cells with a specific activity comparable to vascular endothelial growth factor and platelet-derived growth factor. Our evidence indicates that the netrin receptor, Neogenin, mediates netrin signaling in vascular smooth muscle cells, but suggests that an unidentified receptor mediates the proangiogenic effects of Netrin-1 on endothelial cells. Netrin-1 also stimulates angiogenesis in vivo and augments the response to vascular endothelial growth factor. Thus, we demonstrate that Netrin-1 is a secreted neural guidance cue with the unique ability to attract both blood vessels and axons, and suggest that other cues may also function as vascular endothelial growth factors.T he patterns of the neural and vascular networks are highly conserved within and between species. The identification of neural guidance cues by means of genetic screens and in vitro assays demonstrates that specific programs are hard-wired to pattern the nervous system (1-3). These programs consist of guidance cues that signal through neuronal cell surface receptors and induce axons to either extend toward or away from the source. There are four major classes of neural guidance cues: ephrins, semaphorins, slits, and netrins (2). Ephrins, semaphorins, and slits are ligands that bind to cognate receptors and repulse the distal tip of an axon or growth cone. Netrins were the first neurite attractants identified, and are secreted by the floor plate, where they function to attract spinal commissural axons toward the midline of the neural tube (4, 5). Extensive crosstalk between signaling pathways enables nerves to integrate multiple guidance instructions (6, 7). Thus, through the combinatorial regulation of relatively small numbers of attractive and repulsive cues, axons are directed to form the intricate and highly reproducible neural circuitry.Our understanding of angiogenesis has evolved from the identification of potent vascular mitogens, such as vascular endothelial growth factor (VEGF), fibroblast growth factor (FGF), and platelet-derived growth factor (PDGF), to an investigation of how endothelial cells and vascular smooth muscle cells (VSMCs) are patterned to form an integrated network of blood vessels (8-13). Similar to the neural network, the vascular network forms from central axial structures that send sprouts along predetermined trajectories to their distal destinations. The trajectories of nerves and blood vessels are often shared, leading to the hypothesis that tissues may use similar if not identical factors to instruct both their innervation and vascularization (14,15). Indeed, recent evidence in...