The UNC5Hs are axon guidance receptors that mediate netrin-1-dependent chemorepulsion, and dependence receptors that mediate netrin-1-independent apoptosis. Here, we report an interaction between UNC5H1 and NRAGE. Our experiments show that this interaction is responsible for apoptosis induced by UNC5H1, and this level of apoptosis is greater than the amount induced by either UNC5H2 or UNC5H3. We mapped the NRAGE binding domain of UNC5H1 to its ZU-5 domain and show that this region, in addition to an adjacent PEST sequence, is required for UNC5H1-mediated apoptosis. Chimeric UNC5H2 and UNC5H3 receptors, containing the NRAGE binding domain and PEST sequence of UNC5H1, bind NRAGE and cause increased levels of apoptosis. UNC5H1 expression does not induce apoptosis in differentiated PC12 cells, which down-regulate NRAGE, but induces apoptosis in native PC12 cells that endogenously express high levels of NRAGE and in differentiated PC12 cells when NRAGE is overexpressed. Together, these results demonstrate a mechanism for UNC5H1-mediated apoptosis that requires an interaction with the MAGE protein NRAGE.Apoptosis plays a critical role in determining the size and shape of the vertebrate nervous system (1). The execution phase of the apoptotic program in neurons is well characterized and, as with most cell types, depends on the activation of intracellular proteases, primarily caspases (2). In contrast, it is not well understood how cues from the environment regulate this process during development of the nervous system. UNC-5 was originally characterized in Caenorhabditis elegans as a gene required for axonal repulsion in netrin/UNC-6 responsive neurons (3, 4). The vertebrate members of this family (UNC5H1, 2, and 3) (5, 6), together with C. elegans UNC-5 (4) and Drosophila Unc5 (7), comprise a subgroup of the Ig superfamily of receptors. The UNC5s contain two Ig and two thrombospondin type-I repeats in the extracellular domain. In addition, their cytoplasmic domains contain regions of homology with other proteins: 1) a ZU-5 domain homologous to Zona Occludens-1, a protein implicated in tight-junction formation (8); and 2) a C-terminal death domain, a domain first identified as the pro-apoptotic region of tumor necrosis factor receptor-1 (9, 10). In a netrin-1 gradient, a complex of UNC5H1 and DCC mediates repulsion (11), although there is evidence suggesting that short range repulsion by netrin-1 may be mediated by UNC5 alone (3, 7). NRAGE (Dlxin-1, MAGE-D1) is a recently identified molecule belonging to the MAGE (melanoma antigen) protein family. There are currently over 25 MAGE proteins in humans, characterized by the presence of a MAGE homology domain. The expression of many MAGE proteins is restricted to cancer cells (12); however, recent studies have revealed a role for two MAGE proteins in the nervous system. One MAGE family member, necdin, is thought to maintain the differentiated state of post-mitotic neurons by preventing entry into the cell cycle (13,14). Another MAGE family member, NRAGE, is expressed in the...