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DOI: 10.3934/genet.2019.3.46
Molecular characterization of the netrin-1 UNC-5 receptor in Lucilia sericata larvae
Abstract
Larval therapy with Lucilia sericata is a promising strategy in wound healing. Axon guidance molecules play vital roles during the development of the nervous system and also regulate the capacity of neuronal restoration in wound healing. Netrin-1, one of the proteins that larvae secrete, plays a useful role in cell migration and nerve tissue regeneration. The UNC-5 receptor combines with a netrin-1 signal and transmits the signal from one side of the membrane to the other side, initiating a change in cell activity. In the current study, we identified the full length of the UNC-5 receptor mRNA in L. sericata using different sets of primers, including exon junction and specific region primers. The coding sequence (CDS) of the UNC-5 receptor was sequenced and identified to include 633 base-pair nucleic acids, and BLAST analysis on its nucleotide sequence revealed 96% identity with the Lucilia cuprina netrin-1 UNC-5 receptor. The protein residue included 210 amino acids (aa) and coded for a protein with 24 kD weight. This gene lacked the signal peptide. Furthermore, the UPA domain is conserved in UNC-5. It lied at the interval of 26–131 aa. We identified the CDS of netrin-1 UNC-5 receptor in L. sericata. It could be applied to research activities implementing a new essential component design in wound healing.
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Introduction
The use of Lucilia sericata (L. sericata) blowfly larvae in diabetic wound healing have previously been reported.[1] One of the enzymatic groups with an essential role in wound injury is the family of netrin-1 molecules.[2] One of the receptors in this group is the UNC-5 receptor. The UNC-5 family of receptors mediate the repellent response to netrin-1. Netrins are a group of extracellular proteins that are present in invertebrates, nematodes, and insects,[3] [4]. They play certain roles in axon guidance and development of the nervous system. They transmit their activity via two different receptors. The role of UNC-5 is in axon repelence, while the molecular function of the other receptor ‘Deleted in Colorectal Cancer’ (DCC) is to attract and repel axons by netrin-1.[5] In addition, other studies showed that netrin-1 has other receptors such as the adenosine 2B receptor (A2BAR).[6] According to previous studies, netrin-1 mediated through different receptors may regulate diverse signaling pathways and play distinct roles in physiological and pathophysiological conditions,[7] [8]. Netrin-1 has recently attracted increasing interests in wound repair progression in diabetic complications.[9] In Drosophila melanogaster fruitfly, netrin A and netrin B have been identified.[10] Both netrins A and B are expressed by the midline cells during the initial period of formation in the ventral nerve cord,[10] [11]. They are involved in many functions such as axon guidance, control survival or apoptosis, and tumor suppression by their receptors,[12] [13]. Netrins have a variety of receptors; the central receptors are DCC and UNC-5A-D in human and UNC-5H1-4 in rodents.[14] DCC receptors were identified as the first netrin receptors.[15] The UNC-5 is one of the netrin-1 receptors usually expressed in embryonic and adult mammals. The UNC-5 receptors can control apoptosis in the presence or absence of netrin-1 protein. Transplantation of bone marrow mesenchymal stem cells that produce netrin-1 improved the function of the sciatic nerve after injury. This method may be used in the future in the treatment of nerve injury.[16] Netrin-1, a protein recognized in the guidance of commissural axons, plays a similar function in angiogenesis. Furthermore, it was shown that the netrin-1 UNC-5 receptor is expressed in capillaries. More studies on this new group of molecules will be interesting. Netrin-1, an enzyme known in the guidance of commissural axons, acts similarly in angiogenesis. It was also shown that one of the netrin-1 receptors is expressed at the apical cells of growing small blood vessel. It would be interesting to survey this new group of proteins. in the future. Netrins and netrin receptors have important roles with respect to angiogenesis in wound healing.[17] Some studies showed that netrin-1 also stimulates angiogenesis in vivo and enhances the response to vascular endothelial growth factor.[18] Whereas one of the methods currently considered by the practitioners in the treatment of wounds and approved by the FDA in 2004 is the maggot therapy method. It also occurs in the process of repairing the nerve tissue in wound healing.[19] Netrin-1, as a macrophage maintenance signal in fat tissue during obesity, boosts chronic inflammation and insulin resistance. Netrin-1, as a significant signal, reconciles the dynamic crosstalk between inflammation and constant erosion of the extracellular matrix in abdominal aortic aneurysms. Netrin-1 generates a steady intracellular calcium flow necessary for the transcriptional regulation and persistent catalytic activation of matrix metalloproteinase-3(MMP3) by vascular smooth muscle cells,[20] [21]. The netrin-1 protein with the UNC-5 and DCC receptors are shown to be implicated in axonal regeneration after injury.[22]
This study was conducted to identify and characterize the netrin-1 UNC-5 receptor in larvae of L. sericata. This blowfly is a species in the family Calliphoridae, Class Insecta with a critical role in maggot therapy.[23] Since the L. sericata larvae are used in maggot therapy and involved in the repair of the damaged nerve tissue, therefore, the identification of the nucleic acid sequence of the UNC-5 receptor of L.sericata and its recombinant expression in the future can be effective in producing drugs for the treatment of ulcers. In this way, using the recombinant protein, it also increases the netrin-1 secretion and accelerates the recovery of the damaged nerve tissue.
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Materials and methods
Rearing of L. sericata larvae
Experiments conducted on the second instar larvae of L. sericata from a colony that had been reared at the School of Health insectarium, Shiraz University of Medical Sciences (SUMS) under constant conditions. Adults were exposed to a 12 hours L/D cycle at a relative humidity of 40–50% and temperature range of 18–25 °C. The larvae were fed on beef. Accurate species identification was routinely confirmed using valid pictorial taxonomic key based on morphological characterization.
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Primer design
Since the L. sericata genome has not been sequenced yet and based on our previous study,[24] we decided to design a gene-specific primer for the identification of netrin-1 UNC-5 receptor[24]–[28]. First, the mRNA sequences of netrin-1 from different species of Diptera such as Ceratitis capitata (XM_020859149), Bactrocera cucurbitae (XM_011194897), Musca domestica (XM_020034772), Stomoxys calcitrans (XM_013257881), and Lucilia cuprina (XM_023442922) were obtained from NCBI and aligned using the MEGA 6 software. Then, degeneration primers were determined based on conserve regions ([Figure 1]). After analysis, three regions were chosen to design gene-specific primers (GSPs). Three exon junction primers: NetF1 (5′-AATATATTGGAGTTTATCGG-3′), NetF2 (5′- ATATATTGTCGAATAATTC-3′), and NetR650 (5′- CGATATACACGAGGCAGTAG -3′) were designed to determine the full length of the target gene as forward and reverse primers, respectively. The normal size bound was 633 and 290 bp, respectively. Primers were designed by Gene Runner 0.4, Oligo 0.7 and BLAST (online tool) softwares.


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RNA extraction
Total RNA was extracted from the salivary glands of the second instar larvae using high pure RNA isolation kit (Roche Company, Germany) and the extracted RNAs were treated by DNaseI (Roche, Germany), both according to the manufacturer's instruction and then stored in −70 °C.
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cDNA synthesis
Extracted RNA was used for the first strand cDNA synthesis. Then reverse transcription (RT) reaction was performed according to RevertAid First Strand cDNA Syn. kit (Fermentas Company) by the random hexamers primer.
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Polymerase chain reaction (PCR)
All polymerase chain reactions (PCRs) were performed in a 20 µL total volume for 35 cycles using 2 µL of synthesized cDNA or 150 ng genomic DNA in each cycle as a template. The reaction mixture contained 400 nM of each primer, 1.5 mM MgCl2, 1 unit Taq DNA polymerase, 0.2 mM dNTPs, 2 µL 10 × reaction buffer, and the final volume was adjusted to 20 µL with double distilled water (dd H2O). The amplification program was set as follows: 5 min at 94 °C; followed by 35 cycles of denaturation at 94 °C for 30 s, annealing at 58 °C for 30 s, extension at 72 °C for 30 s; and an additional final extension at 72 °C for 10 min. The amplified amplicons were purified using the DNA gel purification kit (GF-1 Vivantis, Malaysia).
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Sequencing
Expected size bonds after gel purification were sequenced, and their analysis was performed by Chromas (Version 2.31, 2005), DNA Star (Version 7.10, 2006), MEGA6 (Build 5110426, 2011) and BLAST by NCBI online. Amplicons with a size close to the predicted range sequenced using GSPs forward and reverse primers.
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Bioinformatics
All primers were designed using the Gene Runner (version 0.4) and Oligo 0.7 software. Alignments were performed by the MEGA software (version 6.0), and their specificity for PCR was checked by nucleotide BLAST on NCBI (http://blast.ncbi.nlm.nih.gov/Blast.cgi).
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Results
This study identified 633 base-pair nucleic acids (mRNA) of the netrin-1 UNC-5 receptor. The expected protein was determined by in silico. The protein residue included 210 amino acids and coded a protein with 24 kD weight ([Figure 4]). Besides, the residue of amino acids lacked the signal peptide. The UPA domain was conserved in UNC-5. It was situated at the interval of 26–131 aa. We identified the CDS of netrin-1 UNC-5 receptor in L. sericata which could be involved in research activities applied in the design of a new essential component in diabetic wound healing.
In the reactions performed, the coding sequence of the netrin-1 UNC-5 receptor from the salivary gland of L. sericata was determined. The PCR reactions were carried out using a combination of NetF1, NetF2, and NetR633 primers, which resulted in finding exactly two amplicons with the expected sizes of 633 bp and 290 bp ([Figure 2]). Sequencing 633bp fragment and BLAST analysis on its nucleotide sequence revealed 96% identity with the Lucilia cuprina netrin-1 receptor UNC-5 mRNA sequence ([Figure 3]). This part of the gene sequence was submitted to GenBank (GenBank: MG009433 and MG009434). This study showed that the protein residue did not have a signal peptide.






Moreover, the conserved domain of L. sericata netrin-1 UNC-5 receptor was calculated by NCBI. The UPA domain was conserved in UNC-5, PIDD, and Ankyrins. It had a beta sandwich structure, interval of 26–131 aa, and E-value = 6.51e-07 ([Figure 5]).


Following determination of nucleic acid sequence, the phylogenetic tree was constructed using MEGA6 software based on Neighbor Joining method with bootstrapping to provide confidence for tree topology.. According to the phylogenetic tree of L. sericata, nucleotide sequences of the submitted netrin-1 UNC-5 receptor sequences in the Musca domestica, Stomoxys calcitrans, Bactrocera, and Ceratitis capitata gene sequences, as well as L. sericata and L. cuprina were grouped in a cluster different from other mentioned genes ([Figure 6]).


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Conclusions
We identified the developmental sequence of the netrin-1 UNC-5 receptor in L. sericata for the first time. Total mRNA was identified as 633 bp. The CDS of netrin-1 receptor in L. sericata was identified with 633 bp nucleic acids and this receptor can code a protein with 24 kDa weigth. Netrin-1 is one of the enzymes secreted from the salivary glands of L. sericata, which are laid on wounds or injuries in the treatment by the method of maggot therapy.
The discovery of netrins constitutes a grand leap onto the evolution of developmental control mechanisms among neuronal cells. The leading role of netrin-1 and netrin-1 receptors helps to repair injured nerve tissues. Within insects, divergent sets of axon guidance molecules, such as the midline repellant Slit and its Roundabout (Robo) receptors, are usually implicated to achieve equal developmental outcomes.[29] One likely mechanism leading to precise control of axonal guidance is found to be the duplication through use of orthologs and functional diversification of similar pathway components.
Some studies on the identification of enzymes secreted from L. sericata such as the study of Telford in 2010 on chymotrypsin and Cerovsky in 2010 on lucifensin have been published,[30] [31]. All cells used in the inflammation such as neutrophils, monocytes, macrophages, synovial fibroblasts, and bone destruction characterize this model of arthritis express the UNC-5B and netrin-1 in addition to its effects on leukocyte migration,[32] [33]. Netrin-1 regulates the inflammatory response of neutrophils and macrophages via suppression of cyclooxygenase 2–mediated prostaglandin E2 production during ischemic acute kidney injury,[34] [35]. Netrin-1, acting via the Unc5B receptor, induces activation of peroxisome proliferator-activated receptor-γ and other signaling pathways, which causes suppression of IκB degradation and inactivation of NF-κB transcription factor.[34] Netrin-1 contributes to the regulation of leukocyte migration and inflammation in peripheral tissues[36] to reduce local wound and inflammatory responses[37] and to stimulate resolution actions and production of resolving.[34] In contrast to these generally anti-inflammatory activities, netrin-1 performs a role in the collection of macrophages at inflamed sites of skin and tissue, like atherosclerotic plaque.[38] During ischemia–reinventing blood flow, netrin-1 enzyme is significantly down-regulated, UNC-5B mRNA expression is increased, and the DCC receptor is not changed significantly.[34]
All these and other studies point to the fact that certain enzymes or other molecules derived from larval blowflies or alternative insects could be conducive to the repair, regeneration, and swift resolution of impaired human body tissues. They are thus a promising field of research activity.
One of the drawbacks in the current study was that a shortage of basic raw materials essential to launch a wider scale study was impeding to assist the resolution of all research inquiries in this field of study.
It is concluded that the coding sequence of the netrin-1 UNC5 receptor in L. sericata larvae resembles those of other insect species. The findings presented in this research article could be manipulated in future endevours to enhance wound healing using maggot therapy.
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No conflict of interest has been declared by the author(s).
Acknowledgments
We appreciate colleagues in the Department of Medical Entomology, School of Health, for their collaboration in this research activity. This project was funded by the Shiraz University of Medical Sciences (SUMS), Shiraz, Iran [Grant #: 1396-01-04-15875] allocated to H.A. It was part of an MSc thesis in Medical Entomology and Vector Control solicited to the student, Ms. T. Karamzadeh.
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References
- 1 Malekian A, Esmaeeli Djavid Gh, Akbarzadeh K. et al. Efficacy of maggot therapy on staphylococcus aureus and pseudomonas aeruginosa in diabetic foot ulcers: A randomized controlled trial. J Wound Ostomy Continence Nurs 2019; 46: 25-29
- 2 Iorio V, Troughton LD, Hamill KJ. Laminins: Roles and utility in wound repair. Adv Wound Care 2015; 4: 250-263
- 3 Mitchell KJ, Doyle JL, Serafini T. et al. Genetic analysis of Netrin genes in Drosophila: Netrins guide CNS commissural axons and peripheral motor axons. Neuron 1996; 17: 203-215
- 4 Rajasekharan S, Kennedy TE. The netrin protein family. Genome Biol 2009; 10: 239
- 5 Poon VY, Klassen MP, Shen K. UNC-6/netrin and its receptor UNC-5 locally exclude presynaptic components from dendrites. Nature 2008; 455: 669
- 6 Stein E, Zou Y, Poo M-m. et al. Binding of DCC by netrin-1 to mediate axon guidance independent of adenosine A2B receptor activation. Science 2001; 291: 1976-1982
- 7 Bashaw GJ, Goodman CS. Chimeric axon guidance receptors: The cytoplasmic domains of slit and netrin receptors specify attraction versus repulsion. Cell 1999; 97: 917-926
- 8 Liu Y, Bhowmick T, Liu Y. et al. Structural basis for Draxin-Modulated Axon guidance and fasciculation by Netrin-1 through DCC. Neuron 2018; 97: 1261-1267
- 9 Xing Y, Lai J, Liu X. et al. Netrin-1 restores cell injury and impaired-angiogenesis in vascular endothelial cells. J Mol Endocrinol 2017; JME-16-0239
- 10 Howard LJ, Brown HE, Wadsworth BC. et al. Midline axon guidance in the Drosophila embryonic central nervous system. Seminars in Cell & Developmental Biology. Elsevier; 2017
- 11 Hand RA, Kolodkin AL. Netrin-mediated axon guidance to the CNS midline revisited. Neuron 2017; 94: 691-693
- 12 Llambi F, Causeret F, Bloch-Gallego E. et al. Netrin-1 acts as a survival factor via its receptors UNC5H and DCC. EMBO J 2001; 20: 2715-2722
- 13 Mehlen P, Delloye-Bourgeois C, Chédotal A. Novel roles for Slits and netrins: Axon guidance cues as anticancer targets?. Nature Rev Cancer 2011; 11: 188
- 14 Wang W, Reeves WB, Ramesh G. Netrin-1 increases proliferation and migration of renal proximal tubular epithelial cells via the UNC5B receptor. Am J Physiol Renal Physiol 2009; 296: F723-F9
- 15 Ylivinkka I, Keski-Oja J, Hyytiäinen M. Netrin-1: A regulator of cancer cell motility?. Eur J Cell Biol 2016; 95: 513-520
- 16 Ke X, Li Q, Xu L. et al. Netrin-1 overexpression in bone marrow mesenchymal stem cells promotes functional recovery in a rat model of peripheral nerve injury. J Biomed Res 2015; 29: 380
- 17 Eming SA, Brachvogel B, Odorisio T. et al. Regulation of angiogenesis: Wound healing as a model. Progress Histochem Cytochem 2007; 42: 115-170
- 18 Park KW, Crouse D, Lee M. et al. The axonal attractant Netrin-1 is an angiogenic factor. Proc Nat Acad Sc 2004; i101: 16210-16215
- 19 Sherman RA, Cooper EL. Biotherapy: Medicinal maggots and invertebrate immunology from the Clinician's perspective. Adv Comp Immunol, Springer 2018; 991-995
- 20 Ramkhelawon B, Hennessy EJ, Ménager M. et al. Netrin-1 promotes adipose tissue macrophage retention and insulin resistance in obesity. Nature Med 2014; 20: 377
- 21 Hadi T, Boytard L, Silvestro M. et al. Macrophage-derived netrin-1 promotes abdominal aortic aneurysm formation by activating MMP3 in vascular smooth muscle cells. Nature Commun 2018; 9: 5022
- 22 Fournier AE, Strittmatter SM. Repulsive factors and axon regeneration in the CNS. Curr Opin Neurobiol 2001; 11: 89-94
- 23 Mumcuoglu KY, Miller J, Mumcuoglu M. et al. Destruction of bacteria in the digestive tract of the maggot of Lucilia sericata (Diptera: Calliphoridae). J Med Entomol 2001; 38: 161-166
- 24 Alipour H, Raz A, Zakeri S. et al. Molecular characterization of matrix metalloproteinase-1 (MMP-1) in Lucilia sericata larvae for potential therapeutic applications. Electron J Biotechnol 2017; 29: 47-56
- 25 Alipour H, Raz A, Zakeri S. Therapeutic applications of collagenase (metalloproteases): A review. Asian Pac J Trop Biomed 2016; 6: 975-981
- 26 Alipour H, Raz A, Djadid ND. et al. Lucilia sericata collagenase. Google Pat 2017
- 27 Akbarzadeh K, Rafinejad J, Alipour H. et al. Human myiasis in Fars province, Iran. Southeast Asian J Trop Med Public Health 2012; 43: 1205
- 28 Rafinejad J, Akbarzadeh K, Rassi Y. et al. Traumatic myiasis agents in Iran with introducing of new dominant species, Wohlfahrtia magnifica (Diptera: Sarcophagidae). Asian Pacific J Trop Biomed 2014; 4: 451-455
- 29 Evans TA, Bashaw GJ. Slit/Robo-mediated axon guidance in Tribolium and Drosophila: Divergent genetic programs build insect nervous systems. Dev Biol 2012; 1: 266-278
- 30 Čeřovský V, Žďárek J, Fučík V. et al. Lucifensin, the long-sought antimicrobial factor of medicinal maggots of the blowfly Lucilia sericata. Cell Mol Life Sci 2010; 67: 455-466
- 31 Telford G, Brown A, Seabra R. et al. Degradation of eschar from venous leg ulcers using a recombinant chymotrypsin from Lucilia sericata. Br J Dermatol 2010; 163: 523-531
- 32 Feinstein J, Ramkhelawon B. Netrins & Semaphorins: Novel regulators of the immune response. BBA-Mol Basis Dis 2017; 1863: 3183-3189
- 33 Popel AS, Karagiannis ED. Compositions having antiangiogenic activity and uses thereof. Google Pat 2015
- 34 Mediero A, Wilder T, Ramkhelawon B. et al. Netrin-1 and its receptor Unc5b are novel targets for the treatment of inflammatory arthritis. FASEB J 2016; 30: 3835-3844
- 35 Maruyama K, Takemura N, Martino MM. et al. Netrins as prophylactic targets in skeletal diseases: A double-edged sword?. Pharmacol Res 2017; 122: 46-52
- 36 Huttenlocher A, Poznansky MC. Reverse leukocyte migration can be attractive or repulsive. Trends Cell Biol 2008; 18: 298-306
- 37 Vigl B, Aebischer D, Nitschké M. et al. Tissue inflammation modulates gene expression of lymphatic endothelial cells and dendritic cell migration in a stimulus-dependent manner. Blood 2011; blood-2010-12-326447
- 38 Rőszer T. Understanding the mysterious M2 macrophage through activation markers and effector mechanisms. Med Inflammation 2015
Address for correspondence
Publication History
Received: 19 June 2019
Accepted: 02 August 2019
Article published online:
31 March 2021
© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
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References
- 1 Malekian A, Esmaeeli Djavid Gh, Akbarzadeh K. et al. Efficacy of maggot therapy on staphylococcus aureus and pseudomonas aeruginosa in diabetic foot ulcers: A randomized controlled trial. J Wound Ostomy Continence Nurs 2019; 46: 25-29
- 2 Iorio V, Troughton LD, Hamill KJ. Laminins: Roles and utility in wound repair. Adv Wound Care 2015; 4: 250-263
- 3 Mitchell KJ, Doyle JL, Serafini T. et al. Genetic analysis of Netrin genes in Drosophila: Netrins guide CNS commissural axons and peripheral motor axons. Neuron 1996; 17: 203-215
- 4 Rajasekharan S, Kennedy TE. The netrin protein family. Genome Biol 2009; 10: 239
- 5 Poon VY, Klassen MP, Shen K. UNC-6/netrin and its receptor UNC-5 locally exclude presynaptic components from dendrites. Nature 2008; 455: 669
- 6 Stein E, Zou Y, Poo M-m. et al. Binding of DCC by netrin-1 to mediate axon guidance independent of adenosine A2B receptor activation. Science 2001; 291: 1976-1982
- 7 Bashaw GJ, Goodman CS. Chimeric axon guidance receptors: The cytoplasmic domains of slit and netrin receptors specify attraction versus repulsion. Cell 1999; 97: 917-926
- 8 Liu Y, Bhowmick T, Liu Y. et al. Structural basis for Draxin-Modulated Axon guidance and fasciculation by Netrin-1 through DCC. Neuron 2018; 97: 1261-1267
- 9 Xing Y, Lai J, Liu X. et al. Netrin-1 restores cell injury and impaired-angiogenesis in vascular endothelial cells. J Mol Endocrinol 2017; JME-16-0239
- 10 Howard LJ, Brown HE, Wadsworth BC. et al. Midline axon guidance in the Drosophila embryonic central nervous system. Seminars in Cell & Developmental Biology. Elsevier; 2017
- 11 Hand RA, Kolodkin AL. Netrin-mediated axon guidance to the CNS midline revisited. Neuron 2017; 94: 691-693
- 12 Llambi F, Causeret F, Bloch-Gallego E. et al. Netrin-1 acts as a survival factor via its receptors UNC5H and DCC. EMBO J 2001; 20: 2715-2722
- 13 Mehlen P, Delloye-Bourgeois C, Chédotal A. Novel roles for Slits and netrins: Axon guidance cues as anticancer targets?. Nature Rev Cancer 2011; 11: 188
- 14 Wang W, Reeves WB, Ramesh G. Netrin-1 increases proliferation and migration of renal proximal tubular epithelial cells via the UNC5B receptor. Am J Physiol Renal Physiol 2009; 296: F723-F9
- 15 Ylivinkka I, Keski-Oja J, Hyytiäinen M. Netrin-1: A regulator of cancer cell motility?. Eur J Cell Biol 2016; 95: 513-520
- 16 Ke X, Li Q, Xu L. et al. Netrin-1 overexpression in bone marrow mesenchymal stem cells promotes functional recovery in a rat model of peripheral nerve injury. J Biomed Res 2015; 29: 380
- 17 Eming SA, Brachvogel B, Odorisio T. et al. Regulation of angiogenesis: Wound healing as a model. Progress Histochem Cytochem 2007; 42: 115-170
- 18 Park KW, Crouse D, Lee M. et al. The axonal attractant Netrin-1 is an angiogenic factor. Proc Nat Acad Sc 2004; i101: 16210-16215
- 19 Sherman RA, Cooper EL. Biotherapy: Medicinal maggots and invertebrate immunology from the Clinician's perspective. Adv Comp Immunol, Springer 2018; 991-995
- 20 Ramkhelawon B, Hennessy EJ, Ménager M. et al. Netrin-1 promotes adipose tissue macrophage retention and insulin resistance in obesity. Nature Med 2014; 20: 377
- 21 Hadi T, Boytard L, Silvestro M. et al. Macrophage-derived netrin-1 promotes abdominal aortic aneurysm formation by activating MMP3 in vascular smooth muscle cells. Nature Commun 2018; 9: 5022
- 22 Fournier AE, Strittmatter SM. Repulsive factors and axon regeneration in the CNS. Curr Opin Neurobiol 2001; 11: 89-94
- 23 Mumcuoglu KY, Miller J, Mumcuoglu M. et al. Destruction of bacteria in the digestive tract of the maggot of Lucilia sericata (Diptera: Calliphoridae). J Med Entomol 2001; 38: 161-166
- 24 Alipour H, Raz A, Zakeri S. et al. Molecular characterization of matrix metalloproteinase-1 (MMP-1) in Lucilia sericata larvae for potential therapeutic applications. Electron J Biotechnol 2017; 29: 47-56
- 25 Alipour H, Raz A, Zakeri S. Therapeutic applications of collagenase (metalloproteases): A review. Asian Pac J Trop Biomed 2016; 6: 975-981
- 26 Alipour H, Raz A, Djadid ND. et al. Lucilia sericata collagenase. Google Pat 2017
- 27 Akbarzadeh K, Rafinejad J, Alipour H. et al. Human myiasis in Fars province, Iran. Southeast Asian J Trop Med Public Health 2012; 43: 1205
- 28 Rafinejad J, Akbarzadeh K, Rassi Y. et al. Traumatic myiasis agents in Iran with introducing of new dominant species, Wohlfahrtia magnifica (Diptera: Sarcophagidae). Asian Pacific J Trop Biomed 2014; 4: 451-455
- 29 Evans TA, Bashaw GJ. Slit/Robo-mediated axon guidance in Tribolium and Drosophila: Divergent genetic programs build insect nervous systems. Dev Biol 2012; 1: 266-278
- 30 Čeřovský V, Žďárek J, Fučík V. et al. Lucifensin, the long-sought antimicrobial factor of medicinal maggots of the blowfly Lucilia sericata. Cell Mol Life Sci 2010; 67: 455-466
- 31 Telford G, Brown A, Seabra R. et al. Degradation of eschar from venous leg ulcers using a recombinant chymotrypsin from Lucilia sericata. Br J Dermatol 2010; 163: 523-531
- 32 Feinstein J, Ramkhelawon B. Netrins & Semaphorins: Novel regulators of the immune response. BBA-Mol Basis Dis 2017; 1863: 3183-3189
- 33 Popel AS, Karagiannis ED. Compositions having antiangiogenic activity and uses thereof. Google Pat 2015
- 34 Mediero A, Wilder T, Ramkhelawon B. et al. Netrin-1 and its receptor Unc5b are novel targets for the treatment of inflammatory arthritis. FASEB J 2016; 30: 3835-3844
- 35 Maruyama K, Takemura N, Martino MM. et al. Netrins as prophylactic targets in skeletal diseases: A double-edged sword?. Pharmacol Res 2017; 122: 46-52
- 36 Huttenlocher A, Poznansky MC. Reverse leukocyte migration can be attractive or repulsive. Trends Cell Biol 2008; 18: 298-306
- 37 Vigl B, Aebischer D, Nitschké M. et al. Tissue inflammation modulates gene expression of lymphatic endothelial cells and dendritic cell migration in a stimulus-dependent manner. Blood 2011; blood-2010-12-326447
- 38 Rőszer T. Understanding the mysterious M2 macrophage through activation markers and effector mechanisms. Med Inflammation 2015











