Abstract How mature neurons survive under homeostasis is a question of utmost importance and is known to be different from developing neurons. However, the understanding of this regard remains largely unknown. Here, based on the relationship between the sympathetic cervical ganglia (SCG) and the arterial networks of projecting and targeting organs, we report that the secretome of cerebral, but not peripheral, arterial smooth muscles (SMC) was required for the survival of sympathetic neurons. Among the secretome, we further identified that netrin-4, encoded by the ntn-4 gene, only entered neurons and not glia and played a crucial role both in vitro and in vivo. This was demonstrated with three independent lines of tamoxifen-inducible SMC-specific conditional knockout mice (cKO). Notably, in cKO mice, the local supply of exogenous netrin-4 confined to SCG selectively rescued neuronal necroptosis, which otherwise consistently occurred in a specific subgroup of SCG neurons that innervate cerebral SMCs. Mechanistically, we demonstrated that cerebral netrin-4 was endocytosed at the neurovascular interface and retrogradely long transported to peripheral soma in SCG, where it differentially regulated mRNA translations. This regulation suppressed vacuolization and neuronal necrosis, both of which took place spontaneously in cKO mice. The former is immediately followed by the latter when we injured axons using two-photon laser ablation. The findings revealed a new principle of neurovascular interactions vital for mature neuron survival, implying that under circumstances of cerebral SMC insufficient secretion, such as natural aging, may initiate mature neuronal loss due to uncontrolled vacuolization.

Netrin4 is a new target specific factor, ensuring adult sympathetic neuron survival via promoting protein synthesis