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RAGE antagonist peptide (RAP) is a synthetic, S100P-derived decapeptide (sequence: Ac-ELKVLMEKEL-NH2) that acts as a competitive antagonist of the Receptor for Advanced Glycation Endproducts (RAGE). Developed by researchers at the University of Texas MD Anderson Cancer Center and NYU Langone Medical Center, RAP mimics the RAGE-binding domain of S100P (amino acids 32–41) to competitively block the interaction of RAGE with its major pro-inflammatory and oncogenic ligands, including S100P, S100A4, and HMGB1. By preventing ligand-receptor binding, RAP inhibits downstream RAGE-mediated signaling pathways, such as the activation of NF-κB and MAPKs. It has demonstrated preclinical efficacy in reducing tumor growth, metastasis, and inflammation in models of pancreatic cancer, glioma, asthma, emphysema, and acute respiratory distress syndrome (ARDS).
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