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Endothelial monocyte-activating polypeptide II (EMAP-II), also known as AIMP1, is a multifunctional protein that serves as a component of the multi-tRNA synthetase complex (MSC) in the cytoplasm and as a pro-inflammatory cytokine when secreted (UniProt P14866). It is released from cells undergoing apoptosis or under stress conditions like hypoxia, where it acts as a potent chemoattractant for monocytes and neutrophils and induces the expression of E-selectin and P-selectin on endothelial cells (PubMed PMID: 10541285). In the context of oncology, EMAP-II exhibits anti-angiogenic properties and can sensitize tumor cells to apoptosis, making it a candidate for combination therapies with agents like TNF-alpha (PubMed PMID: 15634757). Conversely, its pro-inflammatory nature links it to the pathogenesis of chronic inflammatory diseases such as rheumatoid arthritis and acute lung injury (PubMed PMID: 22403441). Therapeutic development focuses on both utilizing its anti-tumor effects and neutralizing its pro-inflammatory activity depending on the disease context.
Modulation of the tumor microenvironment through inhibition of angiogenesis and induction of apoptosis, or neutralization of pro-inflammatory signaling in chronic inflammatory states.
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