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Myeloid-derived growth factor (MYDGF) is a novel, secreted, 142-amino-acid protein predominantly produced by bone marrow-derived monocytes and macrophages. It plays a key role in tissue repair, especially after cardiac injury, by promoting cell survival, angiogenesis, and anti-inflammatory responses. MYDGF is highly expressed in multiple tissues, notably oral epithelium and skin, and is implicated in cardiovascular repair, metabolic homeostasis, and modulation of inflammatory responses. Structural studies reveal it possesses a unique 10-stranded beta-sandwich fold distinct from classical growth factors or interleukins. It is an emerging therapeutic target for conditions requiring enhanced tissue regeneration, although clinical translation is limited by the protein's rapid clearance and incomplete functional characterization.
Endogenous or recombinant MYDGF acts by stimulating cardiac myocyte survival, promoting angiogenesis (via MAPK1/3, STAT3, CCND1 signaling), and inhibiting apoptosis (via PI3K/AKT pathway). Engineered PEGylated MYDGF acts via the same pathways but with extended half-life for therapeutic use.
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