Leukocyte extravasation from the blood into tissues is of paramount importa
nce for normal immunosurveillance and in mounting adequate inflammatory res
ponses. Multiple traditional adhesion molecules and chemoattractants on leu
kocytes and endothelial cells are involved in the emigration process. Vascu
lar adhesion protein 1 (VAP-1) is a nonclassical inflammation-inducible end
othelial molecule involved in leukocyte-subtype-specific rolling under phys
iological shear. Molecularly. VAP-1 belongs to a special class of cell surf
ace amino oxidases, The enzymatic reaction itself and the biologically acti
ve end products can potentially regulate the adhesive status of the vessel
wall. Thus, VAP-1 is an ectoenzyme that has inter-related adhesive and enzy
matic functions in regulating physiological trafficking and inflammation.