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Nectin-4: a Novel Therapeutic Target for Skin Cancers
Hiroki Hashimoto1, Yuka Tanaka2, Maho Murata2
1Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. h-hashi@dermatol.med.kyushu-u.ac.jp.
Opinion Statement:
Nectin-4 is a tumor-associated antigen that is highly expressed on various cancer cells, and it has been further proposed to have roles in tumor development and propagation ranging from cellular proliferation to motility and invasion. Nectin-4 blockade reduces tumor proliferation and induces apoptosis in several malignancies. Nectin-4 has been used as a potential target in antibody-drug conjugate (ADC) development. Enfortumab vedotin, an ADC against Nectin-4, has demonstrated efficacy against solid tumor malignancies. Enfortumab vedotin has received US Food and Drug Administration approval for treating urothelial cancer. Furthermore, the efficacy of ADCs against Nectin-4 against solid tumors other than urothelial cancer has been demonstrated in preclinical studies, and clinical trials examining the effects of enfortumab vedotin are ongoing. Recently, Nectin-4 was reported to be highly expressed in several skin cancers, including malignant melanoma, cutaneous squamous cell carcinoma, and extramammary Paget's disease, and involved in tumor progression and survival in retrospective studies. Nectin-4-targeted therapies and ADCs against Nectin-4 could therefore be novel therapeutic options for skin cancers. This review highlights current knowledge on Nectin-4 in malignant tumors, the efficacy of enfortumab vedotin in clinical trials, and the prospects of Nectin-4-targeted agents against skin cancers.
Insights
Nectin-4, a protein found on cancer cells, is a promising target for new treatments. Therapies targeting Nectin-4, like antibody-drug conjugates (ADCs), show potential for treating various skin cancers.
Area of Science:
- Oncology
- Immunotherapy
- Molecular Biology
Background:
- Nectin-4 is a tumor-associated antigen highly expressed on various cancer cells.
- Nectin-4 plays roles in tumor development, proliferation, motility, and invasion.
- Nectin-4 blockade can reduce tumor proliferation and induce apoptosis.
Purpose of the Study:
- To review current knowledge on Nectin-4 in malignant tumors.
- To highlight the efficacy of enfortumab vedotin (an ADC targeting Nectin-4) in clinical trials.
- To explore the prospects of Nectin-4-targeted agents against skin cancers.
Main Methods:
- Review of existing literature on Nectin-4 and its role in cancer.
- Analysis of clinical trial data for enfortumab vedotin.
- Examination of preclinical studies on Nectin-4-targeted therapies.
Main Results:
- Nectin-4 is highly expressed in skin cancers like melanoma and squamous cell carcinoma.
- Enfortumab vedotin, an ADC targeting Nectin-4, is approved for urothelial cancer and shows efficacy in other solid tumors.
- Preclinical studies and ongoing clinical trials support Nectin-4 as a therapeutic target.
Conclusions:
- Nectin-4 is a viable therapeutic target for various malignancies, including skin cancers.
- Nectin-4-targeted therapies, particularly ADCs like enfortumab vedotin, represent novel treatment options.
- Further research and clinical trials are warranted to establish Nectin-4-targeted agents for skin cancer treatment.
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