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Targeted therapeutic strategies for Nectin-4 in breast cancer: Recent advances and future prospects
Yufei Wang1, Guangliang Li2, Hanying Wang3
1Department of Medical Oncology, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou, China; Laboratory of Cancer Biology, Key Lab of Biotherapy in Zhejiang, Sir Run Run Shaw Hospital, Medical School of Zhejiang University, Hangzhou, China.
Abstract:
Nectin-4 is a cell adhesion molecule which has gained more and more attention as a therapeutic target in cancer recently. Overexpression of Nectin-4 has been observed in various tumors, including breast cancer, and is associated with tumor progression. Enfortumab vedotin(EV)is an antibody-drug conjugate (ADC) targeting Nectin-4, which has been approved by FDA for the treatment of urothelial carcinoma. Notably, Nectin-4 was also investigated as a target for breast cancer in preclinical and clinical settings. Nectin-4-targeted approaches, such as ADCs, oncolytic viruses, photothermal therapy and immunotherapy, have shown promising results in early-phase clinical trials. These therapies offer novel strategies for delivering targeted treatments to Nectin-4-expressing cancer cells, enhancing treatment efficacy and minimizing off-target effects. In conclusion, this review aims to provide an overview of the latest advances in understanding the role of Nectin-4 in breast cancer and discuss the future development prospects of Nectin-4 targeted agents.
Insights
Nectin-4 is a promising therapeutic target for breast cancer. Novel treatments like antibody-drug conjugates (ADCs) targeting Nectin-4 show potential for improved cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Nectin-4, a cell adhesion molecule, is increasingly recognized as a therapeutic target in oncology.
- Overexpression of Nectin-4 is linked to tumor progression in various cancers, including breast cancer.
Purpose of the Study:
- To review the role of Nectin-4 in breast cancer.
- To discuss the therapeutic potential of Nectin-4 targeted agents.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of Nectin-4's role in breast cancer progression.
- Evaluation of Nectin-4 targeted therapies including antibody-drug conjugates (ADCs), oncolytic viruses, photothermal therapy, and immunotherapy.
Main Results:
- Nectin-4 is overexpressed in breast cancer and associated with tumor progression.
- Nectin-4 targeted therapies, such as ADCs (e.g., Enfortumab vedotin for urothelial carcinoma), demonstrate promising results in early-phase clinical trials for breast cancer.
- These targeted approaches enhance treatment efficacy and minimize off-target effects.
Conclusions:
- Nectin-4 is a validated therapeutic target for breast cancer.
- Nectin-4 targeted agents represent a promising future direction for breast cancer treatment.
- Further clinical development of Nectin-4 targeted therapies is warranted.
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