Emerging targets in gastric and pancreatic cancer: Focus on claudin 18.2

Alireza Tojjari1, Yassine Alami Idrissi1, Anwaar Saeed2

  • 1Department of Medicine, Division of Hematology & Oncology, University of Pittsburgh Medical Center (UPMC), Pittsburgh, PA, 15213, USA.

Cancer Letters
|December 5, 2024
PubMed

Insights

Claudin 18.2 (CLDN18.2) is a promising target for gastric and pancreatic cancers. Therapies targeting CLDN18.2 show potential but require careful patient selection and management of resistance and toxicity.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Claudin 18.2 (CLDN18.2) is a tight junction protein selectively expressed in gastric and pancreatic cancer cells.
  • Its restricted expression in normal tissues makes CLDN18.2 an attractive target for novel cancer therapies.

Purpose of the Study:

  • To review the therapeutic landscape and clinical advancements in targeting Claudin 18.2.
  • To discuss the potential and challenges of CLDN18.2-targeted therapies in gastric and pancreatic cancers.

Main Methods:

  • Review of early-phase clinical trials and preclinical studies.
  • Analysis of therapeutic strategies including monoclonal antibodies, bispecific antibodies, and antibody-drug conjugates.

Main Results:

  • CLDN18.2-targeted therapies demonstrate significant antitumor activity, especially in combination regimens.
  • Monoclonal antibodies like zolbetuximab show promise in clinical trials.

Conclusions:

  • Targeting CLDN18.2 represents a significant advancement in treating gastric and pancreatic cancers.
  • Further research is needed to address patient selection, resistance, and toxicity for optimal therapeutic outcomes.

Related Concept Videos

Tight Junctions01:29

Tight Junctions

Tight junctions are molecular seals between cells that prevent the leaking of fluids, ions, and other small solutes across cavities and compartments in multicellular organisms. They are mainly composed of claudin and occludin transmembrane proteins, and other proteins such as tricellulin and JAM (junctional adhesion molecule). All these proteins are 4-pass transmembrane proteins, except JAM, which is a single-pass transmembrane protein belonging to the immunoglobulin superfamily. The...
5.2K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.5K
Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
4.4K
Cadherins in Tissue Organization01:19

Cadherins in Tissue Organization

The cadherins are a superfamily of cell adhesion molecules comprising over 180 variants, with specific tissues expressing a particular combination of cadherin types. Cadherins generally exhibit homophilic binding; i.e., cadherins on one cell bind to cadherins of the same or closely related type on another cell. Thus, cells of the same type have a specific affinity to bind to each other and sort themselves into clusters to form tissues.
Cell Sorting During Development
Cell sorting plays an...
2.9K
Metastasis02:30

Metastasis

Metastasis is the spread of cancer cells from the original site to distant locations in the body. Cancer cells can spread via blood vessels (hematogenous) as well as lymph vessels in the body.
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
5.5K