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Targeting claudins in cancer.
Yuki Niwa1, Shunsuke Matsushita1, Izuma Nakayama2
1Graduate School of Pharmaceutical Sciences, The University of Osaka, Suita, Osaka, Japan.
Nature Reviews. Drug Discovery
|May 28, 2026
Summary
Claudins are key regulators of epithelial function and tight junctions. Targeting claudins, like CLDN-18.2 with zolbetuximab for gastric cancer, offers promising new avenues for cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Epithelial-derived malignancies represent the majority of human tumors, posing significant treatment challenges due to heterogeneity, metastasis, and therapy resistance.
- Claudins, a family of tetra-transmembrane proteins, are crucial regulators of epithelial function and integral components of tight junctions, controlling barrier integrity and cellular organization.
Purpose of the Study:
- To review the evolving landscape of claudin-targeting therapeutics in cancer treatment.
- To examine key advances, emerging challenges, and future prospects in exploiting claudins as therapeutic targets.
Main Methods:
- Review of scientific literature focusing on claudin family proteins in epithelial biology and cancer.
- Analysis of clinical studies and therapeutic developments targeting claudins, including antibody-based therapies.
Main Results:
- Claudin expression is frequently dysregulated in various cancers, indicating their potential as therapeutic targets.
- The development of zolbetuximab, a CLDN-18.2-targeted antibody, represents a significant advancement, recently approved for gastric cancer treatment.
- Targeting claudins holds promise for expanding treatment options for various cancers.
Conclusions:
- Claudin-targeting therapeutics represent a promising frontier in oncology.
- The success of zolbetuximab highlights the therapeutic potential of targeting specific claudins.
- Continued research into claudin biology and targeted therapies is crucial for advancing cancer treatment strategies.
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