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Nectin-1 (Poliovirus receptor-related 1) and Nectin-4 (Poliovirus receptor-related 4), and Herpesvirus entry mediator (HVEM; also known as TNFRSF14) (Nectin-1 (PVRL1); Nectin-4 (PVRL4); HVEM (TNFRSF14))

Target
Nectin-1 (PVRL1); Nectin-4 (PVRL4); HVEM (TNFRSF14)
Molecular classification
Cell adhesion molecule, Immunoglobulin superfamily, Viral receptor, Receptor, Tumor necrosis factor (TNF) receptor superfamily, Immune receptor
01

Overview

Nectins are a family of immunoglobulin-like cell adhesion molecules, with Nectin-1 (PVRL1) and Nectin-4 (PVRL4) as principal members involved in cell-cell adhesion, tissue architecture, and as entry receptors for viruses such as herpes simplex virus (Nectin-1) and measles virus (Nectin-4)[2][6]. Nectin-4 is highly upregulated in several epithelial cancers, supporting tumor growth, invasion, angiogenesis, and immune evasion, partly through its interaction with the immune checkpoint receptor TIGIT and the PI3K/AKT pathway[1][3]. HVEM (TNFRSF14) is a member of the tumor necrosis factor receptor superfamily, broadly expressed in lymphoid and peripheral tissues, acting as both an immune modulator and an alternative entry receptor for herpes simplex virus, with a role in tumor immunology and viral pathogenesis[2][4]. Both Nectin-4 and HVEM are being explored as therapeutic targets in cancer and infectious disease, and their expression patterns are being leveraged for targeted therapy and as biomarkers in oncology.

Other names
Herpesvirus entry mediator C (HveC)CD111PVRL1PVRL4Poliovirus receptor-like 4Herpesvirus entry mediatorTNFRSF14HveA
02

Mechanism of action

Antibody–drug conjugated cytotoxicity (e.g., Enfortumab vedotin binds Nectin-4, delivers MMAE toxin to cancer cells) Oncolytic virotherapy (engineered viruses use Nectin-4 for selective tumor cell entry and lysis) Viral entry blockade (inhibition of HSV gD interaction with Nectin-1 or HVEM impedes viral infection) Immune checkpoint modulation (drugs inhibiting Nectin-4/TIGIT signaling restore immune response against tumors)

03

Biological functions

Cell adhesionCell proliferationCell migrationAngiogenesisViral entry (e.g., HSV, measles)Immune regulationImmune response modulationSignal transductionApoptosisLymphocyte activationViral entry (HSV)
04

Disease associations

Cancer (both Nectin-4 and HVEM are implicated in tumor proliferation and immune evasion)Infection (viral entry, mainly HSV; measles for Nectin-4; broad herpesvirus biology for HVEM and Nectin-1)Inflammation (particularly HVEM signaling)Other (ectodermal dysplasia for Nectin-4/Nectin-1)
05

Safety considerations

On-target, off-tumor toxicity (due to low-level Nectin-4 expression in normal adult tissues, especially skin and breast)Potential for viral infections or reactivation (because these molecules serve as viral receptors)Immunopathology (immune-related adverse events with immune checkpoint modulation)Resistance mechanisms (tumor antigen loss)
06

Interacting drugs

Enfortumab vedotin (Nectin-4-targeted ADC, cancer therapy)

3 more in the full profile.

07

Biomarkers

Nectin-4 expression (diagnostic/prognostic biomarker in bladder, breast, lung, pancreatic, and ovarian cancers)Nectin-1 expression (predicts HSV oncolytic sensitivity)HVEM expression in lymphoid and solid tumors (potential immunotherapy biomarker)

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