Protein / target

Claudin-18

CLDN18P56856Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
1
Approved medicines
16
Clinical trials
Antibody-tractable
Druggability
Advanced Clinical

Protein at a glance

Biological role

Structural molecule activity

Primary system

Musculoskeletal system

Strongest disease association

retinal disorder

Genetic evidence · score 0.42

Therapeutic maturity

Clinically validated target

1 approved medicine against this target

Druggability

Antibody

Open Targets tractability · Advanced Clinical

Clinical development

1 approved

16 linked trials

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

Involved in alveolar fluid homeostasis via regulation of alveolar epithelial tight junction composition and therefore ion transport and solute permeability, potentially via downstream regulation of the actin cytoskeleton organization and beta-2-adrenergic signaling (By similarity). Required for lung alveolarization and maintenance of the paracellular alveolar epithelial barrier (By similarity). Acts to maintain epithelial progenitor cell proliferation and organ size, via regulation of YAP1 localization away from the nucleus and thereby restriction of YAP1 target gene transcription (By similarity). Acts as a negative regulator of RANKL-induced osteoclast differentiation, potentially via relocation of TJP2/ZO-2 away from the nucleus, subsequently involved in bone resorption in response to calcium deficiency (By similarity). Mediates the osteoprotective effects of estrogen, potentially via acting downstream of estrogen signaling independently of RANKL signaling pathways (By similarity)

Subcellular location

Cell junction, tight junctionCell membraneLateral cell membrane
Domains and Gene Ontology detail (16)

Gene Ontology

  • Cbicellular tight junction
  • Ccell-cell junction
  • Clateral plasma membrane
  • Cplasma membrane
  • Fidentical protein binding
  • Fstructural molecule activity
  • Pcalcium-independent cell-cell adhesion
  • Pcellular response to estrogen stimulus
  • Pepithelial cell proliferation
  • Pepithelial fluid transport
  • Plung alveolus development
  • Pnegative regulation of protein localization to nucleus

261 aa · 28 kDa · 2 isoforms

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Cell adhesionUniProt · GO · ReactomeImmune signallingGOTranscriptional regulationUniProt
View supporting evidence

Cell adhesion

  • ·Involved in alveolar fluid homeostasis via regulation of alveolar epithelial tight junct…
  • ·Cell junction, tight junction
  • ·bicellular tight junction
  • ·cell-cell junction

Immune signalling

  • ·calcium-independent cell-cell adhesion

Transcriptional regulation

  • ·Involved in alveolar fluid homeostasis via regulation of alveolar epithelial tight junct…
View underlying pathways (1)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

OCLNNKX2-1TJP1CLDN15CLDN8CLDN34CLDN16TJP3CLDN10CLDN23CLDN18

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

1

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

zolbetuximab
Narrow target profileApprovedBinding agent

Claudin-18 binding agent

Appears in clinical studies involving gastric cancer, neoplasm of esophagus, gastric neoplasm, neoplasm

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

retinal disorder0.42

Genetic · overall 0.25

type 2 diabetes mellitus0.40

Genetic · overall 0.24

subarachnoid hemorrhage0.36

Genetic · overall 0.22

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

gastric adenocarcinoma0.82

Clinical · overall 0.50

gastroesophageal junction adenocarcinoma0.80

Clinical · overall 0.49

gastric cancer0.76

Clinical · overall 0.49

neoplasm0.61

Clinical · overall 0.40

gastric neoplasm0.61

Clinical · overall 0.37

Highest overall evidence

Remaining associations by Open Targets' aggregated evidence score.

neoplasm of esophagus0.37

Clinical

esophageal cancer0.21

Clinical

Show all associations
gastric adenocarcinoma0.50
gastroesophageal junction adenocarcinoma0.49
gastric cancer0.49
neoplasm0.40
gastric neoplasm0.37
neoplasm of esophagus0.37
retinal disorder0.25
type 2 diabetes mellitus0.24
subarachnoid hemorrhage0.22
esophageal cancer0.21

Open Targets ranks 484 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 1 total

ZOLBETUXIMABApproval

gastric cancer · neoplasm of esophagus · gastric neoplasm

Tractability

AB · Advanced ClinicalAB · UniProt loc med confAB · UniProt SigP or TMHMMAB · GO CC med conf

Clinical trials

16

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

Show remaining trials (10)

ClinicalTrials.gov via the drug-target graph.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

gastric cancerModerately supported
0.63
agreement 0.470.78
Clinical81%Literature19%

Open Targets aggregate 0.49 · 2 independent evidence families

gastric adenocarcinomaModerately supported
0.63
agreement 0.470.78
Clinical95%Literature5%

Open Targets aggregate 0.50 · 2 independent evidence families

gastroesophageal junction adenocarcinomaModerately supported
0.61
agreement 0.460.77
Clinical95%Literature5%

Open Targets aggregate 0.49 · 2 independent evidence families

neoplasmModerately supported
0.53
agreement 0.380.69
Clinical77%Literature23%

Open Targets aggregate 0.40 · 2 independent evidence families

gastric neoplasmLimited support
0.47
agreement 0.320.63
Clinical95%Literature5%

Open Targets aggregate 0.37 · 2 independent evidence families

This ranking differs from Open Targets' own: re-weighting moves genetically-evidenced diseases above more heavily co-mentioned ones. The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

2

Recent activity around this target, drawn from one canonical event stream. Every item is reached through a drug that targets this protein, so each event is news about that drug rather than about the protein directly.

  1. Regulatory approval2024-09-19

    Approval: Vyloy (EMA)

    ema · regulatory · ema · via zolbetuximab

  2. New publication2023-10-01
    ILUSTRO: Phase II Multicohort Trial of Zolbetuximab in Patients with Advanced or Metastatic Claudin 18.2-Positive Gastric or Gastroesophageal Junction Adenocarcinoma.

    Clinical cancer research : an official journal of the American Association for Cancer Research · 2023 · 65 citations · Europe PMC · via zolbetuximab

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.