CLDN18 encodes a claudin-family tight-junction protein that localizes at epithelial cell-cell borders and supports barrier structure in lung and stomach tissues
[1]. Mechanistically, T/EBP/NKX2.1 regulates CLDN18, and alternative promoter usage generates lung-type CLDN18.1 and stomach-type CLDN18.2 isoforms
[1]. In alveolar epithelium, hyperoxia activates the ROS-SPAK-p38 MAPK pathway, suppresses claudin-18, and disrupts tight-junction barrier function
[2]. In gastric models, loss of CLDN18 promotes progressive neoplasia, while stomach-type claudin-18 deficiency induces gastritis-linked tumor formation and activates cytokine, stemness, and Wnt signaling networks
[3][4]. Compared with lung-specific CLDN18.1, CLDN18.2 is a gastric-lineage isoform retained in gastric and gastroesophageal adenocarcinoma cells and distinguishable by isoform-selective antibodies
[5][6]. For experimental and translational applications, zolbetuximab targets CLDN18.2 and improved progression-free and overall survival with chemotherapy in CLDN18.2-positive gastric or gastroesophageal junction adenocarcinoma trials
[6][7][8].