Nectin-4

Nectin-4, also known as poliovirus receptor-related 4 (PVRL4), is an Ig-like cell adhesion protein of the nectin family that localizes to adherens junctions of epithelial cells. Its ectodomain contains three Ig-like domains of the V-C-C type that engage nectin-3 on opposing cells in trans, establishing cadherin-independent adhesive contacts, and its cytoplasmic tail binds afadin to link the junction to the actin cytoskeleton. Nectin-4 functions as the epithelial receptor for measles virus, including vaccine strains. It is markedly overexpressed in urothelial carcinoma, which led to the antibody-drug conjugate enfortumab vedotin, a Nectin-4-directed therapy approved for advanced bladder cancer.