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Radioligand therapy · Skin Cancer

Radioligand Therapy Targets in Skin Cancer

Updated 2026-10 · Ranked from Human Protein Atlas, Open Targets, ClinicalTrials.gov and PubMed evidence

We screened every cell-surface protein with tumor immunohistochemistry data in skin cancer (including non-melanoma skin cancers). 3,878 show detectable protein staining. Established and emerging radioligand targets expressed in skin cancer include B7-H3 (CD276), EGFR, HER3 (ERBB3) and c-MET (MET). Below, we rank every candidate by tumor expression, internalization and clinical maturity.

Established and emerging radioligand targets in skin cancer

Targets already pursued with radioligands or other targeted modalities that show protein expression in skin cancer:

TargetIHC in skin cancer% positiveInternalizes
B7-H3 (CD276)High (0.83)100%—
EGFRHigh (0.75)100%yes
HER3 (ERBB3)High (0.60)100%yes
c-MET (MET)High (0.58)100%yes
ITGAVMedium (0.48)64%—
ITGB6Medium (0.47)83%—
SSTR2Medium (0.42)67%yes
TROP2 (TACSTD2)Medium (0.39)73%uncertain
Nectin-4 (NECTIN4)Medium (0.33)67%no
EPCAMMedium (0.31)33%—
STEAP2Medium (0.28)58%—
TMEFF2Medium (0.27)55%—
FAPLow (0.14)25%yes
HER2 (ERBB2)Low (0.11)33%yes
CEA (CEACAM5)Low (0.09)27%—
DLK1Low (0.07)10%—
Mesothelin (MSLN)Low (0.03)8%yes

Top cell-surface targets for skin cancer radioligand therapy

A data-driven screen of every protein annotated as cell-surface. It deliberately surfaces novel, unvalidated candidates, so confirm localization and expression before prioritizing any of them.

#TargetIHC in skin cancer% positiveInternalizesClinical stage
1EGFR
epidermal growth factor receptor
High (0.75)100%yesClinical
2CALCRL
calcitonin receptor like receptor
High (0.94)100%uncertainClinical
3S1PR1
sphingosine-1-phosphate receptor 1
High (0.58)100%yesClinical
4FZD6
frizzled class receptor 6
High (0.94)100%yesDiscovery
5GPR139
G protein-coupled receptor 139
High (0.93)100%yesDiscovery
6AMFR
autocrine motility factor receptor
High (0.91)100%yesDiscovery
7c-MET (MET)
MET proto-oncogene, receptor tyrosine kinase
High (0.58)100%yesClinical
8HER3 (ERBB3)
erb-b2 receptor tyrosine kinase 3
High (0.60)100%yesClinical
9HRH4
histamine receptor H4
High (0.64)100%yesClinical
10NOTCH2
notch receptor 2
High (0.55)100%yesClinical
11VIPR2
vasoactive intestinal peptide receptor 2
High (0.61)92%yesDiscovery
12SCTR
secretin receptor
High (0.85)100%uncertainDiscovery
13GABRP
gamma-aminobutyric acid type A receptor subunit pi
High (0.86)100%uncertainClinical
14BCL2L2-PABPN1
BCL2L2-PABPN1 readthrough
High (1.00)100%—Clinical
15CTNNB1
catenin beta 1
High (0.97)100%—Clinical
16RNF43
ring finger protein 43
High (0.92)100%—Discovery
17EPHA10
EPH receptor A10
High (0.69)92%yesDiscovery
18FGFR2
fibroblast growth factor receptor 2
High (0.81)100%uncertainClinical
19FZD3
frizzled class receptor 3
High (0.67)100%yesDiscovery
20NR3C2
nuclear receptor subfamily 3 group C member 2
High (0.64)100%uncertainClinical
21NOTCH1
notch receptor 1
High (0.53)83%yesClinical
22PLD4
phospholipase D family member 4
High (0.97)100%—Discovery
23MST1R
macrophage stimulating 1 receptor
Medium (0.50)92%yesClinical
24IL1R2
interleukin 1 receptor type 2
Medium (0.47)100%yesDiscovery
25NOTCH3
notch receptor 3
High (0.53)83%yesClinical

Internalizing receptors in skin cancer

Targets expressed in skin cancer that the literature reports internalize after ligand binding. Internalization traps the radionuclide inside the tumor cell, which matters most for β-emitters like 177Lu and for α-emitters like 225Ac:

EGFR · S1PR1 · FZD6 · GPR139 · AMFR · c-MET (MET) · HER3 (ERBB3) · HRH4 · NOTCH2 · VIPR2 · EPHA10 · FZD3

Skin Cancer targets already in clinical development

Targets with a clinical-stage drug program (any modality) that are also expressed in skin cancer. Clinical precedent lowers development risk but usually means more competition:

EGFR · CALCRL · S1PR1 · c-MET (MET) · HER3 (ERBB3) · HRH4 · NOTCH2 · GABRP · BCL2L2-PABPN1 · CTNNB1 · FGFR2 · NR3C2

How these skin cancer targets are ranked

Candidates are limited to proteins annotated as cell-surface (UniProt via Open Targets), because a radioligand has to reach its target from circulation. They are ranked by Nuclens' radiopharmaceutical pre-screen: immunohistochemistry staining and patient-sample positivity in skin cancer, literature evidence of internalization and shedding, clinical maturity, and cancer association. It is a first-pass triage, not a substitute for wet-lab validation or dosimetry. For the full framework, see what makes a good radioligand therapy target and emerging radioligand targets beyond PSMA.

Rank skin cancer targets against your own criteria: isotope, organ limits, novelty.

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Radioligand therapy targets in other cancers

Data sources

Subcellular localization: UniProt via Open Targets (CC BY 4.0 / CC0). Tumor immunohistochemistry: Human Protein Atlas (CC BY-SA 4.0). Clinical trials: ClinicalTrials.gov (public domain). Gene essentiality: DepMap (CC BY 4.0). Internalization and shedding: AI-extracted from PubMed abstracts, so verify against the cited papers before relying on them. Nuclens is a first-pass triage layer, not a substitute for wet-lab validation or clinical dosimetry. Derived expression data on this page is shared under CC BY-SA 4.0.