Molecular Pathways in Peritoneal Mesothelioma: A Minireview of New Insights
Mesothelioma is a rare malignant neoplasm with poor survival. It mainly affects the pleura (90%) but can arise in all serous cavities: peritoneum (5-10%), pericardium and tunica vaginalis testis (<1%). The onset of pleural mesothelioma is strictly related to asbestos exposure with a long latency...
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Published in | Frontiers in oncology Vol. 12; p. 823839 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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10.02.2022
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Abstract | Mesothelioma is a rare malignant neoplasm with poor survival. It mainly affects the pleura (90%) but can arise in all serous cavities: peritoneum (5-10%), pericardium and tunica vaginalis testis (<1%). The onset of pleural mesothelioma is strictly related to asbestos exposure with a long latency time. The causal link with asbestos has also been suggested for peritoneal mesothelioma, while the importance of exposure in the onset of pericardial and tunica vaginalis testis mesotheliomas is not well known. Mesothelioma remains an aggressive and fatal disease with a five-year mortality rate higher than 95%. However, new therapeutic approaches based on molecular-targeted and immunomodulatory therapies are being explored but have conflicting results. In this context, the identification of critical targets appears mandatory. Awareness of the molecular and physiological changes leading to the neoplastic degeneration of mesothelial cells and the identification of gene mutations, epigenetic alterations, gene expression profiles and altered pathways could be helpful for selecting targetable mechanisms and molecules. In this review, we aimed to report recent research in the last 20 years focusing on the molecular pathways and prognostic factors in peritoneal mesothelioma and their possible diagnostic and therapeutic implications. |
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AbstractList | Mesothelioma is a rare malignant neoplasm with poor survival. It mainly affects the pleura (90%) but can arise in all serous cavities: peritoneum (5-10%), pericardium and tunica vaginalis testis (<1%). The onset of pleural mesothelioma is strictly related to asbestos exposure with a long latency time. The causal link with asbestos has also been suggested for peritoneal mesothelioma, while the importance of exposure in the onset of pericardial and tunica vaginalis testis mesotheliomas is not well known. Mesothelioma remains an aggressive and fatal disease with a five-year mortality rate higher than 95%. However, new therapeutic approaches based on molecular-targeted and immunomodulatory therapies are being explored but have conflicting results. In this context, the identification of critical targets appears mandatory. Awareness of the molecular and physiological changes leading to the neoplastic degeneration of mesothelial cells and the identification of gene mutations, epigenetic alterations, gene expression profiles and altered pathways could be helpful for selecting targetable mechanisms and molecules. In this review, we aimed to report recent research in the last 20 years focusing on the molecular pathways and prognostic factors in peritoneal mesothelioma and their possible diagnostic and therapeutic implications. |
Author | Cavone, Domenica Fortarezza, Francesco Vimercati, Luigi Pezzuto, Federica d'Amati, Antonio Romano, Daniele Egidio Marzullo, Andrea Serio, Gabriella |
AuthorAffiliation | 3 Department of Interdisciplinary Medicine, Occupational Health Unit, University of Bari , Bari , Italy 1 Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Pathology Unit, University of Padova , Padova , Italy 2 Department of Emergency and Organ Transplantation, Pathology Unit, University of Bari , Bari , Italy |
AuthorAffiliation_xml | – name: 1 Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Pathology Unit, University of Padova , Padova , Italy – name: 2 Department of Emergency and Organ Transplantation, Pathology Unit, University of Bari , Bari , Italy – name: 3 Department of Interdisciplinary Medicine, Occupational Health Unit, University of Bari , Bari , Italy |
Author_xml | – sequence: 1 givenname: Francesco surname: Fortarezza fullname: Fortarezza, Francesco organization: Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Pathology Unit, University of Padova, Padova, Italy – sequence: 2 givenname: Federica surname: Pezzuto fullname: Pezzuto, Federica organization: Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Pathology Unit, University of Padova, Padova, Italy – sequence: 3 givenname: Andrea surname: Marzullo fullname: Marzullo, Andrea organization: Department of Emergency and Organ Transplantation, Pathology Unit, University of Bari, Bari, Italy – sequence: 4 givenname: Domenica surname: Cavone fullname: Cavone, Domenica organization: Department of Interdisciplinary Medicine, Occupational Health Unit, University of Bari, Bari, Italy – sequence: 5 givenname: Daniele Egidio surname: Romano fullname: Romano, Daniele Egidio organization: Department of Emergency and Organ Transplantation, Pathology Unit, University of Bari, Bari, Italy – sequence: 6 givenname: Antonio surname: d'Amati fullname: d'Amati, Antonio organization: Department of Emergency and Organ Transplantation, Pathology Unit, University of Bari, Bari, Italy – sequence: 7 givenname: Gabriella surname: Serio fullname: Serio, Gabriella organization: Department of Emergency and Organ Transplantation, Pathology Unit, University of Bari, Bari, Italy – sequence: 8 givenname: Luigi surname: Vimercati fullname: Vimercati, Luigi organization: Department of Interdisciplinary Medicine, Occupational Health Unit, University of Bari, Bari, Italy |
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Copyright | Copyright © 2022 Fortarezza, Pezzuto, Marzullo, Cavone, Romano, d’Amati, Serio and Vimercati. Copyright © 2022 Fortarezza, Pezzuto, Marzullo, Cavone, Romano, d’Amati, Serio and Vimercati 2022 Fortarezza, Pezzuto, Marzullo, Cavone, Romano, d’Amati, Serio and Vimercati |
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Keywords | prognostic factors asbestos molecular pathways malignant mesothelioma peritoneal mesothelioma |
Language | English |
License | Copyright © 2022 Fortarezza, Pezzuto, Marzullo, Cavone, Romano, d’Amati, Serio and Vimercati. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 Reviewed by: Sabahattin Cömertpay, Kahramanmaras Sütçü Imam University, Turkey This article was submitted to Molecular and Cellular Oncology, a section of the journal Frontiers in Oncology These authors share first authorship Edited by: Dario Palmieri, The Ohio State University, United States |
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Title | Molecular Pathways in Peritoneal Mesothelioma: A Minireview of New Insights |
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