New Concepts Relating Mesenchymal Tumors Based on Genetics and Epigenetics

A special issue of Cells (ISSN 2073-4409). This special issue belongs to the section "Cell Microenvironment".

Deadline for manuscript submissions: 20 March 2026 | Viewed by 4021

Special Issue Editor

1. Department of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands
2. Diagnostic Laboratory, Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands
Interests: mesenchymal tumors; soft tissue; sarcoma; genetics; epigenetics

Special Issue Information

Dear Colleagues,

With the rapid development of new molecular techniques, we are able to reappraise our conventional classification system of soft tissue tumors, at least for certain tumor groups. Moreover, we are responsible for the development of new concepts.

A new classification mainly based on molecular findings may help treat patients better and collect adequate data of larger cohorts to understand the underlying biology and improve the therapy and assessment of prognosis.

In this Special Issue, we discuss categories of tumors, often selected in small groups based on clinicopathological findings, including immunohistochemistry, and wish to demonstrate that it would be useful to re-classify them due to the same genetic pathways and epigenetic findings leading to a more proper classification with clinical implications.

Dr. Uta Flucke
Guest Editor

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Keywords

  • mesenchymal tumors
  • soft tissue
  • sarcoma
  • genetics
  • epigenetics

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Published Papers (3 papers)

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Review

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20 pages, 785 KiB  
Review
Emerging Treatments Targeting the Tumor Microenvironment for Advanced Chondrosarcoma
by Vincenzo Ingangi, Annarosaria De Chiara, Gerardo Ferrara, Michele Gallo, Antonio Catapano, Flavio Fazioli, Gioconda Di Carluccio, Elisa Peranzoni, Ilaria Marigo, Maria Vincenza Carriero and Michele Minopoli
Cells 2024, 13(11), 977; https://doi.org/10.3390/cells13110977 - 4 Jun 2024
Cited by 6 | Viewed by 2069
Abstract
Chondrosarcoma (ChS), a malignant cartilage-producing tumor, is the second most frequently diagnosed osseous sarcoma after osteosarcoma. It represents a very heterogeneous group of malignant chemo- and radiation-resistant neoplasms, accounting for approximately 20% of all bone sarcomas. The majority of ChS patients have a [...] Read more.
Chondrosarcoma (ChS), a malignant cartilage-producing tumor, is the second most frequently diagnosed osseous sarcoma after osteosarcoma. It represents a very heterogeneous group of malignant chemo- and radiation-resistant neoplasms, accounting for approximately 20% of all bone sarcomas. The majority of ChS patients have a good prognosis after a complete surgical resection, as these tumors grow slowly and rarely metastasize. Conversely, patients with inoperable disease, due to the tumor location, size, or metastases, represent a great clinical challenge. Despite several genetic and epigenetic alterations that have been described in distinct ChS subtypes, very few therapeutic options are currently available for ChS patients. Therefore, new prognostic factors for tumor progression as well as new treatment options have to be explored, especially for patients with unresectable or metastatic disease. Recent studies have shown that a correlation between immune infiltrate composition, tumor aggressiveness, and survival does exist in ChS patients. In addition, the intra-tumor microvessel density has been proven to be associated with aggressive clinical behavior and a high metastatic potential in ChS. This review will provide an insight into the ChS microenvironment, since immunotherapy and antiangiogenic agents are emerging as interesting therapeutic options for ChS patients. Full article
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10 pages, 885 KiB  
Perspective
The Role of Epithelial–Mesenchymal Transition in Malignant Pleural Mesothelioma: From Pathogenesis to Diagnosis and Treatment
by Dimitrios E. Magouliotis, Fabrizio Minervini, Ugo Cioffi, Matilde De Simone, Davide Patrini and Marco Scarci
Cells 2025, 14(8), 585; https://doi.org/10.3390/cells14080585 - 12 Apr 2025
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Abstract
Malignant pleural mesothelioma (MPM) is an aggressive cancer of the pleural lining, primarily associated with asbestos exposure. Despite advancements in multimodal treatment, patient survival remains poor. Epithelial–mesenchymal transition (EMT) has emerged as a crucial process driving MPM pathogenesis, metastasis, and resistance to therapy. [...] Read more.
Malignant pleural mesothelioma (MPM) is an aggressive cancer of the pleural lining, primarily associated with asbestos exposure. Despite advancements in multimodal treatment, patient survival remains poor. Epithelial–mesenchymal transition (EMT) has emerged as a crucial process driving MPM pathogenesis, metastasis, and resistance to therapy. This review explores the molecular mechanisms underlying EMT in MPM, including key signaling pathways such as TGF-β, Wnt/β-catenin, and PI3K/Akt. We also discuss the diagnostic and prognostic significance of EMT-related biomarkers and emerging targeted therapies aimed at reversing EMT or exploiting EMT-induced vulnerabilities. Additionally, recent clinical trials, including the MARS 2 trial, are reviewed to provide insight into the evolving treatment landscape. Full article
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11 pages, 1011 KiB  
Perspective
GLI1-Rearranged Enteric Tumors: Updates on Clinicopathologic and Molecular Genetics Features
by Ahmed I. Younes and Haider A. Mejbel
Cells 2025, 14(2), 118; https://doi.org/10.3390/cells14020118 - 14 Jan 2025
Viewed by 987
Abstract
Recent advances in molecular genetics, particularly in identifying and characterizing genetic abnormalities within mesenchymal neoplasms, have led to a more comprehensive and evolving classification system. Modern technological developments in cytogenetics and next-generation sequencing have enabled the analysis of small clinical samples, expanded our [...] Read more.
Recent advances in molecular genetics, particularly in identifying and characterizing genetic abnormalities within mesenchymal neoplasms, have led to a more comprehensive and evolving classification system. Modern technological developments in cytogenetics and next-generation sequencing have enabled the analysis of small clinical samples, expanded our understanding of tumor biology, and improved the diagnostic, prognostic, and predictive precision by identifying targeted genetic alterations, confirming the presence of fusion transcripts, and/or revealing the overexpression of specific genes and their targets. In this review, we focus specifically on the GLI1-rearranged enteric tumor, a recent clinicopathological entity that has emerged within the expanding classification of mesenchymal tumors. Herein, we aim to explore the histopathological features, molecular genetic characteristics, and clinical outcomes in these tumors. Due to their rarity and the extensive overlapping in their histopathological and molecular features with other neoplasms, continued research and systematic documentation of GLI1-rearranged enteric tumors is necessary to better understand their biological behavior, develop more accurate prognostic indicators, and establish optimal treatment strategies. Full article
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