Thoracic Malignancies and Immunity: Advances, Challenges, and Future Directions of Immunotherapy

A special issue of Current Oncology (ISSN 1718-7729). This special issue belongs to the section "Thoracic Oncology".

Deadline for manuscript submissions: 30 July 2026 | Viewed by 451

Special Issue Editor


E-Mail Website
Guest Editor
Thoracic Surgery Unit, Policlinico–San Marco Hospital, University of Catania, Catania, Italy
Interests: thoracic oncology; lung cancer (NSCLC and SCLC); malignant pleural mesothelioma; thymic malignancies and thymoma; minimally invasive and robotic thoracic surgery; endoscopic and bronchoscopic interventions; immunotherapy; combination therapies; tumor microenvironment and resistance mechanisms; translational research in thoracic oncology; radiomics in thoracic malignancies
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The advent of immunotherapy has profoundly reshaped the therapeutic paradigm for thoracic malignancies, yet many questions remain unanswered. Challenges such as resistance mechanisms in lung cancer and mesothelioma, the accurate quantification of PD-L1 in early-stage lung cancer, immune-related toxicities, and the onset of autoimmune disorders or sarcoidosis highlight the complexity of the interplay between cancer and immunity. Furthermore, the relationship between thymic malignancies, lymphoma, autoimmune diseases, and thymic hyperplasia deserves further investigation.

This Special Issue aims to provide a comprehensive overview of the latest advances in this area, while critically addressing the major challenges and risks associated with immunotherapy in thoracic oncology.

We envision this publication covering (but not limited to) the following topics:

  • Tumor–immune system interactions and the immunobiology of thoracic malignancies;
  • PD-L1 testing: methodological challenges and clinical implications;
  • Mechanisms of resistance to immune checkpoint inhibitors;
  • Management of immune-related adverse events and toxicities;
  • Immune dysregulation leading to autoimmune diseases or sarcoidosis;
  • Novel therapeutic combinations and translational perspectives in immunotherapy.

Dr. Giacomo Cusumano
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Current Oncology is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • lung cancer (NSCLC and SCLC)
  • malignant pleural mesothelioma
  • immune checkpoint inhibitors
  • biomarkers (PD-L1, TMB, ctDNA)
  • tumor microenvironment & immune evasion
  • combination therapies (chemo-IO, IO-IO, radiotherapy)
  • neoadjuvant and adjuvant immunotherapy
  • immune-related adverse events (irAEs)
  • resistance mechanisms & re-challenge
  • real-world evidence & translational research

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Review

16 pages, 1407 KB  
Review
Immune Checkpoint Inhibitors in Malignant Pleural Mesothelioma: Efficacy, Real-World Outcomes, and the Search for Predictive Biomarkers
by Giusi Bondì, Serafina Martella, Dimitrios Stylianakis, Alberto Terminella, Filippo Lococo, Alessia Ciarrocchi, Alfonso Fiorelli and Giacomo Cusumano
Curr. Oncol. 2026, 33(2), 93; https://doi.org/10.3390/curroncol33020093 - 3 Feb 2026
Viewed by 212
Abstract
Immunotherapy has significantly reshaped the management of malignant pleural mesothelioma (MPM), offering new therapeutic opportunities after decades in which platinum–pemetrexed chemotherapy represented the only systemic option. However, clinical benefit remains markedly heterogeneous, with outcomes strongly influenced by histologic subtype, patient characteristics, and real-world [...] Read more.
Immunotherapy has significantly reshaped the management of malignant pleural mesothelioma (MPM), offering new therapeutic opportunities after decades in which platinum–pemetrexed chemotherapy represented the only systemic option. However, clinical benefit remains markedly heterogeneous, with outcomes strongly influenced by histologic subtype, patient characteristics, and real-world treatment conditions. Evidence from monotherapy trials has been inconsistent, whereas combination approaches—particularly nivolumab plus ipilimumab—have demonstrated improved survival compared with chemotherapy, mainly in non-epithelioid tumors. Nevertheless, real-world data consistently show lower efficacy and higher toxicity than registrational studies, especially among elderly and unselected populations. Recent translational work has highlighted the relevance of the tumor microenvironment and recurrent genomic alterations such as BAP1, NF2, and CDKN2A in shaping immune activity and potentially modulating response to immune checkpoint inhibitors. Transcriptomic signatures and circulating biomarkers—including soluble mesothelin-related peptide—have shown prognostic associations but no validated predictive value. Overall, current evidence suggests that sensitivity to immunotherapy in MPM arises from a complex interplay of genomic, immunologic, and clinical factors, and that no biomarker is yet suitable for guiding treatment decisions. Prospective studies integrating molecular and immune profiling will be essential to refine patient selection and advance toward a more rationally personalized use of immunotherapy Full article
Show Figures

Figure 1

Back to TopTop