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Molecular Insight into Mesothelioma

A Special Issue of International Journal of Molecular Sciences (ISSN 1422-0067) belonging to the section "Molecular Oncology".

Deadline for manuscript submissions: 25 September 2026 | Viewed by 784

Editor


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Guest Editor
Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy
Interests: immunology; oncology; immunotherapy; epigenetics; epigenetic drugs; multiomics; telehealth

Special Issue Information

Dear Colleagues,

Malignant mesothelioma remains a highly aggressive and therapeutically challenging cancer, largely due to its complex molecular landscape and limited response to conventional treatments. Despite recent progress, such as immunotherapy, this cancer continues to have a poor prognosis, underscoring the urgent need for more effective therapeutic approaches.

This Special Issue aims to provide a comprehensive overview of the most recent genetic and epigenetic mechanisms that drive mesothelioma initiation, progression, and therapeutic resistance, focusing on the cancer–immune system interactions and their implications for the success of therapeutic strategies.

Particular emphasis will be placed on epigenetic characteristics as determinants of tumor heterogeneity, disease aggressiveness, and resistance during the immunoediting.

In addition, this Special Issue will explore how molecular insights, derived from multiomics approaches, are being translated into novel therapeutic treatments, including targeted therapies, immunotherapies, and epigenetic remodeling, as well as combination approaches. Biomarker discovery, molecular stratification, and emerging preclinical and clinical models will also be discussed, with the goal of identifying cancer vulnerabilities and improving patient outcomes.

Dr. Fabrizio Celesti
Guest Editor

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Keywords

  • mesothelioma
  • molecular subtypes
  • molecular landscape
  • tumor microenvironment
  • epigenetics
  • multiomics
  • therapeutic strategies
  • immunotherapy
  • biomarkers
  • molecular stratification

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Published Papers (1 paper)

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Review

31 pages, 702 KB  
Review
Damage-Associated Molecular Patterns in Mesothelioma: Drivers of Inflammation and Therapeutic Targets
by Annamaria Molinario, Francesca Caprioglio, Angela A. Rilievo, Marco E. Bianchi and Rosanna Mezzapelle
Int. J. Mol. Sci. 2026, 27(17), 7859; https://doi.org/10.3390/ijms27177859 - 2 Sep 2026
Viewed by 244
Abstract
Mesothelioma is a rare and aggressive malignancy arising from mesothelial cells. Despite recent advances in systemic therapies, overall survival remains limited, underscoring the need for a deeper mechanistic understanding of disease pathogenesis and novel therapeutic strategies. In mesothelioma, chronic tissue injury induced by [...] Read more.
Mesothelioma is a rare and aggressive malignancy arising from mesothelial cells. Despite recent advances in systemic therapies, overall survival remains limited, underscoring the need for a deeper mechanistic understanding of disease pathogenesis and novel therapeutic strategies. In mesothelioma, chronic tissue injury induced by asbestos fibers leads to sustained activation of innate immune pathways and chronic inflammation that actively promote tumorigenesis. The release of Damage-Associated Molecular Patterns (DAMPs)—endogenous molecules that signal cellular stress and damage—contributes to establishing a self-sustaining inflammatory circuit within the pleural microenvironment that promotes tumor initiation and progression and immune evasion. Among DAMPs, High-Mobility Group Box 1 (HMGB1) has emerged as a key regulator of mesothelioma pathogenesis. Several studies demonstrated that mesothelial cells actively secrete HMGB1 in response to asbestos exposure, driving macrophage recruitment, cytokine production, and chronic inflammation. Beyond HMGB1, additional DAMPs—including IL-33, extracellular ATP, cell-free nucleic acids, heat shock proteins, and calreticulin—contribute to inflammasome activation, stromal remodeling, and immune dysregulation. Recent evidence suggests that DAMP signaling in mesothelioma is dysregulated, resulting in chronic inflammation coupled with ineffective antitumor immunity. This review provides a comprehensive synthesis of DAMP biology in mesothelioma, highlighting the emerging therapeutic opportunities targeting DAMP-associated pathways. Full article
(This article belongs to the Special Issue Molecular Insight into Mesothelioma)
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