Novel Therapeutic Targets and Immune Dysfunction in Malignant Pleural Mesothelioma

Advances in the treatment of malignant pleural mesothelioma (MPM) have been disappointing, despite the apparent need for new therapeutic options for this rare and devastating cancer. Drug resistance is common and surgical intervention has brought benefits only to a subset of patients. MPM is a heter...

Full description

Bibliographic Details
Main Authors: Moshe Lapidot, Srinivas Vinod Saladi, Ravi Salgia, Martin Sattler
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2021.806570/full
_version_ 1819283503729082368
author Moshe Lapidot
Srinivas Vinod Saladi
Srinivas Vinod Saladi
Ravi Salgia
Martin Sattler
Martin Sattler
author_facet Moshe Lapidot
Srinivas Vinod Saladi
Srinivas Vinod Saladi
Ravi Salgia
Martin Sattler
Martin Sattler
author_sort Moshe Lapidot
collection DOAJ
description Advances in the treatment of malignant pleural mesothelioma (MPM) have been disappointing, despite the apparent need for new therapeutic options for this rare and devastating cancer. Drug resistance is common and surgical intervention has brought benefits only to a subset of patients. MPM is a heterogenous disease with a surprisingly low mutation rate and recent sequencing efforts have confirmed alterations in a limited number of tumor suppressors that do not provide apparent insights into the molecular mechanisms that drive this malignancy. There is increasing evidence that epigenetic regulation leads to immune evasion and transformation in MPM. Further, the low efficacy of immune checkpoint inhibitors is consistent with a suppression of genes involved in the anti-tumor immune response. We review three promising emerging therapeutic targets (STAT3, KDM4A, heparanase) and highlight their potential effects on the immune response.
first_indexed 2024-12-24T01:32:31Z
format Article
id doaj.art-e4df075f15054d96adf40693c0b9a970
institution Directory Open Access Journal
issn 1663-9812
language English
last_indexed 2024-12-24T01:32:31Z
publishDate 2022-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj.art-e4df075f15054d96adf40693c0b9a9702022-12-21T17:22:19ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-01-011210.3389/fphar.2021.806570806570Novel Therapeutic Targets and Immune Dysfunction in Malignant Pleural MesotheliomaMoshe Lapidot0Srinivas Vinod Saladi1Srinivas Vinod Saladi2Ravi Salgia3Martin Sattler4Martin Sattler5Department of Thoracic Surgery, Galilee Medical Center, Nahariya, IsraelDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, United StatesBroad Institute of Harvard and MIT, Cambridge, MA, United StatesDepartment of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA, United StatesDepartment of Medicine, Harvard Medical School, Boston, MA, United StatesDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, United StatesAdvances in the treatment of malignant pleural mesothelioma (MPM) have been disappointing, despite the apparent need for new therapeutic options for this rare and devastating cancer. Drug resistance is common and surgical intervention has brought benefits only to a subset of patients. MPM is a heterogenous disease with a surprisingly low mutation rate and recent sequencing efforts have confirmed alterations in a limited number of tumor suppressors that do not provide apparent insights into the molecular mechanisms that drive this malignancy. There is increasing evidence that epigenetic regulation leads to immune evasion and transformation in MPM. Further, the low efficacy of immune checkpoint inhibitors is consistent with a suppression of genes involved in the anti-tumor immune response. We review three promising emerging therapeutic targets (STAT3, KDM4A, heparanase) and highlight their potential effects on the immune response.https://www.frontiersin.org/articles/10.3389/fphar.2021.806570/fullmalignant pleural mesotheliomaSTAT3heparanaseSETD2KDM4A
spellingShingle Moshe Lapidot
Srinivas Vinod Saladi
Srinivas Vinod Saladi
Ravi Salgia
Martin Sattler
Martin Sattler
Novel Therapeutic Targets and Immune Dysfunction in Malignant Pleural Mesothelioma
Frontiers in Pharmacology
malignant pleural mesothelioma
STAT3
heparanase
SETD2
KDM4A
title Novel Therapeutic Targets and Immune Dysfunction in Malignant Pleural Mesothelioma
title_full Novel Therapeutic Targets and Immune Dysfunction in Malignant Pleural Mesothelioma
title_fullStr Novel Therapeutic Targets and Immune Dysfunction in Malignant Pleural Mesothelioma
title_full_unstemmed Novel Therapeutic Targets and Immune Dysfunction in Malignant Pleural Mesothelioma
title_short Novel Therapeutic Targets and Immune Dysfunction in Malignant Pleural Mesothelioma
title_sort novel therapeutic targets and immune dysfunction in malignant pleural mesothelioma
topic malignant pleural mesothelioma
STAT3
heparanase
SETD2
KDM4A
url https://www.frontiersin.org/articles/10.3389/fphar.2021.806570/full
work_keys_str_mv AT moshelapidot noveltherapeutictargetsandimmunedysfunctioninmalignantpleuralmesothelioma
AT srinivasvinodsaladi noveltherapeutictargetsandimmunedysfunctioninmalignantpleuralmesothelioma
AT srinivasvinodsaladi noveltherapeutictargetsandimmunedysfunctioninmalignantpleuralmesothelioma
AT ravisalgia noveltherapeutictargetsandimmunedysfunctioninmalignantpleuralmesothelioma
AT martinsattler noveltherapeutictargetsandimmunedysfunctioninmalignantpleuralmesothelioma
AT martinsattler noveltherapeutictargetsandimmunedysfunctioninmalignantpleuralmesothelioma