Evidence map›Paper›PMID 40775245›Full record

ReviewNature reviews. Disease primers2025

Pleural mesothelioma.

Dean A Fennell, Yoshitaka Sekido, Paul Baas, Aliya N Husain, Alessandra Curioni-Fontecedro, Eric Lim, Isabelle Opitz, Charles B Simone, Fraser Brims, Martin Chi-Sang Wong

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
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  5. Article
  6. Cellular Plasticity in Malignant Transformation: Mesothelial Cells.Pathobiology : journal of immunopathology, molecular and cellular biology · 2026
    Review
  7. Review
  8. Article
  9. Translational lung cancer research · 2026
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dean A FennellUniversity of Leicester, Leicester, UK. df132@leicester.ac.uk.ORCID http://orcid.org/0000-0001-7373-1312
Yoshitaka SekidoDivision of Cancer Biology, Aichi Cancer Center Research Institute, Nagoya, Japan.ORCID http://orcid.org/0000-0002-2428-3848
Paul BaasDepartment of Thoracic Oncology, Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-7018-9556
Aliya N HusainDepartment of Pathology, University of Chicago, Chicago, IL, USA.
Alessandra Curioni-FontecedroClinic of Oncology, Cantonal Hospital Fribourg, Fribourg, Switzerland.ORCID http://orcid.org/0000-0002-5778-5270
Eric LimAcademic Division of Thoracic Surgery, The Royal Brompton Hospital, London, UK.
Isabelle OpitzDepartment of Thoracic Surgery, Universitätsspital Zürich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-5900-9040
Charles B SimoneNew York Proton Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-0867-3694
Fraser BrimsCurtin Medical School, Curtin University, Perth, Western Australia, Australia.ORCID http://orcid.org/0000-0002-6725-7535
Martin Chi-Sang WongThe Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Hong Kong SAR, People's Republic of China. wong_martin@cuhk.edu.hk.ORCID http://orcid.org/0000-0001-7706-9370

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mesothelioma is a lethal cancer caused by exposure to asbestos, which arises predominantly in the pleural lining of the thoracic cavity or, less commonly, in the peritoneum, pericardium or tunica vaginalis. The incidence of mesothelioma increased globally during the late twentieth century, correlating with the use of asbestos, and it continues to rise in some regions. Asbestos tumorigenesis involves fibre persistence that leads to DNA damage mediated by chronic inflammation. The genomic landscape of mesothelioma is predominantly characterized by tumour suppressor alterations, most frequently occurring in BAP1, CDKN2A, CDKN2B, MTAP, NF2 and TP53. Patients with mesothelioma commonly present with fatigue, dyspnoea and/or cough caused by pleural effusion, pain and reduced appetite with weight loss. Imaging, cytology, histology and immunohistochemistry are used in diagnosis and support tumour staging. Genetic tests are relevant to reveal disease predispositions. Mesotheliomas are classified on the basis of histology into three distinct subtypes: epithelioid (the most common subtype with the best prognosis), biphasic and sarcomatoid (worst prognosis). Chemotherapy has been the standard of care for the past two decades but immune checkpoint inhibition targeting PD1 and CTLA4 is now considered to be the first-line treatment, showing improvement compared with chemotherapy. Few randomized trials have investigated the role of surgery and radiotherapy and none has found a clear benefit over systemic therapies. Mesothelioma is associated with considerable negative effects on quality of life in physical and emotional domains and also substantially affects patients' families and caregivers.

Indexed as

MesotheliomaPleural NeoplasmsAsbestosHumansMesothelioma, MalignantAsbestos

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.