Abstract
Malignant pleural mesothelioma (MPM) is a rare deadly disease with limited therapeutic options. The application of tailored treatments may increase the efficacy of therapies. The promise of precision medicine is to improve human health by combining biomarkers with clinical data. Therefore, the discovery of gene signatures correlated to clinical characteristics is fundamental to identify patients that can benefit from a specific treatment. Although the “omics”-based analyses have become affordable and enabled a rapid identification of potential biomarkers, the application of gene signatures to personalized clinical decisions in order to improve patient outcome has not been delivered yet. Several attempts have been made using many different technologies such as sequencing, expression, and methylation arrays, and different signatures potentially specific to MPM have been generated. However, the lack of statistical power due to the absence of validation in large cohorts of samples has limited the implementation of these gene signatures in clinical practice. Large-scale validations in prospective cohorts are needed to bring the most promising gene signatures into the clinic.
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Conflict of Interest
Dr. R. Bueno receives funding through Brigham and Women’s Hospital’s International Mesothelioma Program, which receives support from plaintiff law firms. He is also supported by funds from NCI, Verastem, Genentech, Merck, Castle Biosciences, and Roche. The remaining authors have no potential conflicts of interest.
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De Rienzo, A., Richards, W.G., Bueno, R. (2017). Gene Signature of Malignant Pleural Mesothelioma. In: Testa, J. (eds) Asbestos and Mesothelioma. Current Cancer Research. Springer, Cham. https://doi.org/10.1007/978-3-319-53560-9_9
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