Defective core-apoptosis signalling in diffuse malignant pleural mesothelioma: opportunities for effective drug development

Lancet Oncol. 2004 Jun;5(6):354-62. doi: 10.1016/S1470-2045(04)01492-5.


Because of a lack of effective treatments, survival from diffuse pleural mesothelioma remains poor. Many people do not think that treatments for this disease are effective. The understanding of the biology of mesothelioma relevant to the apoptosis-resistant phenotype has been slow to advance. However, this is now changing, and strategies for rational therapeutic drug development are emerging that have the potential to change the natural history and improve survival in the increasing number of patients that will be diagnosed in the next two decades. This review discusses recent developments in apoptosis biology that are specific to mesothelioma and the therapeutic implications for this aggressive cancer.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Apoptosis / drug effects
  • Apoptosis / genetics*
  • Biopsy, Needle
  • Down-Regulation
  • Female
  • Gene Expression Regulation, Neoplastic
  • Genes, bcl-2 / genetics*
  • Humans
  • Immunohistochemistry
  • Male
  • Mesothelioma / drug therapy*
  • Mesothelioma / genetics
  • Mesothelioma / mortality
  • Mesothelioma / pathology*
  • Neoplasm Staging
  • Pleural Neoplasms / drug therapy*
  • Pleural Neoplasms / genetics
  • Pleural Neoplasms / mortality
  • Pleural Neoplasms / pathology*
  • Prognosis
  • Risk Assessment
  • Signal Transduction
  • Survival Analysis
  • Tumor Cells, Cultured


  • Antineoplastic Agents