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A Response to the Letter to the Editor: Refining Risk and Redefining Stage: Hidden Implications of BAP1-Mutant Mesothelioma Shiuan-Chih Chen, MD, PhD; Yuan-Ti Lee, MD, PhD.

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Updated: Feb 26, 2026

Implantation and Monitoring by PET/CT of an Orthotopic Model of Human Pleural Mesothelioma in Athymic Mice
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Mesothelioma: recent highlights.

Michele Carbone1, Haining Yang1

  • 1Thoracic Oncology, University of Hawaii Cancer Center, Honolulu, HI 96816, USA.

Annals of Translational Medicine
|July 15, 2017
PubMed
Summary
This summary is machine-generated.

Discoveries reveal chronic inflammation and BAP1 gene mutations drive mesothelioma. High mobility group box protein-1 (HMGB1) and other biomarkers may revolutionize early detection and treatment for asbestos-related cancers.

Keywords:
BRCA-associated protein 1 (BAP1)MesotheliomaSV40asbestoserionitehigh mobility group box protein-1 (HMGB1)

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Area of Science:

  • Oncology
  • Genetics
  • Environmental Health

Background:

  • Mesothelioma development mechanisms are increasingly understood.
  • Chronic inflammation and genetic predispositions are implicated in its pathogenesis.
  • Asbestos exposure remains a primary risk factor.

Purpose of the Study:

  • To elucidate key molecular and genetic mechanisms in mesothelioma development.
  • To highlight the role of chronic inflammation and specific gene mutations.
  • To identify novel biomarkers for improved screening and treatment.

Main Methods:

  • Review of recent discoveries in mesothelioma research.
  • Analysis of the role of high mobility group box protein-1 (HMGB1) in inflammation.
  • Investigation of germline BRCA-associated protein 1 (BAP1) mutations and their interaction with environmental factors.

Main Results:

  • Chronic inflammation, driven by HMGB1 release post-asbestos exposure, promotes mesothelioma.
  • Germline BAP1 mutations significantly increase mesothelioma incidence and lower asbestos exposure thresholds.
  • HMGB1 and Fibulin-3 identified as potential serum biomarkers.

Conclusions:

  • Understanding inflammation and BAP1 mutations is crucial for mesothelioma pathogenesis.
  • Novel biomarkers like HMGB1 and Fibulin-3 show promise for revolutionizing screening and treatment.
  • Gene-environment interactions, particularly BAP1 and asbestos, are critical in mesothelioma development.