{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T14:20:31Z","timestamp":1769696431986,"version":"3.49.0"},"reference-count":72,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T00:00:00Z","timestamp":1640131200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oncol."],"abstract":"<jats:p>Radical hemithoracic radiotherapy (RHR), after lung-sparing surgery, has recently become a concrete therapeutic option for malignant pleural mesothelioma (MPM), an asbestos-related, highly aggressive tumor with increasing incidence and poor prognosis. Although the toxicity associated to this treatment has been reduced, it is still not negligible and must be considered when treating patients. Genetic factors appear to play a role determining radiotherapy toxicity. The aim of this study is the identification of biological pathways, retrieved through whole exome sequencing (WES), possibly associated to the development of lung adverse effects in MPM patients treated with RHR. The study included individuals with MPM, treated with lung-sparing surgery and chemotherapy, followed by RHR with curative intent, and followed up prospectively for development of pulmonary toxicity. Due to the strong impact of grade 3 pulmonary toxicities on the quality of life, compared with less serious adverse events, for genetic analyses, patients were divided into a none or tolerable pulmonary toxicity (NoSTox) group (grade \u22642) and a severe pulmonary toxicity (STox) group (grade = 3). Variant enrichment analysis allowed us to identify different pathway signatures characterizing NoSTox and Stox patients, allowing to formulate hypotheses on the protection from side effects derived from radiotherapy as well as factors predisposing to a worst response to the treatment. Our findings, being aware of the small number of patients analyzed, could be considered a starting point for the definition of a panel of pathways, possibly helpful in the management of MPM patients.<\/jats:p>","DOI":"10.3389\/fonc.2021.784081","type":"journal-article","created":{"date-parts":[[2021,12,22]],"date-time":"2021-12-22T08:56:19Z","timestamp":1640163379000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Biological Pathways Associated With the Development of Pulmonary Toxicities in Mesothelioma Patients Treated With Radical Hemithoracic Radiation Therapy: A Preliminary Study"],"prefix":"10.3389","volume":"11","author":[{"given":"Sergio","family":"Crovella","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Revelant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Muraro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald Rodrigues","family":"Moura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas","family":"Brand\u00e3o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Trov\u00f2","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agostino","family":"Steffan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Zacchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuliano","family":"Zabucchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emilio","family":"Minatel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Violetta","family":"Borelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2021,12,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17020607","article-title":"Predictions of Mortality From Pleural Mesothelioma in Italy After the Ban of Asbestos Use","volume":"17","author":"Oddone","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2014-0122","article-title":"Current Issues in Malignant Pleural Mesothelioma Evaluation and Management","volume":"19","author":"Ai","year":"2014","journal-title":"Oncologist"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/817203","article-title":"Surgical Management of Malignant Pleural Mesothelioma: Impact of Surgery on Survival and Quality of Life-Relation to Chemotherapy, Radiotherapy, and Alternative Therapies","volume":"2014","author":"Papaspyros","year":"2014","journal-title":"ISRN Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"F1000 Faculty Rev\u20131681","DOI":"10.12688\/f1000research.15796.1","article-title":"Multimodality Treatment of Malignant Pleural Mesothelioma","volume":"7","author":"Berzenji","year":"2018","journal-title":"F1000Res"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2010-0185","article-title":"What is the Role of Radiotherapy in Malignant Pleural Mesothelioma","volume":"16","author":"Price","year":"2011","journal-title":"Oncologist"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1097\/JTO.0b013e318272601f","article-title":"Tomotherapy After Pleurectomy\/Decortication or Biopsy for Malignant Pleural Mesothelioma Allows the Delivery of High Dose of Radiation in Patients With Intact Lung","volume":"7","author":"Minatel","year":"2012","journal-title":"J Thorac Oncol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1016\/j.lungcan.2013.10.013","article-title":"Radical Pleurectomy\/Decortication Followed by High Dose of Radiation Therapy for Malignant Pleural Mesothelioma. 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