Malignant pleural mesothelioma remains a therapeutic. and diagnostic proble
m. Translational mechanisms for treatment of the disease are emerging from
newly learned characteristics of the tumor on a molecular, cellular, and ex
tracellular basis. Although slow to reach the clinical arena, these potenti
al strategies do show proof of principle in the in vitro and in vivo settin
gs, and some, including adenoviral molecular chemotherapy, have completed p
hase I testing. This review describes the rationale and status of these new
er treatment ideas.