
This review illustrates the emerging combinatorial strategies for malignant mesothelioma, integrating chemotherapy with targeted therapies, therapeutic vaccines, and natural bioactive compounds such as polyphenols. The figure depicts how each approach, alone or in synergy, can modulate tumor cell survival, overcome chemoresistance, and enhance anti-tumor immunity. By targeting multiple pathways, including angiogenesis, immune checkpoints, and oncogenic signaling, these combinations aim to improve patient survival and quality of life. The manuscript summarizes recent preclinical and clinical evidence, highlights promising regimens, and discusses the translational potential of multimodal treatment strategies toward more effective and personalized therapies for this aggressive and treatment-resistant cancer.
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