Table 1– Efficacy of mesothelin for the detection of malignant mesothelioma (MM) in several studies
First author [ref.]Cases nSampleAUC/comparisonCut-off pointSensitivity%Specificity %
Robinson [23]44 MM
Control group
40 HAE
28 H non-AE
92 LID
30 C non-PLI
20 non-MMPLE
18 BPDAE
SerumNA/MM versus other pleural diseases
NA/MM versus other lung tumours
NA/MM versus other asbestos-exposed subjects
NA
NA
NA
84
84
84
100
95
83
Scherpereel [24]60 MM
Control group
23 BPDAE
30 Mets
Serum0.872/MM versus BPDAE
0.693/MM versus Mets
0.771/MM versus control
0.93 nM
1.85 nM
1.1 nM
80
58.3
71.7
82.6
73.3
69.8
43 MM PLE
Control group
21 BPDAE
28 Mets
Pleural0.831/MM versus BPDAE
0.793/MM versus Mets
0.809/MM versus control
10.4 nM
11.4 nM
11.4 nM
76.7
76
76.7
76.2
64
69.4
Cristaudo [16]107 MM
262 healthy controls exposed or not to asbestos
Serum0.77/MM versus control1.00 nmol·L−168.280.5
Grigoriu [28]96 MM
Control group
112 HAE
33 BPDAE
43 Mets
Serum0.866/MM versus HAENANANA
Creaney [29]52 MM PLE
Control group
84 PLE of benign aetiology
56 PLE of malignant non-MM
7 MM PF
14 PF of malignant non-MM
21 PF of benign aetiology
Pleural and peritoneal effusions0.898/MM versus all patients with benign effusions20 nM6798
Creaney [30]117 MM
Control group
33 HAE
53 BPDAE
30 benign PLE
Serum0.790/MM versus controlNA5295
Creaney [20]66 MM
Control group
10 HAE
10 H non-AE
21 BPDAE
30 PLE of benign aetiology
20 PLE of malignant non-MM
10 LC
Serum0.915/MM versus healthy controls and BPDAENA7395
Pass [22]90 MM
Control group
170 LC
66 AE
409 H non-AE
Serum0.810/MM versus AE
0.820/MM versus LC
0.741/MM stage I versus AE
0.891/MM versus control
1.9 nM
1.1 nM
2.0 nM
1.075 nM
60
78.9
58
81.1
89.2
76.4
91
87.1
45 MM PLE
Control group
30 PLE of benign aetiology
20 PLE of malignant non-MM
Pleural0.78/MM versus benign PLE
0.76/MM versus control
12.6 nM
12.6 nM
75.6
75.6
83.3
82
Schneider [26]129 MM
Control group
139 LC
75 BPDAE
Serum0.72/MM versus control1.35 nM5382.7
Azim [27]50 MM
Control group
33 breast cancer
22 H non-AE
Serum0.765/MM versus control7.22 nM·L−16670.9
Iwahori [31]27 MM
Control group
47 LC
35 other cancers
9 HAE
38 H non-AE
Serum0.713/MM versus control93.5 ng·mL−159.386.2
Amati [32]22 MM
Control group
54 H non-AE
94 HAE
Serum0.927/MM versus control1.9 nM7290
Rodríguez Portal [18]36 MM
Control group
48 H non-AE
177 HAE
101 BPDAE
Serum0.75/MM versus control0.55 nmol·L−17272
Davies [33]24 MM PLE
Control group
67 PLE of malignant non-MM
75 PLE of benign aetiology
Pleural0.878/MM versus control20 nM7190
Hollevoet [19]85 MM
Control group
101 H non-AE
89 HAE
123 BPDAE
46 benign respiratory disease
63 LC
Serum0.871/MM versus control2.00 nmol·L−16495
Creaney [25]70 MM
Control group
111 BPDAE
20 LC
19 IPF
19 sarcoidosis
7 non-MM
Exudative PLE
Serum
Urine
0.881/MM versus all patients with benign disease
0.787/MM versus all patients with benign disease
1.62 nM
NA
67
53
95
95
Cristaudo [34]31 MM (epithelioid)
Control group
93 H non-AE
111 benign respiratory disease associated or not with AE
Serum0.762/MM versus control1.32 nM51.690
  • AUC: area under the receiver operating characteristics curve; HAE: healthy asbestos exposure; H non-AE: healthy non-asbestos exposure; LID: lung inflammatory diseases; C non-PLI: cancer without pleural involvement; non-MMPLE: non-malignant mesothelioma pleural effusions; BPDAE: benign pulmonary/pleural disease associated with asbestos exposure; NA: not available; Mets: pleural metastasis of carcinomas; PLE: pleural effusions; PF: peritoneal fluid; LC: lung cancer; AE: asbestos exposure; IPF: idiopathic pulmonary fibrosis.