Ewing’s Sarcoma Chromosome Translocation Explained
Ewing’s Sarcoma Chromosome Translocation Explained We will also highlight the expertise of Acibadem Healthcare Group in treating this condition. Ewing’s sarcoma is a highly aggressive malignancy that primarily affects young patients. The presence of specific chromosome translocations is a hallmark of this disease, playing a fundamental role in its development and progression. By unraveling the mysteries of Ewing’s sarcoma chromosome translocation, we gain valuable insights into the mechanisms driving tumor growth and potential therapeutic approaches.
Understanding Ewing’s Sarcoma Genetics
Ewing’s sarcoma is a rare form of cancer that predominantly affects children and young adults. To comprehend the underlying causes and development of this disease, it is essential to examine its genetic basis. Ewing sarcoma genetics revolves around a specific chromosomal abnormality known as chromosomal translocation.
The Ewing’s sarcoma chromosome translocation involves the rearrangement of genetic material between chromosomes, resulting in the fusion of two genes that play a critical role in tumor formation: the EWSR1 gene on chromosome 22 and the FLI1 gene on chromosome 11. This translocation leads to the formation of the EWSR1-FLI1 fusion protein, which is a hallmark of Ewing’s sarcoma.
Chromosome translocations, such as the one observed in Ewing’s sarcoma, disrupt the normal functioning of genes involved in regulating cell growth, division, and differentiation. As a consequence, the EWSR1-FLI1 fusion protein alters the expression of various genes and perturbs cellular processes, ultimately promoting the uncontrolled growth of cancerous cells.
To gain a deeper understanding of Ewing sarcoma genetics, researchers have made significant strides in elucidating the molecular mechanisms underlying this disease. The identification of additional genetic alterations, such as amplifications and deletions, has further shed light on the complex genetic landscape of Ewing’s sarcoma.
Understanding the intricate interplay between the genetic alterations and the development of Ewing’s sarcoma is crucial for devising targeted therapies and personalized treatment approaches. Researchers are continuously investigating the specific mechanisms through which these genetic abnormalities contribute to tumor formation and progression.
Further exploration of Ewing’s sarcoma genetics is paving the way for the development of novel diagnostic techniques and the identification of potential therapeutic targets. By unraveling the complex genetic signatures of this disease, scientists aim to improve patient outcomes and enhance treatment strategies.
With ongoing advancements in the field of cancer genetics, there is hope for more precise and effective treatments for Ewing’s sarcoma in the future.
The EWSR1-FLI1 Fusion Protein
The EWSR1-FLI1 fusion protein is a key player in the development of Ewing’s sarcoma, a rare form of cancer characterized by specific chromosome translocations. These translocations, involving the EWSR1 gene on chromosome 22 and the FLI1 gene on chromosome 11, result in the formation of the EWSR1-FLI1 fusion protein.
This fusion protein plays a crucial role in the malignant properties of Ewing’s sarcoma, contributing to tumor growth and progression. It acts as a transcription factor, meaning it regulates the expression of numerous genes involved in important cellular processes.
Research has shown that the EWSR1-FLI1 fusion protein alters gene expression patterns, leading to the dysregulation of critical signaling pathways that control cell proliferation, differentiation, and survival. These changes ultimately drive the formation and progression of Ewing’s sarcoma.
Furthermore, studies have demonstrated that the EWSR1-FLI1 fusion protein interacts with various proteins and DNA, forming complexes that directly impact gene regulation. These interactions contribute to the unique molecular characteristics of Ewing’s sarcoma and provide potential targets for therapeutic interventions.
Understanding the role of the EWSR1-FLI1 fusion protein is essential for unraveling the mechanisms underlying Ewing’s sarcoma and developing targeted therapies. By targeting the fusion protein or the downstream molecular pathways it affects, researchers aim to disrupt the malignant properties of the tumor and improve treatment outcomes.
Mechanism of Ewing Sarcoma Translocation
Ewing sarcoma is characterized by a specific chromosomal rearrangement known as Ewing’s sarcoma chromosome translocation. This genetic alteration plays a crucial role in the development of this rare form of cancer.
The translocation involves a fusion between the EWSR1 gene on chromosome 22q12 and a member of the ETS family of transcription factors, most commonly the FLI1 gene on chromosome 11q24. This genetic event leads to the formation of the EWSR1-FLI1 fusion protein.
The exact mechanism of how the chromosome translocation occurs is still not fully understood. However, it is believed to be a result of DNA double-strand breaks and subsequent errors in the DNA repair process. These breaks can be induced by a variety of factors, such as radiation, chemical exposure, or certain viral infections.
Once the translocation event takes place, the EWSR1-FLI1 fusion protein is produced. This abnormal protein has been found to have oncogenic properties, meaning it promotes the growth and survival of cancer cells. It acts by disrupting normal cellular processes, including gene regulation, DNA repair, and cell cycle control.
The EWSR1-FLI1 fusion protein functions as a transcription factor, binding to specific DNA sequences and altering the expression of numerous downstream target genes. Through this dysregulated gene expression, it drives the malignant properties of Ewing sarcoma, such as uncontrolled cell proliferation, inhibition of cell differentiation, and evasion of cell death.
Understanding the mechanism of Ewing sarcoma translocation is crucial for developing targeted therapies and personalized treatment approaches. By targeting the EWSR1-FLI1 fusion protein or the underlying genetic alterations, researchers and medical professionals aim to disrupt the oncogenic signaling pathways and halt the progression of this aggressive cancer.
Chromosomal Rearrangements in Ewing Sarcoma
When it comes to understanding the genetic basis of Ewing’s sarcoma, exploring the specific chromosomal rearrangements is vital. One significant translocation frequently observed in this cancer is the chromosome 22q12 translocation. This alteration involves the breaking and rejoining of genetic material between chromosome 22 and another chromosome.
This specific translocation event plays a critical role in the development of Ewing’s sarcoma, leading to the formation of the EWSR1-FLI1 fusion protein. The fusion of the EWSR1 gene on chromosome 22 with the FLI1 gene on the partner chromosome results in the expression of this chimeric protein.
To better grasp the significance of the chromosome 22q12 translocation, let’s explore the involvement of additional chromosomes. The most common partner chromosome involved in the translocation is chromosome 11, specifically the FLI1 gene located on the long arm of chromosome 11 (11q24). This translocation between chromosome 22q12 and chromosome 11q24 is detected in approximately 85% of Ewing’s sarcoma cases.
It’s important to note that while the chromosome 22q12 translocation is prevalent in Ewing’s sarcoma, there can be variations in the partner chromosomes involved. Rarely, translocations with other chromosomes such as 7, 21, or 18 have been reported, resulting in alternative fusion proteins.
In summary, the chromosome 22q12 translocation is a key genetic alteration in Ewing’s sarcoma, leading to the formation of the EWSR1-FLI1 fusion protein. Understanding the specific chromosomal rearrangements and partner chromosomes involved is crucial for unraveling the underlying mechanisms of this complex disease.
Ewing’s Sarcoma Translocation | Partner Chromosome | Fusion Protein |
---|---|---|
Chromosome 22q12 | Chromosome 11q24 | EWSR1-FLI1 |
Chromosome 22q12 | Chromosome 7, 21, 18 (rare) | Alternative fusion proteins |
Exploring Ewing Sarcoma Molecular Biology
In this section, we will dive into the fascinating world of Ewing Sarcoma’s molecular biology. Understanding the intricate cellular processes affected by the Ewing’s sarcoma chromosome translocation and its impact on tumor growth is essential for developing targeted therapies and improving patient outcomes.
Ewing Sarcoma Cellular Pathways
The molecular biology of Ewing Sarcoma involves disruptions in key cellular pathways that play crucial roles in normal cell development and growth. One such pathway is the RAS/MAPK signaling pathway, which regulates cell proliferation and survival. The EWSR1-FLI1 fusion protein, a result of the chromosome translocation, can disrupt this pathway and contribute to the uncontrolled growth of tumor cells.
Research has shown that the EWSR1-FLI1 fusion protein interacts with important regulatory proteins in the RAS/MAPK pathway, leading to abnormal activation and enhanced tumor cell growth.
Alterations in Gene Expression
Another significant aspect of Ewing Sarcoma’s molecular biology is the alteration of gene expression. The chromosome translocation affects the expression of various genes involved in cellular processes such as cell proliferation, DNA repair, and apoptosis. This dysregulation leads to the promotion of tumor growth and resistance to normal cell death mechanisms.
The FUS-ETS rearrangements, another type of chromosome translocation associated with Ewing Sarcoma, can also impact gene expression by fusing the ETS family of transcription factors with different partners. This fusion results in the formation of novel transcription factors that drive the abnormal expression of target genes.
The Role of Epigenetics
Epigenetic modifications, which involve changes in gene activity without alterations to the DNA sequence, also play a significant role in Ewing Sarcoma’s molecular biology. Studies have shown that the EWSR1-FLI1 fusion protein can epigenetically alter the expression of genes involved in cell differentiation and tumor progression.
Cellular Processes Affected by Ewing Sarcoma Chromosome Translocation
Cellular Process | Impact |
---|---|
Cell Proliferation | Enhanced growth of tumor cells |
DNA Repair | Disruption of DNA repair mechanisms |
Apoptosis | Resistance to normal cell death mechanisms |
Cell Differentiation | Alterations in cell development and maturation |
Understanding the complex molecular biology of Ewing Sarcoma is crucial for developing novel therapeutic approaches aimed at targeting the specific alterations caused by chromosome translocations. By elucidating the underlying mechanisms, researchers and clinicians can work towards more effective treatments and improved outcomes for patients with this rare and aggressive form of cancer.
Ewing Sarcoma Genetic Markers
Ewing’s sarcoma is a highly aggressive cancer that primarily affects children and young adults. Genetic markers associated with this rare disease can play a pivotal role in its diagnosis, prognosis, and treatment. Understanding the presence of these genetic markers can provide valuable insights into the behavior and aggressiveness of the tumor, allowing healthcare professionals to tailor treatment plans accordingly.
Genetic testing is a key component in identifying these markers, as it can uncover specific genetic alterations associated with Ewing’s sarcoma, such as the Ewing’s sarcoma chromosome translocation. This chromosomal rearrangement involves the fusion of the EWSR1 gene on chromosome 22 with the FLI1 gene on chromosome 11, resulting in the formation of the EWSR1-FLI1 fusion protein.
By analyzing the presence and characteristics of the EWSR1-FLI1 fusion protein, healthcare providers can confirm the presence of Ewing’s sarcoma. Additionally, other genetic markers, such as alterations in the TP53 and CDKN2A genes, can provide further information about the prognosis and response to treatment in individuals with this aggressive cancer.
Genetic markers offer immense potential for personalized medicine in Ewing’s sarcoma. They can guide treatment decisions, help identify potential targets for therapy, and aid in monitoring the response to treatment. Furthermore, ongoing research is focused on uncovering additional genetic markers that may contribute to the development and progression of Ewing’s sarcoma, paving the way for novel treatment strategies.
Importance of Genetic Testing
Genetic testing plays a vital role in identifying Ewing sarcoma genetic markers. By analyzing a patient’s DNA, healthcare professionals can detect specific genetic alterations associated with the disease, providing critical information for diagnosis, prognosis, and even targeted therapies. With advances in genetic testing technologies, it has become easier and more accessible to identify these markers, enabling early detection, personalized treatment plans, and improved patient outcomes.
Table: Examples of Genetic Markers in Ewing’s Sarcoma
Genetic Marker | Associated Significance |
---|---|
EWSR1-FLI1 fusion protein | Confirmation of Ewing’s sarcoma |
TP53 gene alterations | Prognostic marker for disease progression |
CDKN2A gene alterations | Indication of treatment response |
Genetic testing for Ewing’s sarcoma genetic markers is typically performed using various techniques, including polymerase chain reaction (PCR), fluorescence in situ hybridization (FISH), and next-generation sequencing (NGS). These methods allow for the identification and analysis of specific gene rearrangements and alterations, providing valuable information for accurate diagnosis and personalized treatment planning.
Identifying Ewing’s sarcoma genetic markers is not only crucial for individual patient management but also contributes to advancing our understanding of the disease. By studying these genetic markers, researchers can gain insights into the underlying mechanisms of tumor development, progression, and response to treatment. This knowledge facilitates the development of innovative therapeutic strategies and brings hope for improved outcomes for individuals affected by Ewing’s sarcoma.
Gene Fusion in Ewing Sarcoma
Ewing sarcoma is characterized by a unique chromosomal abnormality known as Ewing’s sarcoma chromosome translocation. This translocation involves the fusion of two genes, resulting in the formation of a chimeric gene that plays a critical role in the development and progression of this aggressive bone cancer.
One of the most common gene fusions observed in Ewing sarcoma is the EWSR1-FLI1 fusion protein. This fusion occurs due to the translocation between the EWSR1 gene on chromosome 22 and the FLI1 gene on chromosome 11. The resulting EWSR1-FLI1 protein acts as a transcription factor, altering gene expression patterns and promoting cell survival and proliferation, ultimately driving the growth of the tumor.
The EWSR1-FLI1 fusion protein disrupts normal cellular processes and deregulates key signaling pathways involved in cell cycle control, DNA repair, and apoptosis. It confers distinct molecular and biological properties to Ewing sarcoma cells, contributing to their invasive and metastatic behavior.
Furthermore, the gene fusion event in Ewing sarcoma leads to the formation of abnormal proteins that not only drive tumorigenesis but also serve as potential therapeutic targets. Targeting these fusion proteins offers a promising approach to develop novel treatments specifically tailored to combat Ewing sarcoma.
Impact of Gene Fusion in Ewing Sarcoma |
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The EWSR1-FL1 fusion protein alters gene expression patterns. |
It promotes cell survival and proliferation. |
It drives the growth of Ewing sarcoma tumors. |
The fusion protein confers invasive and metastatic properties to cancer cells. |
The abnormal proteins resulting from gene fusion can be targeted for therapy. |
In recent years, significant progress has been made in understanding the molecular mechanisms underlying gene fusion in Ewing sarcoma. This knowledge has paved the way for the development of targeted therapies that aim to disrupt or inhibit the fusion proteins, offering hope for more effective treatments in the future.
Continued research into the gene fusion events and their impact on Ewing sarcoma is crucial for advancing our understanding of this complex cancer and improving patient outcomes. By unraveling the intricacies of gene fusion, scientists and clinicians can work together to develop innovative therapies that specifically target the underlying genetic abnormalities, bringing us closer to a cure for Ewing sarcoma.
Advancements in Sarcoma Research Genetics
Research in the field of sarcoma genetics has led to significant advancements in our understanding of various types of sarcomas, including Ewing’s sarcoma. These advancements have paved the way for improved diagnostic techniques and potential future treatment options.
Identification of Ewing’s Sarcoma Chromosome Translocation
One of the key breakthroughs in sarcoma research genetics was the identification of the specific chromosome translocation that occurs in Ewing’s sarcoma. This translocation involves the fusion of the EWSR1 gene from chromosome 22q12 with the FLI1 gene on chromosome 11q24, resulting in the formation of the EWSR1-FLI1 fusion protein.
This discovery has not only deepened our understanding of the genetic underpinnings of Ewing’s sarcoma but has also provided a valuable genetic marker for the diagnosis of this rare cancer. Targeted genetic testing for the EWSR1-FLI1 fusion confirms the presence of Ewing’s sarcoma and distinguishes it from other types of sarcomas.
Unraveling the Molecular Mechanisms
Sarcoma research genetics has also focused on unraveling the molecular mechanisms involved in Ewing’s sarcoma development and progression. By studying the interactions of the EWSR1-FLI1 fusion protein with various cellular pathways, scientists have gained insights into the malignant properties of Ewing’s sarcoma cells.
Understanding these molecular mechanisms has opened up new avenues for targeted therapies. Researchers are exploring ways to disrupt the activity of the EWSR1-FLI1 fusion protein and inhibit tumor growth, potentially revolutionizing the treatment landscape for Ewing’s sarcoma.
Genetic Profiling and Personalized Medicine
Advancements in sarcoma research genetics have also led to the emergence of genetic profiling as a valuable tool in guiding treatment decisions. By analyzing the genetic makeup of a patient’s tumor, clinicians can identify specific mutations or alterations that can be targeted with precision therapies.
This personalized medicine approach holds great promise for improving outcomes in Ewing’s sarcoma. By tailoring treatments to each individual’s unique genetic profile, we can enhance the efficacy of therapies and minimize side effects.
Advancements in Sarcoma Research Genetics | Key Takeaways |
---|---|
Identification of Ewing’s Sarcoma Chromosome Translocation | – The specific chromosome translocation involving the EWSR1 and FLI1 genes is a hallmark of Ewing’s sarcoma. – Targeted genetic testing for the EWSR1-FLI1 fusion protein aids in accurate diagnosis. |
Unraveling the Molecular Mechanisms | – Studying the interactions of the EWSR1-FLI1 fusion protein provides insights into tumor development. – Discovering the cellular pathways affected by the fusion protein opens new avenues for targeted therapies. |
Genetic Profiling and Personalized Medicine | – Genetic profiling helps identify targeted therapies based on a patient’s unique genetic makeup. – Personalized medicine approaches improve treatment efficacy and minimize side effects in Ewing’s sarcoma. |
The advancements in sarcoma research genetics have brought us closer to understanding the complexities of Ewing’s sarcoma and developing more effective treatments. As researchers continue to explore the genetic landscape of this rare cancer, we can remain hopeful that these efforts will ultimately lead to improved outcomes for patients.
Diagnosis and Treatment Options
When it comes to diagnosing Ewing’s sarcoma, understanding the role of chromosome translocation is crucial. A definitive diagnosis often involves genetic testing to confirm the presence of Ewing’s sarcoma chromosome translocation. This test helps healthcare professionals distinguish Ewing’s sarcoma from other types of bone and soft tissue tumors.
Advanced imaging techniques, such as X-rays, MRIs, and CT scans, are also used to identify the location and extent of the tumor. Additionally, a biopsy may be performed to obtain a sample of the affected tissue for further analysis.
Once a diagnosis is confirmed, treatment options for Ewing’s sarcoma typically involve a multidisciplinary approach that includes chemotherapy, surgery, and radiation therapy. The specific treatment plan depends on factors such as the stage of the cancer, the size and location of the tumor, and the overall health of the patient.
Acibadem Healthcare Group offers comprehensive treatment for Ewing’s sarcoma, leveraging their expertise in oncology and advanced medical technologies. Their team of experienced oncologists, surgeons, and radiation therapists work together to develop personalized treatment plans tailored to each patient’s unique needs.
Surgery plays a crucial role in removing the tumor and surrounding affected tissues, especially in cases where the tumor is localized. In some instances, limb-sparing surgery may be possible to preserve function and mobility. However, in more advanced cases, amputation may be necessary to achieve optimal cancer control.
Chemotherapy is an essential component of Ewing’s sarcoma treatment, as it helps shrink the tumor and eliminate any remaining cancer cells. It is often administered before surgery to reduce the size of the tumor and after surgery to target any remaining cancer cells.
Radiation therapy, utilizing high-energy X-rays or other targeted radiation sources, is used to kill cancer cells and reduce the risk of recurrence. It may be employed as part of the primary treatment or following surgery.
Table: Treatment Options for Ewing’s Sarcoma:
Treatment | Description |
---|---|
Chemotherapy | Systemic treatment using drugs to kill cancer cells throughout the body. |
Surgery | Removal of the tumor and affected tissues with the goal of achieving complete resection. |
Radiation Therapy | Targeted high-energy radiation to destroy cancer cells and prevent recurrence. |
In some cases, clinical trials may also be an option for patients with Ewing’s sarcoma, particularly those with advanced or recurrent disease. These trials explore innovative therapies and treatment approaches that have the potential to improve outcomes and provide new avenues of hope.
By leveraging advanced diagnostic techniques and expert treatment options, healthcare professionals, including those at Acibadem Healthcare Group, strive to provide the best possible care for individuals battling Ewing’s sarcoma. Through a comprehensive approach, they improve the chances for successful outcomes and better quality of life for patients.
Personalized Medicine and Ewing Sarcoma
In the ever-evolving field of cancer treatment, personalized medicine has emerged as a promising approach in the management of Ewing’s sarcoma. By utilizing genetic information, healthcare professionals can tailor treatment plans to the unique characteristics of each patient’s tumor, improving outcomes and quality of life.
Genetic testing plays a vital role in identifying the specific Ewing’s sarcoma chromosome translocation present in an individual’s tumor. This information not only confirms the diagnosis but also uncovers potential therapeutic targets.
One healthcare institution that has been at the forefront of incorporating personalized medicine into Ewing’s sarcoma treatment is Acibadem Healthcare Group. Through extensive genetic profiling and analysis, Acibadem’s team of experts can identify the specific genetic alterations driving the tumor’s growth. This information guides the selection of targeted therapies designed to disrupt these abnormal genetic pathways.
Innovative Treatment Approaches
Personalized medicine allows healthcare providers to move beyond traditional chemotherapy and radiation treatments, which can be associated with significant side effects. Instead, they can explore precision medicine techniques such as targeted therapy, immunotherapy, and gene therapy.
- Targeted therapy: By using drugs that specifically target the molecular abnormalities caused by Ewing’s sarcoma chromosomal translocations, healthcare providers aim to slow down or halt the growth of cancer cells while minimizing damage to healthy tissue.
- Immunotherapy: This emerging treatment modality harnesses the power of the patient’s immune system to recognize and destroy cancer cells. Immunotherapeutic agents can be tailored to target the unique features of each patient’s tumor.
- Gene therapy: By modifying the genes within cancer cells, gene therapy aims to disrupt the abnormal genetic pathways driving Ewing’s sarcoma. This approach holds promising potential for more effective and long-lasting treatments.
Improved Outcomes with Personalized Medicine
Personalized medicine in Ewing’s sarcoma offers several advantages over standard treatments. By targeting the underlying genetic abnormalities driving tumor growth, healthcare providers can potentially achieve better outcomes with reduced side effects.
Additionally, the ability to tailor treatment plans based on genetic information allows for a more precise and efficient use of resources. Patients may experience shorter treatment durations and fewer unnecessary interventions, leading to improved patient satisfaction and reduced healthcare costs.
Looking Ahead
As research in Ewing’s sarcoma genetics and personalized medicine continues to advance, the future holds great promise for more effective and individualized treatment options. Genetic profiling and targeted therapies will likely become standard practice, revolutionizing the field of oncology.
Acibadem Healthcare Group’s commitment to staying at the forefront of personalized medicine ensures that patients with Ewing’s sarcoma receive the most cutting-edge and tailored treatment available. By leveraging genetic insights and innovative approaches, Acibadem is driving progress in Ewing’s sarcoma care.
Future Directions and Research Opportunities
As our understanding of Ewing’s sarcoma genetics continues to evolve, the future of research in this field holds great promise. Advances in technology and a growing body of knowledge surrounding the ewing’s sarcoma chromosome translocation have opened up exciting avenues for further exploration and discovery.
Sarcoma research genetics is a rapidly evolving field, with researchers working tirelessly to unravel the complexities of this rare form of cancer. By studying the underlying genetic mechanisms and identifying specific gene alterations associated with Ewing’s sarcoma, scientists are striving to develop more targeted and effective treatment strategies.
Through collaborative efforts and interdisciplinary approaches, researchers are exploring innovative techniques such as gene editing, targeted therapies, and immunotherapies to combat Ewing’s sarcoma. These emerging research opportunities provide hope for improved outcomes and quality of life for patients battling this aggressive disease.
Investigating the genetic basis of Ewing’s sarcoma not only enhances our understanding of the disease but also opens doors to personalized medicine. By identifying genetic markers and unique molecular signatures, clinicians can tailor treatment plans to individual patients, optimizing their chances of a successful outcome. Ongoing research in this area is crucial in accelerating progress and improving patient outcomes.
FAQ
What is Ewing's sarcoma chromosome translocation?
Ewing's sarcoma chromosome translocation is a specific genetic abnormality in which there is a rearrangement of chromosomes, resulting in fusion of different genes. This translocation, most commonly involving chromosome 11 and 22, leads to the formation of the EWSR1-FLI1 fusion protein, which plays a crucial role in the development of Ewing's sarcoma.
How does Ewing's sarcoma chromosome translocation contribute to cancer genetics?
The chromosome translocation in Ewing's sarcoma leads to the production of the EWSR1-FLI1 fusion protein, which acts as an oncogene. This fusion protein alters various cellular processes, promoting the growth and survival of cancer cells. Understanding the genetics of Ewing's sarcoma is crucial for developing targeted therapies and improving treatment outcomes.
What is the significance of the EWSR1-FLI1 fusion protein in Ewing's sarcoma?
The EWSR1-FLI1 fusion protein is the hallmark of Ewing's sarcoma. It plays a pivotal role in driving the malignant properties of the tumor by affecting gene expression and cellular processes. Targeting the EWSR1-FLI1 fusion protein is a promising approach for developing new therapies to treat Ewing's sarcoma.