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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Cellular immunotherapy strategies for Ewing sarcoma
1University Children's Hospital Muenster, Pediatric Hematology & Oncology, Albert-Schweitzer Campus 1, Building A1, 48149 Muenster, Germany.
Abstract:
Ewing sarcoma is a rare cancer of bone and soft tissues defined by a specific chromosomal rearrangement. Preclinical development of immunological treatment strategies includes expansion of T cells with native or grafted T-cell receptor specificities for Ewing sarcoma-associated intracellular antigens, and T-cell engineering with chimeric antigen receptors targeting surface antigens. In vitro preactivated NK cells may also have activity in this cancer. Major challenges are the heterogeneity of antigen expression in individual Ewing sarcomas, and the coexpression of most candidate targets on normal cells. Moreover, homing of therapeutic effector cells to both primary and metastatic tumor sites and adequate function within the immunosuppressive tumor microenvironment will have to be ensured to allow for effective immune targeting of this cancer.
Insights
Immunotherapy for Ewing sarcoma involves T cells targeting intracellular or surface antigens and NK cells. Challenges include antigen heterogeneity and targeting normal cells, requiring effective cell homing and function in the tumor microenvironment.
Area of Science:
- Oncology
- Immunology
- Cancer Therapeutics
Background:
- Ewing sarcoma is a rare bone and soft tissue cancer characterized by a specific chromosomal rearrangement.
- Current preclinical research explores immunotherapy as a treatment strategy.
Purpose of the Study:
- To review the preclinical development of immunological treatment strategies for Ewing sarcoma.
- To identify major challenges and considerations for effective immune targeting of Ewing sarcoma.
Main Methods:
- Expansion of T cells with native or grafted T-cell receptors targeting intracellular antigens.
- T-cell engineering with chimeric antigen receptors (CARs) targeting surface antigens.
- Evaluation of in vitro preactivated Natural Killer (NK) cells for anti-cancer activity.
Main Results:
- Immunotherapy approaches include T-cell-based strategies and NK cell therapies.
- Significant challenges exist, including antigen expression heterogeneity and off-target effects on normal cells.
- Ensuring effective homing and function of therapeutic cells within the immunosuppressive tumor microenvironment is critical.
Conclusions:
- Effective immune targeting of Ewing sarcoma requires overcoming antigen heterogeneity and ensuring therapeutic cell efficacy.
- Future strategies must address tumor microenvironment challenges for successful immunotherapy.
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