EWS Collateral Sensitivity
The evolution of chemotherapeutic resistance often causes treatment failure in patients with Ewings sarcoma (EWS), a rare pediatric bone cancer that lacks a reliable second-line chemotherapy regimen for patients with recurrent or treatment-resistant tumors. As resistance to the first-line therapy evolves, tumors can develop sensitivities to other chemotherapeutic agents besides the active treatment. This concept is known as collateral sensitivity, and it presents an opportunity for medical providers to plan more effective treatment regimens. By identifying patterns in gene expression among disparate tumor populations, we extracted a collection of gene expression signatures that can predict states of collateral sensitivity against various existing chemotherapies.