Background. In vitro, tissue culture-associated differentiation assays
have facilitated the identification of multiple tumor-cell types. Met
hods. We have investigated the capability of differentiation of three
extraosseous Ewing's sarcoma cell lines toward a neural and muscular d
irection by in vitro stimulation with dibutyryl cyclic adenosinemonoph
osphate (db cAMP) and 5-azacytidine, respectively. Results. Elongation
of cytoplasmic processes and increase of neural markers chromogranin,
S-100 protein, and glial fibrillary acidic protein were observed afte
r db cAMP treatment of these lines and neurosecretory granules as well
as myelin figures were demonstrated ultrastructurally. These results
support the existence of several pathways of neural differentiation in
vitro-neuroblastic, Schwannian, and central glial-in stages of matura
tion more advanced than those previously reported in Ewing's sarcoma o
f bone. The cell lines showed no definitive myoblastic differentiation
after 5-azacytidine treatment. Conclusions. These data suggest that t
hese three extraosseous Ewing's sarcoma cell lines configurate a heter
ogeneous group of tumors with respect to capability of differentiation
into the neural lineage, arrested at more advanced stages of neural c
rest development than Ewing's sarcoma of bone and without capability o
f myoblastic differentiation with 5-azacytidine.