Hexadecylphosphocholine (HPC), an alkylphosphocholine, is active against experimental and clinical breast cancer in viw but the precise mechanisms involved in its anti-tumour activity are not fblly understood. In vitro studies have revealed remarkable anti-tumour activity against HL60, U937, Raji and K562 cell lines [l], three human mammary carcinomas cell lines, MT-1, MT-3, MaTu and a murine colon carcinoma MAC 16 [2]. HPC also induced apoptosis in KB cells in vitro [3]. In vivo studies with human mammary carcinomas in nude mice showed tumour volume was reduced following treatment with HPC compared with classic anti-tumour drugs such as doxorubicin, mitoxantrone, methotrexate and 5-fluorourad [4]. Topical application to recurrent breast cancer in the skin has resulted in a 30?? overall response rate [S]. In addition, HPC had outstanding anti-tumour activity in dimethylbenzanthe (DMBA) induced rat mammary tumours, however, another autochthonus tumour, the benzo (a) pyrene-induced sarcoma of the rat did not respond to HPC treatment 161. HPC has been shown previously to have effects on the immune system in vitro such as amplifying the efFect of granulocyte colony-stimulating factor on haematopoietic cells [7] and in liposomal form, increasing the production of TNFa [S]. Increases in leucocyte and platelet counts in patients after administration of HPC have also been observed [9]. Preliminary studies in this laboratory have shown increased expression of CD3 antigen in spleens [lo] and morphological changes in secondary immune tissues [ 111 and tumours [ 121 of MT-I tumour bearing nude mice after treatment with HPC. As yet, however, there is no clear understanding of how this drug recruits cells of the immune system or if immunological modifications lead to anti-tumour effects. The aim of this study was to investigate the anti-tumour mechanisms of HFT against MT1 breast cancer xenografts growing in nude mice and in particular the role of the immune system including cytokine production in the regression of tumours. MT-I tumours were transplanted into the mammary fat pads of twenty four female twelve week old NCWnude mice (weight range 25-30g) subcutaneously by means of a trocar. Tumours were allowed to grow until they were large enough to be measured accurately by callipers (approximately 22 days). Eight of these mice were then used for treatment with HPC, 8 mice were treated with solvent, 4 mice were treated with cyclophosphamide and 4 were kept as untreated controls. HPC was solubilized in 1 O?? Tween 80/ saline and administered orally once a day for 5 days to MT-1 tumour-bearing nude mice at a daily dose of 5Omg/kg. Both untreated and solvent treated controls were included. Cyclophosphamide was solubilized in saline and administered as a single I.P. dose (25Omg/kg). One week after the end of drug administration, the mice were killed and the tumours removed for histology, immunostaining and RNA extraction. Mice treated with cyclophosphamide were sacrificed when the tumours started to regress. Control mice were also sacrificed at the same time and the tumours removed for similar evaluation. Endothelial cells, macrophages (Mcp) and lymphocytes were detected with antibodies to CD31, pan Mcp marker, CD3, CD4, CDS and CD45wB220 respectively. To investigate the production of cytokines, the expression of IL-l was assessed by RT-PCR. HPC treated tumours showed large areas of lysis and the presence of giant cells. Immunostaining revealed increases in endothelial cells associated with massive infiltration of Mcp, T cells (Th and Tc) and B cells. Immune cell infiltration was not observed in tumours following cyclophosphamide treatment or control tumours. In hrther experiments to investigate cytokine gene expression, IL-l mRNA was detected in HPC treated tumours but not in cyclophosphamide treated or control tumours using RT-PCR (Fig. 1). 1 2 3 4 5 6