SUMMARYCertain types of tumours are capable of producing factors inhibiting mononuclear phagocyte chemotaxis which may contribute to defects in immunosurveillance. In head and neck cancer these factors are said to be related to the retroviral protein pi 5H, This study examines thepresenceof pi 5E-like factors in serum and urine of patients with malign and benign breast tumours. Thirty patients with breast cancer. 29 patients with benign breast masses, and 2H healthy controls were tested blindly with the monocyie polarization assay, using N-formyl-methionyl-leucylphenylalanine as chenioattractant. The low molecular weight fractions prepared of sera oi the malign tumour patients inhibited the monocyte polarization significantly (mean inhibition M'V.., s.d,= 12) compared with those of benign tumour patients (15'^, s.d, = 7) and of controls (14'Ki, s.d,=6). The observed inhibitory efTeets on the monoeyte polarization could be eompensated by MoAbs reactive to pl5E-rclaicd anUgcns, The mean diftercnce belween ihc polari/alion inhibilion wilh and without anvi-pl 5E adsorption (the'pi 5E-like factor-induced inhibition') was 25' K> (s.d. = 13) in lhe breast cancer group, compared with 7' !^i, (s.d, = 5) in the benign tumour patients and 5"';, (s,d. = 4) in the healthy control group. Surgical removal of the tumours resulted in a restoration of the monocyie polarization in 20/ 23 (87'^) patients ofthe breast cancer group. Results testing preopcrative urine samples correlated well with those of corresponding sera, The.scdata give additional support to the concept that tumourderived pl5E-iike factors are responsible for the inhibitory elTect on monocyte chemotaxis in breast cancer patients, and that these factors can be found in serum as well as in urine.