“…By direct action, these compounds were shown to influence membrane fluidity, 27 inhibit protein kinase C, 28 modulate phosphatidylcholine biosythesis, 29 inhibit phospholipase, 30 elevate intracellular calcium concentration, 31 regulate signal transduction 32 and inhibit tumor cell growth either in vitro or in vivo. 1,21,[33][34][35][36] As for the indirect effects, these substances have been reported to induce tumor cell differentiation and differentiation of myelomonocytic cells [13][14][15] and to activate macrophages. 10,16,17,[37][38][39] Since most of the studies dealing with HPC-mediated macrophage activation were performed in vitro, it was unclear until now in how far this mechanism substantially contributes to the antitumor effect that has been observed in several human tumor models.…”