A small percentage of healthy donors identified in the Western population carry antibodies in their peripheral blood which convey cytotoxic activity against certain human melanoma and neuroblastoma cell lines. We measured the cytotoxic activity of sera and plasmas from healthy donors on the human neuroblastoma cell line Kelly and various melanoma cell lines. Antibodies of IgM isotype, presumably belonging to the class of naturally occurring antibodies, exerted cytotoxic activity in a complement-dependent fashion. Apart from complement-dependent tumor cell lysis, we observed C3 opsonization in all tumor cell lines upon treatment with cytotoxic plasmas. Cell lines tested primarily expressed membrane complement regulatory proteins (mCRP) CD46, CD55 and CD59 to various extents. Blocking of mCRPs by monoclonal antibodies enhanced cell lysis and opsonization, though some melanoma cells remained resistant to complement attack. Epitopes recognized by cytotoxic antibodies were represented by gangliosides such as GD2 and GD3, as evidenced by cellular sialidase pretreatment and enhanced expression of distinct gangliosides. It remains to be clarified why only a small fraction of healthy persons carry these antitumor cytotoxic antibodies. oligosaccharide-specific monoclonal antibodies or by vaccination with tumor-associated oligosaccharides. For example, treatment with antiganglioside antibodies caused regression of neuroblastoma, 3,4 and clinical trials have been performed using the anti-GD3 monoclonal antibody (mAb) R24 for passive immunization in melanoma patients. 5 In melanoma patients, the level of antiganglioside antibodies was significantly increased after vaccination with a cocktail of gangliosides, and antibody titers correlated with patients' survival. 6 Within the Western population a small proportion of healthy persons carry, within their pool of circulating immunoglobulins, antibodies, preferentially of IgM isotype which can cause a complement-mediated cytolysis of human neuroblastoma cells. 7,8 There are strong indications that these antibodies belong to the class of naturally occurring antibodies (nAb) that are present without external stimulation as products of germ-line encoded genes of the variable region 9,10 and further that a majority of IgM nAb react with carbohydrate antigens. IgM nAb are involved in homeostasis by clearance of damaged or modified intracellular plasma proteins, oxidized lipoproteins or dying cells. 11 Functions attributed to IgM are neutralization, opsonization and complement activation. IgM nAb bind to invading pathogens, which results in complement activation and lysis of the invaders as first line of defense. 11