Polyunsaturated fatty acids (PUFAs) have growth inhibitory action on tumor cells possibly, by augmenting free‐radical generation and accumulation of lipid peroxides. This study focused on PUFAs and their metabolites role on IMR‐32 cell proliferation with and without doxorubicin to elucidate their mechanism of action by employing cell viability assay (MTT), gene expression, and biochemical studies. All the PUFAs tested inhibited proliferation of IMR‐32 cells in vitro on theirown and boosted the growth suppressive action of doxorubicin. Surprisingly indomethacin enhanced while NDGA inhibited growth of IMR‐32 cells. Proinflammatory and anti‐inflammatory PUFA metabolites inhibited growth of IMR‐32 cells and enhanced growth inhibitory action of doxorubicin. AA, EPA alone, and in combination with doxorubicin inhibited expression of genes: NF‐kB, IkB, BCL‐2, BAX, cytochrome C, caspase9,3, p53, 5‐LOX, and enhanced levels of GPX. AA and EPA enhanced buildup of lipid peroxides and suppressed expression of Ras, Myc, and Fos. Based on these studies, it is proposed that accumulation of lipid peroxides seems to be the principle mechanism by which AA, EPA, and other PUFAs bring about their growth inhibitory action on tumor cells. © 2018 BioFactors, 44(4):387–401, 2018