“…In addition, suppression of lymphocytes as well as macrophages caused by B16F10 cell culture supernatants containing immunosuppressive factors, such as TGF-β, IL-10, and VEGF, was antagonized by Gl -PS [29,30,31]. Lymphocyte proliferation, and perforin and granzyme B production in lymphocytes after induction with phytohemagglutinin (PHA), as well as lymphocyte proliferation in the mixed lymphocyte reaction, were suppressed by B16F10 cell culture supernatants in which there were elevated levels of IL-10, TGF-β1, and VEGF, but the suppression was fully or partially antagonized by Gl -PS [29]. However, the antagonism was only studied in an animal cell culture model of melanoma, and it is important to know what is in the plasma of cancer patients, especially patients with other cancers, such as lung cancer, because the constituents may be more complex in cancer patients than in an animal cell culture model, and there are many differences between human beings and other animals.…”