Liver sinusoids harbor populations of 2 important types of immunocompetent cells, Kupffer cells (KCsColon cancer is one of the most common cancers in the Western world. 1 Metastases to the liver, a common event in cancer patients, is an important cause of death, and the rate of metastasis generally determines survival time. 2,3 The growth and development of metastasis involve a cascade of tumor-host cell interactions.The first vascular bed encountered by blood-borne tumor cells from the gastrointestinal tract is in the liver, in the sinusoids of which they encounter 2 immunocompetent cells, Kupffer cells (KCs) and natural killer (NK) cells. 4,5 KCs represent the largest macrophage population in the body. 5 They move along sinusoids, scavenge degenerated cells, macromolecules and microorganisms and function as antigen-presenting cells. 4,6,7 By virtue of these capacities and their privileged location within the circulation, KCs form the first line of defense against disseminating colorectal tumor cells. 8 Their role in controlling hepatic metastasis in vivo has been demonstrated by their capacity to kill tumor cells in vitro. 9 -13 It has been shown that binding to tumor cells is necessary for effective killing in vitro, 14 -16 which is accomplished by a variety of mechanisms, including phagocytosis and the release of proteinases, tumor necrosis factor and oxygen metabolites. 4,17,18 The role of KCs in controlling metastasis has been demonstrated at late stages of metastasis (3 weeks); metastasis is enhanced by selectively eliminating KCs and reduced by stimulating them. 8,19 -22 Whether or not this effect can also be observed during the early stages of metastasis has not been reported yet.Liver 32 and the receptor-mediated pathway (members of the TNF family). 33 Both KCs and liver NK cells belong to the innate immune system and are often observed in close contact with each other. 24,27 It is supposed that these cells affect the growth of liver metastases only if they interact with incoming tumor cells shortly after their arrival in the liver (ϳ 24 hr) because later on the natural host defenses may be incapable of limiting metastasis due to the rapid proliferation of the cancer cell population, angiogenesis and weakened host defenses. Synergism between KCs and NK cells in the elimination of tumor cells has been postulated in vivo 34 and illustrated in vitro. 12 However, most studies describing the in situ KC-tumor cell interactions focused on events occurring 2-3 weeks after tumor cell inoculation, 20,22,34,35 and only a few studies examined the early stages of hepatic metastases (Ͻ 24 hr). 36,37 Routine microscopic methods are not optimal for studying early hepatic metastasis because they require thin sections, low sampling volumes, complicated preparation methods and immunohistochemical procedures. 38 In contrast, confocal laser scanning microscopy (CLSM) enables the study of large sample volumes and sections 50 -100 m thick, facilitating investigation of rare cellular events such as the occurrence of tumor...