In the early 90's, researchers at Kirin Pharma reported the results of their studies of glycolipid extracts of Agelas Mauritianus, an Okinawan sponge. An optimized synthetic material, α-galactosylceramide 1 (Figure 1, also known as KRN7000 and α-Galcer), a slightly simplified version of the active materials found in the sponge extracts, displayed potent anti-tumor activity in a whole animal murine assay. iAn intensive series of biological experiments in the ensuing decade unveiled the activity of the α-Galcer as stemming from its immunostimulant activity. ii Thus, α-Galcer is not cytotoxic, and high-throughput cell-based assays would not have revealed its activity. The molecular basis for α-Galcer stimulation of the immune system is its initial binding to a protein receptor, named CD1d, found on the surface of antigen presenting cells. The complex between the receptor and the α-Galcer has been crystallized and analyzed by X-ray diffraction and shows that two lipid chains of the ceramide are buried in two hydrophobic channels of the protein and that the 2,3 hydroxyls of galactose and the 3 hydroxyl of the phytosphingosine side-chain participate in hydrogen bonds with the protein. iii This binding motif leaves the 4 and 6 hydroxyls of the α-Galcer available to be recognized by receptors on natural killer T cells. In a very recent disclosure, the crystal structure of the triple complex of CD1d/ α-galcer/NKT receptor shows the binding of the gal-4-OH to the NKT, but the 6-OH seems to be free. iv The effect of the second protein molecule's recognition of the initial complex is to produce a powerful surge of cytokines interferon-γ, (IFNγ), interleukin-4 (IL-4) and interleukin-12 (IL-12) which then signal for the eventual cytotoxic immune response. Extensive analog studies in the O-glycoside series revealed the importance of the galactose configuration and the free hydroxyls. The only allowed substitution of the galactose OH's is N-acyl at the 6-position of galactose. Variation of lipid chain length and degrees of unsaturation in both the phytosphingosine and N-acyl side-chains are permissible. v In most cases, small changes in cytokine levels are the result; but in one striking example, shortening the lipid of the phytosphingosine from 14 to 5 carbons ( Figure 1, compound 2, named as OCH) stimulates almost exclusive production of IL-4 with a great diminution of IFNγ and IL-12. In immunology terms, this change is said to favor a TH2 immune response whereas the reverse, a decrease in IL-4 and an increase in the other cytokines is called a TH1 response. In the mouse, the TH2 & Dedicated to the memory of Professor Giuseppe Capozzi , Dipartimento di Chimica Organica, Universita di Firenze, a friend and colleague.