Background: Natural killer (NK) cells play an indispensable role in
anti-tumor immunity. TGF-1 is the main accomplice of tumor immune
escape, inhibiting tumor immunity mediated by NK cells. It is reported that
Salvia miltiorrhiza can promote the immune killing effect of NK cells. In this
study, Tanshinol, a water-soluble active component of Salvia miltiorrhiza, was
used to investigate its effect on the inhibition of NK cell functions mediated by
TGF-1 in breast cancer. Methods: We constructed a mouse model
of breast cancer by tail vein injection, H&E staining and ELISA were used to
verify the role of TGF-1 and the effects of Tanshinol on breast cancer
and NK cells. In vitro, we used CCK8 and cytotoxicity assays to preliminarily
evaluate the effect of Tanshinol on the anti-tumor effect of NK cells
intervention by TGF-1. We explored the killing activity of NK cells and
related signal pathways by immunofluorescence imaging technology, RT-PCR, ELISA
and flow cytometry. Also, Western blot, RT-PCR and immunofluorescence experiments
were applied to investigate the expression level of the natural killer group 2
member D (NKG2D)-NKG2D ligands (NKG2DL) signal axis, and combined with
immunoprecipitation, to detect the formation of NKG2D-DNAX-activating protein of
10 kD (DAP10) complex. Results: TGF-1 played a role in
promoting lung metastasis of breast cancer and inhibiting the secretion of
cytotoxic mediators from NK cells, but Tanshinol could reverse it. High-dose
Tanshinol also significantly optimized the survival rate of tumor-bearing mice.
TGF-1 could destroy the NKG2D-NKG2DL axis, down-regulate the expression
and nuclear accumulation of p-smad2/3. Moreover, TGF-1 inhibited the
activation of PI3K-ERK1/2-PLC2 signaling pathway that is related to the
degranulation of NK cells, and diminished the expression of degranulation marker
CD107a and the release of anti-tumor cytotoxic killing medium of NK cells.
However, Tanshinol was able to interfere with the negative regulation of
TGF-1 on the functions of NK cells, mainly through promoting the
expression of NKG2D and its molecular chaperone DAP10, thereby propelling the
formation of NKG2D-DAP10 complex. Conclusions: Collectively, Tanshinol
enables NK cells to activate and release multiple killing mediators to carry out
immune attacks on tumor cells.