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Updated: Dec 22, 2025

A Flow Cytometry-Based Cytotoxicity Assay for the Assessment of Human NK Cell Activity
Published on: August 9, 2017
A high-throughput assay for screening natural products that boost NK cell-mediated killing of cancer cells
Zihang Xu1, Xiaowen Zhu1, Lin Su1
1Laboratory of Integrative Medicine, School of Basic Medical Sciences, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Abstract:
Context: Natural killer (NK) cells can eliminate malignant cells and play a vital role in immunosurveillance. Administration of natural compounds represents a promising approach for antitumor immunotherapy, which may enhance the NK cell activity via multiple mechanisms.Objective: Establishing approaches to evaluate the effect of select natural products on NK cell-mediated cytotoxicity.Materials and methods: We selected a natural product library containing 2880 pure compounds, which was provided by the National Centre for Drug Screening of China. 0.1% DMSO was employed as a negative control, and 100 U/mL human recombinant IL-2 was employed as a positive control. To evaluate the % of tumour cells which were killed by NK cells, expanded NK cells were co-cultured with tumour cells and then treated with natural products at the concentration of 10 μM. After 24-h co-incubation, luminescent signal was detected and percent lysis was calculated.Results: We report on the results of a three-round high-throughput screening effort that identified 20-deoxyingenol 3-angelate (DI3A) and its analogue ingenol 3-angelate (I3A) as immuno enhancers which boosts NK cell-mediated killing of non-small cell lung cancer cells (NSCLCs). Biophotonic cytotoxicity assay and calcein release assay were used as two well-established NK cell cytotoxicity detection assays to validate the immuno-enhancing effects of DI3A and I3A, which was achieved by increasing degranulation and interferon-gamma secretion of NK cells.Conclusions: Our newly established ATP-based method was a valuable and information-rich screening tool to investigate the biological effects of natural products on both NK cells and tumour cells.
Insights
Natural compounds like DI3A and I3A enhance natural killer (NK) cell activity against cancer. This study developed a screening method to identify compounds that boost NK cell-mediated cytotoxicity for improved antitumor immunotherapy.
Area of Science:
- Immunology
- Pharmacology
- Oncology
Background:
- Natural killer (NK) cells are crucial for immunosurveillance and eliminating malignant cells.
- Natural compounds offer a promising avenue for antitumor immunotherapy by potentially enhancing NK cell activity.
- Developing effective methods to screen natural products for NK cell-enhancing properties is vital.
Purpose of the Study:
- To establish and utilize high-throughput screening approaches for evaluating the impact of natural products on NK cell-mediated cytotoxicity.
- To identify specific natural compounds that can augment the killing of cancer cells by NK cells.
Main Methods:
- A library of 2880 natural compounds was screened.
- NK cells were co-cultured with non-small cell lung cancer cells (NSCLCs) and treated with natural products at 10 μM.
- An ATP-based luminescent assay, biophotonic cytotoxicity assay, and calcein release assay were employed to measure NK cell cytotoxicity and degranulation.
Main Results:
- High-throughput screening identified 20-deoxyingenol 3-angelate (DI3A) and ingenol 3-angelate (I3A) as potent immuno-enhancers.
- DI3A and I3A significantly boosted NK cell-mediated killing of NSCLCs.
- These compounds increased NK cell degranulation and interferon-gamma secretion.
Conclusions:
- The newly established ATP-based screening method is effective for investigating the biological effects of natural products on NK cells and tumor cells.
- DI3A and I3A demonstrate potential as therapeutic agents to enhance NK cell-based antitumor immunity.
- This research validates the utility of natural compounds in augmenting NK cell functions for cancer treatment.

