Background NKT cells play an important role in anti-tumor immunity. Alpha-galactosylceramide (alpha-GalCer), a synthetic glycolipid is presented to natural killer T (NKT) cells by most antigen-presenting cells through CD1d molecules leading to activation of NKT cells. However, the precise mechanisms of how alpha-GalCer-activated NKT regulate the polarization of the macrophages and effector T cells in the solid tumor are not studied adequately. Methods We induced solid tumor in C57BL/6 mice by subcutaneous injection of B16F10 cell line (1 X 10(6) cells) and monitored the tumor growth. Animals were given an intraperitoneal injection of alpha-GalCer (2 mu g/injection) in 200 mu l PBS on day + 1, + 5, + 10, + 15, and + 20 (with respect to tumor cell injection). Immune cells were characterized using flow cytometry and immunofluorescence staining. NK cells, Gr1(+) cells, and F4/80(+) macrophages in the mice were depleted by intravenous injection of cell-specific antibodies. Statistical analysis was performed using Student's t-test or one-way ANOVA. Results Our results showed that intratumoral NKT cells have a lower frequency of CD69, CD25, CD122, and IFN-gamma R expression; produced less inflammatory cytokines such as IFN-gamma, TNF-alpha, and GM-CSF; higher frequency CD62L(+) NKT cells; and also showed reduced proliferation as compared to the splenic NKT cells. Mice treated with alpha-GalCer showed a significantly increased frequency of IFN-gamma-producing NKT cells, CD8(+) T cells, and effector Th1 cells. Depletion of NK cells in alpha-GalCer-treated mice showed a lower frequency of IFN-gamma-producing CD4(+) and CD8(+) T cells in the tumor and prevented the alpha-GalCer-induced tumor growth. NKT cell activation with alpha-GalCer treatment significantly increased the iNOS(+)CD206(-) M1-macrophages and reduced the iNOS(-)CD206(+) M2-macrophages in the spleen and tumor, and depletion of F4/80(+) macrophages prevented the alpha-GalCer-induced reduction in the tumor growth. Conclusions We showed that activation of NKT cell with alpha-GalCer modulates the frequency of M1-macrophages and effector Th1 cells in the secondary lymphoid tissues and tumor microenvironment and inhibit tumor growth. The finding suggests that activation of NKT cells with alpha-GalCer may provide an effective anti-cancer outcome.