Australian researchers at the Garvan Institute of Medical Research have identified a population of immune cells in the skin that actively interacts with melanoma cells and limits tumor growth. Using intravital imaging in a mouse model of melanoma, the team observed macrophages at the tumor margin engulfing live cancer cells. The research, published in the Journal of Experimental Medicine, identified a subset of tissue-resident macrophages marked by CD169 expression that appear to contribute to local tumor control through direct phagocytosis of melanoma cells and containment of tumor expansion.
“This is the first time anyone has captured a macrophage attacking and engulfing a live cancer cell in real time,” said first author Yuki Keith, PhD, a research officer at Garvan. “We always suspected macrophages were doing more than we gave them credit for—now we have the video footage to prove it. Studying this in a living system is crucial because it is more representative of what happens in real life, showing the complexity of the immune system and paving the way for the treatments of the future.”
Melanoma is an aggressive skin cancer arising from melanocytes. It is influenced by the tumor immune microenvironment, where cancer cells interact with immune and non-immune cells, and the extra-tumor environment, including tumor-draining lymph nodes where adaptive immune responses are initiated. Immune checkpoint blockade therapies, which rely on T cells to recognize and kill cancer cells, have improved outcomes in advanced melanoma, but currently only around half of patients respond to these treatments. Tumors that limit T cell infiltration, sometimes described as immune “cold” tumors, remain particularly difficult to treat.
For their work, the Garvan researchers used intravital two-photon microscopy to visualize immune activity in living mouse models with melanoma tumors. They identified CD169-positive macrophages concentrated at the tumor periphery and in the hypodermis, where they were seen physically engulfing melanoma cells. Functional experiments showed that depletion of these macrophages using CSF1R blockade led to increased tumor growth, indicating these macrophages suppress tumor progression. Importantly, the anti-tumor effect appeared independent of T cells and B cells, suggesting an innate immune mechanism operating at the tumor edge engulfs and kills tumor cells.
The study shows that in this context, CD169-positive macrophages represent a distinct tissue-resident population positioned near blood vessels in deeper skin layers, where they appear capable of directly interacting with emerging tumor cells.
Within this environment, tumor-associated macrophages have previously been associated with both tumor-promoting and tumor-inhibiting roles, depending on context and cellular subtype. The identification of CD169-positive macrophages that directly engulf live melanoma cells helps explain this heterogeneity and indicates there is a spatially defined immune function in the hypodermis.
“We have revealed a novel phagocytic tissue-resident macrophage subset in the skin that suppresses tumor growth in the mouse melanoma model,” Keith said. “Importantly, we showed that analogous subpopulations of CD169+ macrophages are also present in normal human skin and in patients with melanoma, highlighting the therapeutic potential of targeting this specific subset.”
The findings could provide a new path for the development of immunotherapies targeting melanoma. By enhancing the activity or abundance of CD169-positive macrophages, or improving their ability to tag and ingest tumor cells, it cold be possible to strengthen innate immune containment of melanoma. The team also indicated these cells could influence adaptive immunity by presenting tumor antigens to other immune populations, although the mouse model indicated tumor control could occur independently of adaptive responses.
Keith said the Garvan researchers will now look to define how CD169-positive macrophages communicate with T cells and how they might be modulated by new therapies. There is also the potential to develop targeted drugs that increase the activity of CD169-positive macrophages, or to combine macrophage activation with existing checkpoint inhibitors as a method of improving treatment response, particularly in tumors resistant to T cell–focused therapies.
The post CD169-Positive Macrophages Attacking Melanoma Imaged in Living Tissue appeared first on Inside Precision Medicine.



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