World-First Footage Captures Macrophages Engulfing Live Melanoma Cells, Revealing New Therapeutic Avenue
核心洞察
Scientists at the Garvan Institute have captured the first-ever real-time video of CD169 (搜索)-positive macrophages attacking and engulfing live melanoma (搜索) cells using intravital two-photon microscopy.
The study reveals that these macrophages suppress melanoma (搜索) growth independently of T cells and B cells, challenging the conventional understanding of anti-tumor immunity.
CD169 (搜索)-positive macrophages were also identified in human melanoma (搜索) tissue samples, concentrated around tumor edges, confirming translational relevance.
For the first time in history, researchers have filmed immune cells actively attacking and consuming live cancer cells, a breakthrough that illuminates a previously underappreciated mechanism of tumor suppression and opens new possibilities for treating melanoma (搜索) and other solid tumors.
Scientists at the Garvan Institute of Medical Research and UNSW Sydney employed intravital two-photon microscopy to observe CD169 (搜索)-positive macrophages—immune "housekeeper" cells—engulfing live B16-F10 melanoma (搜索) cells in real time in mouse models. The findings, published in the Journal of Experimental Medicine, identify a macrophage subpopulation that constrains tumor growth independently of the adaptive immune system.
"This is the first time anyone has captured a macrophage attacking and engulfing a live cancer cell in real time," said Dr. Yuki Keith, first author of the study. "We always suspected macrophages were doing more than we gave them credit for – now we have the video footage to prove it."
A Distinct Macrophage Population with Direct Anti-Tumor Activity
Macrophages can account for up to 30 percent of the cells within a melanoma (搜索) tumor, yet their precise role in either promoting or suppressing tumor growth has remained elusive. The Garvan team focused on a subpopulation expressing CD169 (搜索), a protein known to facilitate antigen presentation to B cells and T cells and previously associated with better prognosis in cancer patients.
Using mice injected with B16-F10 melanoma (搜索) cells expressing the red fluorescent protein mCherry, the researchers demonstrated through intravital microscopy and immunofluorescence that CD169 (搜索)-positive macrophages directly phagocytose live tumor cells. When the team selectively depleted these macrophages—including in mice engineered to lack T and B cells—tumor growth became unrestrained.
Flow cytometry on tumor-infiltrating leukocytes confirmed that the macrophages control tumors independent of T and B cells. Professor Tri Phan, senior author on the paper, described this finding as "unexpected, and genuinely exciting," noting that T and B cells are "the immune players most commonly credited with fighting cancer."
Human Relevance Confirmed
To establish translational relevance, researchers at Melanoma Institute Australia analyzed skin biopsies from human patients via immunostaining. The analysis revealed that CD169 (搜索)-positive macrophages are enriched in the hypodermis—the innermost layer of skin—in both healthy and melanoma (搜索) tissues, and concentrate around the edges of melanoma tumors.
Implications for Immunotherapy and Cold Tumors
The discovery carries significant implications for cancer immunotherapy. Immune checkpoint blockade, which depends on T cells to identify and destroy cancer cells, has transformed treatment for advanced melanoma (搜索). However, only about half of patients respond, partly due to "cold tumors" that prevent T cell infiltration.
"While macrophages are known as the body's housekeepers, they also have a second job: acting as immune informants," Dr. Keith explained. "Once they consume a threat, they chew it up and display a piece of it on their surface, like a biological 'red flag'. We suspect that these CD169 (搜索)-positive macrophages are doing exactly this with the live cancer cells, which means they could hold the key to calling the T cell cavalry into the tumor to finish the job."
A Mobilizable Immune Army
The researchers now aim to determine precisely how CD169 (搜索)-positive macrophages interact with T cells, with the goal of developing therapies that could complement existing immunotherapies.
"If we can harness this population of macrophages, we potentially have an immune army already in place, ready to be mobilized," said Professor Phan. "Future treatments could involve developing targeted drugs that boost their numbers, or make them 'hungrier' or better at tagging cancer cells for killing. By combining this approach with existing therapies, we could potentially make immunotherapy work for a much larger group of patients."
The approach may extend well beyond melanoma (搜索). As Professor Phan noted, macrophages are highly abundant in most solid tumors, suggesting broad applicability across cancer types.
The research was supported by Australia's National Health and Medical Research Council, the Australian Cancer Research Foundation, Cancer Institute New South Wales, The Angles Family Foundation, Tour de Cure, and the 2025 Jacqueline Goodnow & Hartley Prize. Melanoma (搜索) biopsy samples were provided and analyzed by Melanoma Institute Australia.
