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Updated: Jun 22, 2026

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In Vitro Assay to Study Tumor-macrophage Interaction
Published on: August 1, 2019
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Bioengineered iPSC-derived human macrophages with increased angiotensin-converting enzyme (ACE) expression suppress
Tomohiro Shibata1,2, Shabir Bhat1,3, DuoYao Cao4
1Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Signal Transduction and Targeted Therapy
|April 12, 2026
Summary
Engineered macrophages with enhanced angiotensin-converting enzyme (ACE) expression significantly reduced tumor size in preclinical models. This novel immunotherapy strategy boosts the immune system
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- The immune system plays a crucial role in controlling cancer progression.
- Innovative immunotherapies are being developed to harness anti-cancer immunity.
- Macrophages are key immune cells with potential for therapeutic manipulation.
Purpose of the Study:
- To investigate engineered human macrophages expressing regulatable angiotensin-converting enzyme (ACE) as a novel anti-cancer immunotherapy.
- To evaluate the anti-tumor efficacy of ACE-expressing macrophages (ACE-iMac) in vitro and in vivo.
Main Methods:
- Genetically engineered induced pluripotent stem cell-derived macrophages (iMac) with doxycycline-inducible ACE expression.
- Assessment of macrophage polarization towards M1 phenotype and cytokine production.
- In vitro tumor cell killing assays.
- In vivo studies using xenograft models (melanoma, breast cancer, HNSCC) and a humanized BLT-NSG mouse model.
Main Results:
- ACE-iMac exhibited enhanced M1 polarization, increased proinflammatory cytokine production, and superior tumor cell killing in vitro compared to iMac.
- Significant reductions (3.4- to 7.2-fold) in solid tumor size were observed in vivo across multiple cancer types.
- ACE-iMac treatment enhanced human T cell and NK cell activation in a humanized mouse model, reducing melanoma xenograft growth.
Conclusions:
- Enhancing ACE expression in human macrophages amplifies their anti-cancer phenotype.
- ACE-iMac represents a promising novel immunotherapy strategy for various cancers.
- This approach has the potential to improve clinical outcomes for cancer patients.

