Elixir has Lisp-style macros with a Ruby syntax. It's not quite as close to the AST as a Lisp, but I think the trade off hits a sweet spot. For example:

  quote do
    1 + 1
  end

returns:

  {:+, [context: Elixir, import: Kernel], [1, 1]}

which, if you squint at it, starts to look a little Lispy.