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Published on: June 25, 2015
ESX-1-induced apoptosis during mycobacterial infection: to be or not to be, that is the question
Nacho Aguiló1, Dessislava Marinova1, Carlos Martín1
1Grupo de Genética de Micobacterias, Department of Microbiología, Medicina Preventiva y Salud Pública, Universidad de Zaragoza Zaragoza, Spain ; CIBER Enfermedades Respiratorias, Instituto de Salud Carlos III Madrid, Spain.
Abstract:
The major Mycobacterium tuberculosis virulence factor ESAT-6 exported by the ESX-1 secretion system has been described as a pro-apoptotic factor by several independent groups in recent years, sustaining a role for apoptosis in M. tuberculosis pathogenesis. This role has been supported by independent studies in which apoptosis has been shown as a hallmark feature in human and mouse lungs infected with virulent strains. Nevertheless, the role of apoptosis during mycobacterial infection is subject to an intense debate. Several works maintain that apoptosis is more evident with attenuated strains, whereas virulent mycobacteria tend to inhibit this process, suggesting that apoptosis induction may be a host mechanism to control infection. In this review, we summarize the evidences that support the involvement of ESX-1-induced apoptosis in virulence, intending to provide a rational treatise for the role of programmed cell death during M. tuberculosis infection.
Insights
The Mycobacterium tuberculosis virulence factor ESAT-6 promotes apoptosis, a programmed cell death process. This review examines evidence linking ESX-1-mediated apoptosis to tuberculosis virulence and pathogenesis.
Area of Science:
- Tuberculosis research
- Cellular microbiology
- Pathogenesis of infectious diseases
Background:
- The ESAT-6 protein, a key virulence factor of Mycobacterium tuberculosis, is exported via the ESX-1 secretion system.
- Previous studies suggest ESAT-6 acts as a pro-apoptotic factor, implicating apoptosis in M. tuberculosis pathogenesis.
- Apoptosis is observed in infected lungs, but its role in mycobacterial infection is debated, with some studies suggesting virulent strains inhibit it.
Purpose of the Study:
- To review and synthesize evidence supporting the involvement of ESX-1-induced apoptosis in M. tuberculosis virulence.
- To provide a rational framework for understanding the role of programmed cell death in the context of M. tuberculosis infection.
Main Methods:
- Literature review and synthesis of existing research findings.
- Analysis of studies investigating ESAT-6, the ESX-1 secretion system, and apoptosis in M. tuberculosis infection.
Main Results:
- Evidence suggests that ESAT-6, through the ESX-1 system, can induce apoptosis.
- The role of apoptosis is complex and debated, with potential implications for host-pathogen interactions.
Conclusions:
- ESX-1-mediated apoptosis is a significant factor to consider in M. tuberculosis virulence.
- Further research is needed to fully elucidate the precise role of programmed cell death in tuberculosis pathogenesis.
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