Evidence map›Paper›PMID 41266320›Full record

ArticleNature communications2025

Control of Mycobacterium tuberculosis protein secretion by ESX-4 and the outer membrane EsxUT-EsxEF complex.

Rashmi Ravindran Nair, Virginia Meikle, Swati Dubey, Mikhail Pavlenok, Anna D Tischler, Michael Niederweis

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. HowVaccines · 2026
    Review
  4. Loss of the ESX-5 secretion locus inProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Rashmi Ravindran NairDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
Virginia MeikleDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
Swati DubeyDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
Mikhail PavlenokDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
Anna D TischlerDepartment of Microbiology and Immunology, University of Minnesota, Minneapolis, MN, 55455, USA.ORCID http://orcid.org/0000-0001-8404-0250
Michael NiederweisDepartment of Microbiology, University of Alabama at Birmingham, Birmingham, AL, 35294, USA. mnieder@uab.edu.ORCID http://orcid.org/0000-0003-4068-8092

Funding

Toxin secretion and trafficking by Mycobacterium tuberculosisR01AI175106 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MICHAEL NIEDERWEIS · 2023 to 2026
$3.0M
PPE Export by the Essential ESX-5 Secretion System in M. tuberculosis VirulenceR21AI163580 · NIAID · UNIVERSITY OF MINNESOTA · PI TISCHLER, ANNA DEGRAFF · 2021 to 2022
$426k
Division of Intramural Research, National Institute of Allergy and Infectious Diseases (Division of Intramural Research of the NIAID) R10 AI175106NIAID NIH HHS R01 AI175106NIAID NIH HHS R21 AI163580
6 · The paper itself

Abstract

Mycobacterium tuberculosis uses five ESX systems to secrete effector proteins with distinct functions essential for the pathogen's growth and virulence. The current paradigm assumes that each ESX system secretes a distinct set of effector proteins. Here, we show that the EsxU-EsxT proteins, associated with the ESX-4 system, and the EsxE-EsxF proteins, encoded in the toxin operon cpnT, form a supercomplex that is required not only for toxin secretion, but also for outer membrane localization and for secretion of all Esx proteins into the cytosol of infected macrophages. Secretion of non-Esx proteins such as EspB, proteins involved in iron uptake, and PPE62, which are dependent on ESX-1, ESX-3 and ESX-5, respectively, also requires the EsxUT-EsxEF supercomplex. The mutual functional dependency of EsxEF and EsxUT on each other for outer-membrane localization synchronizes effector protein secretion, enabling M. tuberculosis to block phagosomal maturation and to permeabilize the phagosomal membrane when the pathogen is capable of killing host cells by toxin secretion. The requirement of the ESX-4 system for general secretion of ESX-dependent proteins in vivo is a critical vulnerability that could be targeted by drugs and/or in vaccines to simultaneously block many virulence factors of M. tuberculosis.

Indexed as

Bacterial Outer MembraneBacterial Outer Membrane ProteinsBacterial ProteinsBacterial Secretion SystemsMycobacterium tuberculosisAnimalsHumansMacrophagesMicePhagosomesTuberculosisBacterial Outer Membrane ProteinsBacterial ProteinsBacterial Secretion Systems

Identifiers

PMID41266320
PMCPMC12635105

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.