Identification of scavenger receptor B1 as the airway microfold cell receptor for Mycobacterium tuberculosis

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Abstract
Mycobacterium tuberculosis (Mtb) can enter the body through multiple routes, including via specialized transcytotic cells called microfold cells (M cell). However, the mechanistic basis for M cell entry remains undefined. Here, we show that M cell transcytosis depends on the Mtb Type VII secretion machine and its major virulence factor EsxA. We identify scavenger receptor B1 (SR-B1) as an EsxA receptor on airway M cells. SR-B1 is required for Mtb binding to and translocation across M cells in mouse and human tissue. Together, our data demonstrate a previously undescribed role for Mtb EsxA in mucosal invasion and identify SR-B1 as the airway M cell receptor for Mtb.
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Funding Information
  • National Institute of Allergy and Infectious Diseases (AI125939)
  • National Institute of Allergy and Infectious Diseases (AI142784)
  • National Institute of Allergy and Infectious Diseases (5T32AI005284)
  • National Heart, Lung, and Blood Institute (HK131597)
  • Burroughs Wellcome Fund (1017894)
  • Welch Foundation (I-1964-20180324)

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