Pathogenicity of Mycobacterium tuberculosis is closely related to its ability to survive and replicate in the hostile environment of macrophages. For some pathogenic bacteria, secretion of ATP-utilizing enzymes into the extracellular environment aids in pathogen survival via P2Z receptormediated, ATP-induced death of infected macrophages. A component of these enzymes is nucleoside diphosphate kinase (Ndk). The ndk gene was cloned from M. tuberculosis H 37 Rv and expressed in Escherichia coli. Ndk was secreted into the culture medium by M. tuberculosis, as determined by enzymatic activity and Western blotting. Purified Ndk enhanced ATP-induced macrophage cell death, as assayed by the release of [ 14 C]adenine. A catalytic mutant of Ndk failed to enhance ATP-induced macrophage cell death, and periodate-oxidized ATP (oATP), an irreversible inhibitor of P2Z receptor, blocked ATP/Ndk-induced cell death. Purified Ndk was also found to be autophosphorylated with broad specificity for all nucleotides. Conversion of His117fiGln, which is part of the nucleotide-binding site, abolished autophosphorylation. Purified Ndk also showed GTPase activity. Collectively, these results indicate that secreted Ndk of M. tuberculosis acts as a cytotoxic factor for macrophages, which may help in dissemination of the bacilli and evasion of the immune system. Keywords: cytotoxic; Mycobacterium; nucleoside diphosphate kinase; tuberculosis; GTPase.Mycobacterium tuberculosis, the causative agent of tuberculosis, normally replicates in host macrophages. The pathogen has evolved several mechanisms to circumvent the hostile environment of macrophages. These include, (a) inhibition of phagosome-lysosome fusion [1], (b) inhibition of phagosome acidification [2], (c) recruitment and retention of tryptophan/aspartate-containing coat protein on phagosomes to prevent their delivery to lysosomes [3], and (d) expression of members of the host-induced PE-PGRS family of proteins [4]. Another process that occurs with many bacterial pathogens concerns surface-associated P2Z receptors of macrophages. These receptors are involved in the killing of infected macrophages via external ATP that is effluxed from macrophages after activation by the invading pathogen [5]. A component of this system is the bacterial ATP-utilizing enzymes, that are secreted by bacterial pathogens such as, Pseudomonas aeruginosa [6,7], Vibrio cholerae [8], Burkholderia cepacia [9], and from Trichinella spiralis, an intracellular, parasitic nematode [10]. Culture supernatant from P. aeruginosa, V. cholerae, and B. cepacia, harboring Ndk and other ATP-utilizing enzymes, is cytotoxic for macrophages and mast cells when ATP is present at millimolar concentrations [7][8][9]. Ndk is also secreted by the nonpathogenic bacterium M. bovis BCG [11], but addition of culture supernatant of M. bovis BCG prevents ATP-mediated cell death [11]. The culture supernatant of M. bovis BCG also contains an ATPase that can modulate ATP concentrations. As studies on Ndk have been performed using culture supern...