“…This was the case for the non-prosperous 410 strain, a variant of the M strain, contemporary to the outbreak, which caused a single case in two decades despite having numerous opportunities to be transmitted (Yokobori et al, 2013). We have previously shown that the M strain can manipulate macrophage cell death (Yokobori et al, 2012), innate (Yokobori et al, 2013;Yokobori et al, 2012) and adaptive immune responses (Basile et al, 2011;Geffner et al, 2009;Sabio et al, 2017), as well as T cell-mediated cytotoxicity (Geffner et al, 2014), suggesting that it efficiently evades host immunity. However, we still have no direct evidence, other than epidemiology, that can account for the enhanced fitness of the M strain, as its axenic and intracellular growth was slower compared to the laboratory strain H37Rv and 410 (Yokobori et al, 2013).…”