“…EsxA mediates mycobacterial escape from the phagosome and translocation to the cytosol (here termed cytosolic translocation) through its acidic-pH-dependent membrane-permeabilizing activity (MPA) that disrupts lipid membranes at low pH ( Figure 1 ) [ 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ]. Interestingly, other mycobacterial factors are also involved in mycobacterial cytosolic translocation, and the co-dependent expression and secretion of EsxA with other factors increases the complexity of dissecting the precise roles of EsxA in mycobacterial pathogenesis [ 43 , 53 , 54 , 55 ]. Moreover, EsxA is a strong immunoregulator and interacts with multiple cellular proteins and signaling pathways [ 35 , 36 , 40 , 56 , 57 , 58 , 59 , 60 ].…”