Background: Mycobacterium tuberculosis ESAT-6 (MtbESAT-6) is required for phagosomal rupture and bacterial cytosolic translocation.Results: MtbESAT-6 underwent a pH-dependent conformational change and induced leakage of membrane vesicles, while its ortholog from non-pathogenic Mycobacterium smegmatis, MsESAT-6, did not. Conclusion: MtbESAT-6 possesses a unique membrane-interacting activity that is not found in MsESAT-6. Significance: This study links membrane-interacting activity of ESAT-6 to virulence of M. tuberculosis.