Tuberculosis is a devastating disease causing high mortality all over the world, especially in the developing countries. Mycobacterium tuberculosis (M. tb) is the causative agent of tuberculosis which replicates in the intracellular environment of host macrophages. Although the host immune system is capable of completely eliminating the pathogen, co-evolution of M. tb with humans has resulted in its ability to hijack the host innate and adaptive immune systems in numerous ways. Limited recent progress has been made in the understanding of M. tb immune escape mechanisms, hence exploration of survival strategies of M. tb has been critically reviewed with an insight into understanding its pathogenesis. We summarized the recent studies regarding the modulation of innate immune response, adaptive immune response, epigenetics and the role of miRNA. All of these advancements suggest that M. tb is well-familiarize with the host immune system and possess the ability to hijack it for intracellular survival. ! 597 Curr. Issues Mol. Biol. (2021) 41: 597-616. caister.com/cimb Stealth Strategies of Mycobacterium tuberculosis for Immune Evasion 2010). It further inhibits the major histocompatibity complex class-II (MHC-II)mediated antigen presentation to adaptive immune cells, i.e. CD4 + T cells (Harding and Boom , 2010). To survive in the hostile cellular environment, pathogenic mycobacteria employ various strategies, such as: phago-lysosome maturation inhibition, autophagy suppression, cytokine activation and production, reactive oxygen (ROS) and nitrogen species (RNS) inhibition, manipulation of antigen presentation to T cells, and epigenetics (Cambier et al., 2014;Harding and Boom, 2010). M. tb is recognized by macrophages through pattern recognition receptors (PRRs) which include; Toll-like receptors (TLR-2, TLR-4, TLR-9), NOD-like receptors (NLR), and C-type lectin receptor (CLR) (Mortaz et al., 2015). Recognition activates intracellular signaling cascades, such as IL-1 receptor-associated kinases (IRAK), TNF receptor-associated factor 6 (TRAF-6), TGF-ß-activated protein kinase 1 (TAK1), and mitogen-activated protein kinases (MAPK) (Ernst, 1998;Mortaz et al., 2015). TLR signaling leads to the release of pro-inflammatory cytokines, such as tumor necrosis factor (TNF), interleukin-12 (IL-12), and IL-1β. These cytokines recruit adaptive immune cells, T-cells, which can aid in the mycobactericidal response by their interferon-gamma (IFN-γ) release (Mortaz et al., 2015). IFN-γ increases the microbicidal capacity of macrophages by enhancing trafficking of the phagocytosed bacteria to lysosomes. Moreover, IFN-γ triggers macrophages to produce damaging radical species, such as ROS and RNS (Mortaz et al., 2015). How M. tb successfully manipulate these responses of the innate and adaptive immune system of host for its persistence is questionable till date? Similar to our present study on M. tb, Ahmed et al., (Ahmed et al., 2016) has described the similar stealing strategies of another notorious intracellular organism, Brucella. The...