“…ESAT-6 (6-kDa early secreted antigenic target), a well-documented Mtb virulence factor, is essential for Mtb pathogenesis, including phagosomal rupture, mycobacterial cytosolic translocation and cell-to-cell spreading (Hsu et al, 2003; Stanley et al, 2003; Abdallah et al, 2007; van der Wel et al, 2007; Houben et al, 2012; Manzanillo et al, 2012; Simeone et al, 2012, 2015; Zhang et al, 2016). ESAT-6 appears to function as an important modulator of host inflammatory responses by manipulating several intracellular signaling pathways in macrophages, T cells, and epithelial cells (Tsao et al, 1999; Giacomini et al, 2001; Junqueira-Kipnis et al, 2006; Pathak et al, 2007; Koo et al, 2008; Kurenuma et al, 2009; Mishra et al, 2010; Samten et al, 2011; Wong and Jacobs, 2011; Wu et al, 2019). Here, Refai et al report a new role of ESAT-6 in macrophage differentiation and polarization.…”