A novel stress-inducible CmtR-ESX3-Zn regulatory pathway essential for survival of under oxidative stress.

Reactive oxygen species (ROS) are an unavoidable host environmental cue for intracellular pathogens such as and ; however, the signaling pathway in mycobacteria for sensing and responding to environmental stress remains largely unclear. Here, we characterize a novel CmtR-Zur-ESX3-Zn regulatory pathway in that aids mycobacterial survival under oxidative stress. We demonstrate that CmtR functions as a novel redox sensor and that its expression can be significantly induced under HO stress. CmtR can physically interact with the negative regulator Zur and de-represses the expression of the -3 operon, which leads to Zn accumulation and promotion of reactive oxygen species detoxication in mycobacterial cells. Zn can also act as an effector molecule of the CmtR regulator, using which the latter can de-repress its own expression for further inducing bacterial antioxidant adaptation. Consistently, CmtR can induce the expression of EsxH, a component of -3 operon involved in Zn transportation that has been reported earlier, and inhibit phagosome maturation in macrophages. Lastly, CmtR significantly contributes to bacterial survival in macrophages and in the lungs of infected mice. Our findings reveal the existence of an antioxidant regulatory pathway in mycobacteria and provide novel information on stress-triggered gene regulation and its association with host-pathogen interaction.