Candidate transmission survival genome of <i>Mycobacterium tuberculosis</i>

S Saurabh Mishra (Department of Microbiology and Immunology, Weill Cornell Medicine) P Prabhat Ranjan Singh (Department of Microbiology and Immunology, Weill Cornell Medicine) X Xiaoyi Hu (The Fluid Dynamics of Disease Transmission Laboratory, Fluids and Health Network, Department of Mechanical Engineering, Massachusetts Institute of Technology) L Landys Lopez-Quezada (Department of Microbiology and Immunology, Weill Cornell Medicine) A Adrian Jinich (Department of Chemistry and Biochemistry, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego) R Robin Jahn (The Fluid Dynamics of Disease Transmission Laboratory, Fluids and Health Network, Department of Mechanical Engineering, Massachusetts Institute of Technology) L Luc Geurts (The Fluid Dynamics of Disease Transmission Laboratory, Fluids and Health Network, Department of Mechanical Engineering, Massachusetts Institute of Technology) N Naijian Shen (The Fluid Dynamics of Disease Transmission Laboratory, Fluids and Health Network, Department of Mechanical Engineering, Massachusetts Institute of Technology) M Michael A. DeJesus (Laboratory of Host-Pathogen Biology, Rockefeller University) T Travis Hartman (Department of Medicine, Weill Cornell Medicine) K Kyu Rhee (Department of Medicine, Weill Cornell Medicine) M Matthew Zimmerman (Center for Discovery and Innovation, Hackensack Meridian Health) V Véronique Dartois (Center for Discovery and Innovation, Hackensack Meridian Health) R Richard M. Jones (Department of Microbiology, University of Washington) X Xiuju Jiang (Department of Microbiology and Immunology, Weill Cornell Medicine) R Ricardo Almada-Monter (Department of Chemistry and Biochemistry, University of California San Diego) L Lydia Bourouiba (The Fluid Dynamics of Disease Transmission Laboratory, Fluids and Health Network, Department of Mechanical Engineering, Massachusetts Institute of Technology) C Carl Nathan (Department of Microbiology and Immunology, Weill Cornell Medicine)

Abstract

Mycobacterium tuberculosis (Mtb), a leading cause of death from infection, completes its life cycle entirely in humans except for transmission through the air. To begin to understand how Mtb survives aerosolization, we mimicked liquid and atmospheric conditions experienced by Mtb before and after exhalation using a model aerosol fluid (MAF) based on the water-soluble, lipidic, and cellular constituents of necrotic tuberculosis lesions. MAF induced drug tolerance in Mtb, remodeled its transcriptome, and protected Mtb from dying in microdroplets desiccating in air. Yet survival was not passive: Mtb appeared to rely on hundreds of genes to survive conditions associated with transmission. Essential genes subserving proteostasis offered most protection. A large number of conventionally nonessential genes appeared to contribute as well, including genes encoding proteins that resemble antidesiccants. The candidate transmission survival genome of Mtb may offer opportunities to reduce transmission of tuberculosis.

Article Details

Volume / Issue Vol. 122, Issue 10
Published March 11, 2025
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (18)

S

Saurabh Mishra

Department of Microbiology and Immunology, Weill Cornell Medicine

P

Prabhat Ranjan Singh

Department of Microbiology and Immunology, Weill Cornell Medicine

X

Xiaoyi Hu

The Fluid Dynamics of Disease Transmission Laboratory, Fluids and Health Network, Department of Mechanical Engineering, Massachusetts Institute of Technology

L

Landys Lopez-Quezada

Department of Microbiology and Immunology, Weill Cornell Medicine

A

Adrian Jinich

Department of Chemistry and Biochemistry, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego

R

Robin Jahn

The Fluid Dynamics of Disease Transmission Laboratory, Fluids and Health Network, Department of Mechanical Engineering, Massachusetts Institute of Technology

L

Luc Geurts

The Fluid Dynamics of Disease Transmission Laboratory, Fluids and Health Network, Department of Mechanical Engineering, Massachusetts Institute of Technology

N

Naijian Shen

The Fluid Dynamics of Disease Transmission Laboratory, Fluids and Health Network, Department of Mechanical Engineering, Massachusetts Institute of Technology

M

Michael A. DeJesus

Laboratory of Host-Pathogen Biology, Rockefeller University

T

Travis Hartman

Department of Medicine, Weill Cornell Medicine

K

Kyu Rhee

Department of Medicine, Weill Cornell Medicine

M

Matthew Zimmerman

Center for Discovery and Innovation, Hackensack Meridian Health

V

Véronique Dartois

Center for Discovery and Innovation, Hackensack Meridian Health

R

Richard M. Jones

Department of Microbiology, University of Washington

X

Xiuju Jiang

Department of Microbiology and Immunology, Weill Cornell Medicine

R

Ricardo Almada-Monter

Department of Chemistry and Biochemistry, University of California San Diego

L

Lydia Bourouiba

The Fluid Dynamics of Disease Transmission Laboratory, Fluids and Health Network, Department of Mechanical Engineering, Massachusetts Institute of Technology

C

Carl Nathan

Department of Microbiology and Immunology, Weill Cornell Medicine