PT - JOURNAL ARTICLE AU - Eliza J.R. Peterson AU - Rebeca Bailo AU - Alissa C. Rothchild AU - Mario Arrieta-Ortiz AU - Amardeep Kaur AU - Min Pan AU - Dat Mai AU - Charlotte Cooper AU - Alan Aderem AU - Apoorva Bhatt AU - Nitin S. Baliga TI - An essential mycolate remodeling program for mycobacterial adaptation in host cells AID - 10.1101/354431 DP - 2018 Jan 01 TA - bioRxiv PG - 354431 4099 - http://biorxiv.org/content/early/2018/06/22/354431.short 4100 - http://biorxiv.org/content/early/2018/06/22/354431.full AB - The success of Mycobacterium tuberculosis (MTB) stems from its ability to remain hidden from the immune system within macrophages. Here, we report a new technology (Path-seq) to sequence miniscule amounts of MTB transcripts within up to million-fold excess host RNA. Using Path-seq we have discovered a novel transcriptional program for in vivo mycobacterial cell wall remodeling when the pathogen infects alveolar macrophages in mice. We have discovered that MadR transcriptionally modulates two mycolic acid desaturases desA1/A2 to initially promote cell wall remodeling upon in vitro macrophage infection and, subsequently, reduces mycolate biosynthesis upon entering dormancy. We demonstrate that disrupting MadR program is lethal to diverse mycobacteria making this evolutionarily conserved regulator a prime antitubercular target for both early and late stages of infection.One Sentence Summary Novel technology (Path-seq) discovers cell wall remodeling program during Mycobacterium tuberculosis infection of macrophages