TY - JOUR ID - open3267 UR - http://crdd.osdd.net/open/3267/ IS - RP1038 A1 - Sarkar, Binayak A1 - Singh, Jyotsna A1 - Yadav, Mohit A1 - Sharma, Priya A1 - Sharma, Raman Deep A1 - Singh, Shweta A1 - Chandramouli, Aakash A1 - Mehdiratta, Kritee A1 - Kumar, Ashwani A1 - Kamat, Siddhesh S A1 - Ghorpade, Devram S A1 - Mohanty, Debasisa A1 - Kumar, Dhiraj A1 - Gokhale, Rajesh S Y1 - 2025/12// N2 - Mycobacterium tuberculosis (Mtb) infection of the lungs, besides producing prolonged cough with mucus, also causes progressive fatigue and cachexia with debilitating loss of muscle mass. While anti-tuberculosis (TB) drug therapy is directed toward eliminating bacilli, the treatment regimen ignores the systemic pathogenic derailments that probably dictate TB-associated mortality and morbidity. Presently, it is not understood whether Mtb spreads to metabolic organs and brings about these impairments. Here, we show that Mtb creates a replication-conducive milieu of lipid droplets in hepatocytes by upregulating transcription factor PPAR? and scavenging lipids from the host cells. In hepatocytes, Mtb shields itself against the common anti-TB drugs by inducing drug-metabolizing enzymes. Infection of the hepatocytes in the in vivo aerosol mice model can be consistently observed post-week, 4 along with enhanced expression of PPAR? and drug-metabolizing enzymes. Moreover, histopathological analysis indeed shows the presence of Mtb in hepatocytes along with granuloma-like structures in human biopsied liver sections. Hepatotropism of Mtb during the chronic infectious cycle results in immuno-metabolic dysregulation that could magnify local and systemic pathogenicity, altering clinical presentations. PB - eLife Sciences Publications, Ltd JF - Elife VL - 14 KW - Mycobacterium tuberculosis; human; infectious disease; microbiology; mouse TI - PPAR? mediated enhanced lipid biogenesis fuels Mycobacterium tuberculosis growth in a drug-tolerant hepatocyte environment ER -