creators_name: Sarkar, Binayak creators_name: Singh, Jyotsna creators_name: Yadav, Mohit creators_name: Sharma, Priya creators_name: Sharma, Raman Deep creators_name: Singh, Shweta creators_name: Chandramouli, Aakash creators_name: Mehdiratta, Kritee creators_name: Kumar, Ashwani creators_name: Kamat, Siddhesh S creators_name: Ghorpade, Devram S creators_name: Mohanty, Debasisa creators_name: Kumar, Dhiraj creators_name: Gokhale, Rajesh S type: article datestamp: 2026-02-01 13:49:33 lastmod: 2026-02-01 13:49:33 metadata_visibility: show title: PPARγ mediated enhanced lipid biogenesis fuels Mycobacterium tuberculosis growth in a drug-tolerant hepatocyte environment keywords: Mycobacterium tuberculosis; human; infectious disease; microbiology; mouse abstract: 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 PPARγ 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 PPARγ 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. date: 2025-12 publication: Elife volume: 14 number: RP1038 publisher: eLife Sciences Publications, Ltd citation: Sarkar, Binayak and Singh, Jyotsna and Yadav, Mohit and Sharma, Priya and Sharma, Raman Deep and Singh, Shweta and Chandramouli, Aakash and Mehdiratta, Kritee and Kumar, Ashwani and Kamat, Siddhesh S and Ghorpade, Devram S and Mohanty, Debasisa and Kumar, Dhiraj and Gokhale, Rajesh S (2025) PPARγ mediated enhanced lipid biogenesis fuels Mycobacterium tuberculosis growth in a drug-tolerant hepatocyte environment. Elife, 14 (RP1038).