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Mycobacterium tuberculosis interactions with host cells Olivier Neyrolles Institut de Pharmacologie et de Biologie Structurale, Toulouse, France One of the key features rendering the tubercle bacillus highly virulent is its ability to parasitize host phagocytic cells, including macrophages and dendritic cells in particular. The molecular mechanisms involved in this process have only recently been investigated, as well as host cell responses to M. tuberculosis infection, together with the microbial factors involved in intracellular survival. I will discuss recent findings in the field, made by our laboratory and others. In particular, we have used high-content visual analysis of a genome-covering M. tuberculosis mutant library screened at the whole cell and organelle levels in macrophages to identify a number of novel microbial genes involved in mycobacterial intracellular trafficking and host cell parasitism. A novel locus involved in the synthesis and export of particular lipids of the mycobacterial cell envelope has been identified. In addition, a recent global profiling study of host cell and mycobacterial responses to infection has allowed to identify several families of eukaryotic and microbial genes whose expression is modulated upon infection. In particular the expression of host cell and mycobacterial genes encoding various intracellular solute carriers has been found to be strongly altered during the infection process. The role of selected members of these transporter families in host-pathogen interactions is currently under investigation. Finally, we have identified the C-type lectin DC-SIGN as a key M. tuberculosis receptor on the dendritic cells and alveolar macrophages of patients with TB. We have recently furthered our understanding of the role of DC-SIGN in TB, by investigating the function of selected mouse DC-SIGN homologues in experimental TB in mice, using various in vivo and in vitro systems. We showed that the DC-SIGN murine homologue SIGNR3 mediates early protection against M. tuberculosis, through recognition of sugar motifs in the mycobacterial cell envelope and induction of protective cytokine secretion. C-type lectins and other mediators of innate and adaptive immunity.