The ATP-Binding Cassette (ABC) Transport Systems in Mycobacterium tuberculosis: Structure, Function, and Possible Targets for Therapeutics

Simple Summary Mycobacterium tuberculosis is a bacterium of great medical importance because it causes tuberculosis, a disease that affects millions of people worldwide. Two important features are related to this bacterium: its ability to infect and survive inside the host, minimizing the immune response, and the burden of clinical isolates that are highly resistant to antibiotics treatment. These two phenomena are directly affected by cell envelope proteins, such as proteins from the ATP-Binding Cassette (ABC transporters) superfamily. In this review, we have compiled information on all the M. tuberculosis ABC transporters described so far, both from a functional and structural point of view, and show their relevance for the bacillus and the potential targets for studies aiming to control the microorganism and structural features. Abstract Mycobacterium tuberculosis is the etiological agent of tuberculosis (TB), a disease that affects millions of people in the world and that is associated with several human diseases. The bacillus is highly adapted to infect and survive inside the host, mainly because of its cellular envelope plasticity, which can be modulated to adapt to an unfriendly host environment; to manipulate the host immune response; and to resist therapeutic treatment, increasing in this way the drug resistance of TB. The superfamily of ATP-Binding Cassette (ABC) transporters are integral membrane proteins that include both importers and exporters. Both types share a similar structural organization, yet only importers have a periplasmic substrate-binding domain, which is essential for substrate uptake and transport. ABC transporter-type importers play an important role in the bacillus physiology through the transport of several substrates that will interfere with nutrition, pathogenesis, and virulence. Equally relevant, exporters have been involved in cell detoxification, nutrient recycling, and antibiotics and drug efflux, largely affecting the survival and development of multiple drug-resistant strains. Here, we review known ABC transporters from M. tuberculosis, with particular focus on the diversity of their structural features and relevance in infection and drug resistance.


Introduction
M. tuberculosis is the agent responsible for tuberculosis, with about 10 million people infected in the world in 2018, of which 1.2 million died in 2019 [1]. To make this scenario worse, many individuals have latent infections that are reactivated at some point in their lives, especially among those with other immunodeficient diseases such as co-infection with the HIV virus (human immunodeficiency virus). The bacillus has a cytoplasmic membrane, cell wall, and an external capsule formed mainly  (Types IV and V), extractors, and mechanotransmitters. Additionally, the structural representation of the Mce complex (Mammalian-cell entry proteins), which has two ABC-like TMDs, is shown. Representative structure of each transporter class is shown in the inner membrane: Type I, the molybdate transporter ModABC of Archaeoglobus fulgidus (PDB 2ONK); Type II, the vitamin transporter BtuT-BtuUV of Burkholderia cenocepacia (PDB 5B58); Type III, the cobalt energy-coupling factor transporter CbiMQO of Rhodobacter capsulatus (PDB 5 × 3X); Type IV, two ABC transporter type exporter of M. tuberculosis that had the three-dimensional structure resolved are shown: the ABC transporter of vitamin B12, BacA (gene Rv1819c) (PDB 6TQF), and the transporter of siderophores, IrtAB (PDB 6TEJ) (nomenclature in red); Type V, the transporter of O-antigen of Aquifex aeolicus VF5 (PDB 6OIH); Type VI, Cryo-EM structure of the E. coli LptB 2 FG transporter (PDB 6MHU); Type VII, the structure of MacAB-like efflux pump from Streptococcus pneumoniae (PDB 5XU1); Mce complex, prediction of the structural organization of Mce transporter systems (Mce1-4); the two ABC components, YrdAB, and the periplasmic domains, proteins MceA to MceF were modelled using I-Tasser server [8] based on E. coli Mla components. The structures are shown in cartoon representation with a transparent surface. The substrate-binding proteins from Type I importers and the periplasmic domains of Mce complex are shown in pink shades; the transmembrane domains are shown in dark and pale green, and the nucleotide-binding domains are shown in blue. P: periplasm, IM: inner membrane, C: cytoplasm. The ABC transporters and components of M. tuberculosis described in this review are listed below the representative structures. Transporters marked with asterisk (*) have structural organization that does not fit the functional or structural classification. Table 1. Genomic context and structural organization of the ATP-Binding Cassette (ABC) importers in Mycobacterium tuberculosis. Importers are presented in seven groups organized by putative function. Genes that belong to the genomic context are shown as arrows. The number of helices and structural organization predicted with TOPCONS [12] are shown in the structural organization column. Substrate-binding proteins are represented in pale pink; transmembrane domains in light and dark green; nucleotide-binding domains in purple; and the regulatory domain, when present, in pale purple. SID: siderophore interaction domain.

ABC Transporters Type Importer
ABC importers are present in prokaryotes but not in eukaryotes. They are responsible for the import of different substrates including oligopeptides, amino acids, inorganic anions, sugars, and metals. Because of such a diverse range of substrates, ABC importers are involved in many physiological processes, including transport, nutrition, virulence, and pathogenesis. Most ABC importers in M. tuberculosis are responsible for the bacillus adaptation in the human host. In this section, we describe the components and full ABC importers systems that were identified in M. tuberculosis, including their roles to keep the bacillus in full activity. We have subdivided them into five main groups according to their putative functions (Table 1). Table 1. Genomic context and structural organization of the ATP-Binding Cassette (ABC) importers in Mycobacterium tuberculosis. Importers are presented in seven groups organized by putative function. Genes that belong to the genomic context are shown as arrows. The number of helices and structural organization predicted with TOPCONS [12] are shown in the structural organization column. Substrate-binding proteins are represented in pale pink; transmembrane domains in light and dark green; nucleotide-binding domains in purple; and the regulatory domain, when present, in pale purple. SID: siderophore interaction domain.

ABC Transporters Type Importer
ABC importers are present in prokaryotes but not in eukaryotes. They are responsible for the import of different substrates including oligopeptides, amino acids, inorganic anions, sugars, and metals. Because of such a diverse range of substrates, ABC importers are involved in many physiological processes, including transport, nutrition, virulence, and pathogenesis. Most ABC importers in M. tuberculosis are responsible for the bacillus adaptation in the human host. In this section, we describe the components and full ABC importers systems that were identified in M. tuberculosis, including their roles to keep the bacillus in full activity. We have subdivided them into five main groups according to their putative functions (Table 1). Table 1. Genomic context and structural organization of the ATP-Binding Cassette (ABC) importers in Mycobacterium tuberculosis. Importers are presented in seven groups organized by putative function. Genes that belong to the genomic context are shown as arrows. The number of helices and structural organization predicted with TOPCONS [12] are shown in the structural organization column. Substrate-binding proteins are represented in pale pink; transmembrane domains in light and dark green; nucleotide-binding domains in purple; and the regulatory domain, when present, in pale purple. SID: siderophore interaction domain.

ABC Transporters Type Importer
ABC importers are present in prokaryotes but not in eukaryotes. They are responsible for the import of different substrates including oligopeptides, amino acids, inorganic anions, sugars, and metals. Because of such a diverse range of substrates, ABC importers are involved in many physiological processes, including transport, nutrition, virulence, and pathogenesis. Most ABC importers in M. tuberculosis are responsible for the bacillus adaptation in the human host. In this section, we describe the components and full ABC importers systems that were identified in M. tuberculosis, including their roles to keep the bacillus in full activity. We have subdivided them into five main groups according to their putative functions (Table 1). Table 1. Genomic context and structural organization of the ATP-Binding Cassette (ABC) importers in Mycobacterium tuberculosis. Importers are presented in seven groups organized by putative function. Genes that belong to the genomic context are shown as arrows. The number of helices and structural organization predicted with TOPCONS [12] are shown in the structural organization column. Substrate-binding proteins are represented in pale pink; transmembrane domains in light and dark green; nucleotide-binding domains in purple; and the regulatory domain, when present, in pale purple. SID: siderophore interaction domain.

ABC Transporters Type Importer
ABC importers are present in prokaryotes but not in eukaryotes. They are responsible for the import of different substrates including oligopeptides, amino acids, inorganic anions, sugars, and metals. Because of such a diverse range of substrates, ABC importers are involved in many physiological processes, including transport, nutrition, virulence, and pathogenesis. Most ABC importers in M. tuberculosis are responsible for the bacillus adaptation in the human host. In this section, we describe the components and full ABC importers systems that were identified in M. tuberculosis, including their roles to keep the bacillus in full activity. We have subdivided them into five main groups according to their putative functions (Table 1). Table 1. Genomic context and structural organization of the ATP-Binding Cassette (ABC) importers in Mycobacterium tuberculosis. Importers are presented in seven groups organized by putative function. Genes that belong to the genomic context are shown as arrows. The number of helices and structural organization predicted with TOPCONS [12] are shown in the structural organization column. Substrate-binding proteins are represented in pale pink; transmembrane domains in light and dark green; nucleotide-binding domains in purple; and the regulatory domain, when present, in pale purple. SID: siderophore interaction domain.

. Sugars Transporters
M. tuberculosis metabolism presents particularities, such as its ability to survive within the macrophage where nutrient limitations exist, when compared to other free-living bacteria, such as M. smegmatis, and other pathogenic bacteria, such as Escherichia coli and Streptococcus pneumoniae [33]. M. tuberculosis, through the glyoxylate cycle, uses lipids as the main carbon source for survival in mice. However, this fact may obscure the importance of carbohydrate transporters. The deletion of the disaccharide transporters has proven to influence infection and pathogenicity [34,35], showing that the bacillus performs metabolic transition depending on its location in the host. The bacterium has four operons that code for ABC transporters dedicated to carbohydrate transport, unlike M. smegmatis, an environmental species that has 19 ABC sugar transporters, highlighting the differences imposed by the different natural environments of these microorganisms [36,37].
One of the sugar importers identified in the M. tuberculosis genome is encoded by the lpqYsugABC operon responsible for the expression of the SBP LpqY, the TMDs SugAB and SugC, and the NBD. The putative function of this transporter is the recycling of trehalose, a particular disaccharide not present in mammals but that is formed during the production of mycolic acids [14]. Structurally, the transporter is predicted have six transmembrane helices in each of the TMDs, as predicted by the TopCons server [12]. The SugC domain shows a high similarity with the MalK protein from E. coli, where the presence of a regulatory domain (Table 1, represented in clear purple) is also possible. Biophysical assays on the SugC domain of this importer have shown a classical NBD behavior with optimal activity at pH 7.5 [38]. Trehalose metabolism appears to be involved in vitro in biofilm formation, which in turn is associated with the in vivo drug resistance of mycobacteria [13]. Studies have shown that trehalose analogues are able to inhibit biofilm formation and decrease bacterial growth in M. smegmatis. In the same study, it was also shown that this transporter is essential for anti-growth and anti-biofilm activities, hence proving its importance for the capture of trehalose and trehalose analogues [13]. Finally, the same transporter is also required for the growth of mycobacteria in C57BL/6J mouse spleen [34] and survival in primary murine macrophages [39].
The uspABC operon encodes another M. tuberculosis sugar transporter (UspABC) consisting of a SBP (UspC) and two TMDs (UspAB) [9]. The absence of the NDB domain in the operon suggests that this transporter might share this domain with other transporters. The TMDs are predicted to have six TM helices each. The SBP UspC contains an N-terminal extension (residues 7-29) that is responsible for anchoring the domain to the membrane. The three-dimensional structure of UspC was determined in 2016. Biochemical assays demonstrated that UspC preferentially bound amino sugars such as chitobiose, a characteristic that shows the ability of the bacillus to use scarce sources of nutrients during intracellular infection and the recycling of amino acids from its own cell wall [15] ( Table 2). UspABC has been reported as an essential transporter for in vitro growth in transposon mutagenesis assays [40,41].
The third ABC sugar transport system in M. tuberculosis, UgpABCE, is formed by the SBP UgpB, the TMDs UgpA and UgpE, and the NDB UgpC [9] (Table 1). This transporter has been associated with the binding of glycerolphosphocholine (GPC) and other glycerolphosphodiesters [16] (Table 2). It appears to play an important role in the recycling of glycerophospholipid metabolites [17]. It is probable that M. tuberculosis uses these substrates as a source of nitrogen and carbon inside the phagosome. Genes of this transporter have been defined as non-essential during in vitro growth [46], but essential during infection [34]. Finally, the Rv2038c/39c/40c/41c transporter also binds sugars but its specific substrate is still unknown. Genes from this transporter were reported as non-essential for in vitro growth [46,47] but play an essential role during infection in vivo in mice [40]. The SBP Rv2041c was highly expressed in conditions of low pH and oxygen depletion and in phagosome infection, both in dormant and active infections. Together with other M. tuberculosis antigens, this protein transporter was successfully used for the serodiagnosis of patients with active tuberculosis [18] (Table 1). In addition, Rv2041c was related to high levels of TNF-α, IL-6 and IL-12p40 in bovine macrophages and induced an increase in the secretion of IFN-γ and TNF-α in lymphocytes, either in latent and active tuberculosis in Biology 2020, 9, 443 8 of 25 mice models [48]. The structural organization of these four transporters indicates that they all belong to the type I ABC importer systems classification [9].

. Peptides Transporters
M. tuberculosis has two ABC transport systems, DppABCD and OppABCD, which are dedicated to the transport of dipeptides and oligopeptides, respectively [9] (Table 1). The DppABCD import system has similarities with the orthologous system in E. coli and is formed of an SBP DppA, two TMDs (DppB-DppC) with six predicted TM helices, and an NDB (DppD). DppA shows the classic SBP type II topology, where a pocket for substrate binding is formed at the interface of the two subdomains. The three-dimensional structure of M. tuberculosis DppA was solved with the tetrapeptide SSVT in the ligand-binding pocket (PDB: 6E4D) [19]. Peculiarly, in the same study, the authors explored the additional possibility of DppA to bind heme and hemoglobin through the growth of a dpp mutant that was impaired in medium with hemin and human hemoglobin as source of iron [49]. While the M. tuberculosis strain with deletion in dppD has shown a decreasing survival in the early stages of infection, the deletion of dppC in the M. bovis bacille Calmette-Guérin (BCG) was responsible for an attenuated phenotype [50]. Finally, the DppABCD transporter is associated with the regulation of genes involved in cell wall remodeling in M. tuberculosis, since its deletion caused decreased survival in the lungs and spleen in mice but no change in the virulence phenotypes [34,46].
The transporter OppABCD has a structural organization similar to the Dpp system, consisting of an SBP (OppA), two TMDs (OppB-OppC) with six predicted TM helices each, and an NDB (OppD) ( Table 1). This transporter is essential for the growth of M. tuberculosis in a C57BL/6J mouse spleen and infections model [34,47]. The OppABCD system was shown to bind the tripeptide glutathione and the nonapeptide bradykinin, suggesting that it can transport a wide range of substrates. In macrophages infected with M. tuberculosis, this transporter seems to be responsible for reducing the levels of glutathione, an ability that was lost in the oppD mutant. Moreover, in the M. tuberculosis opp deleted strain lower levels of methyl glyoxal and a decreased ability to promote apoptosis and the production of IL-6, IL-1β, and TNF-α were observed, which evidences the interference of the transporter with the innate immune response [20].

Amino Acid Transporters
The putative ABC components related to amino acid transport identified in M. tuberculosis include the transporter ProXVWZ (glycine and betaine), Rv2563/64 and Rv0072/73, and the SBP GlnH (glutamine/glutamate/aspartate) [9]. Rv2563/Rv2564 and Rv0072/Rv0073 share a similar structural organization, with two NBDs and two TMDs (four helices each) that present an external periplasmic domain that spans the cell envelope (Table 1). The structural organization and function of these transporters is still uncertain. While the TMD organization is similar to that observed in the MacB family, whose members are responsible for the efflux of macrolides, division regulation, and lipoprotein or protein effectors release [51][52][53][54], the NBDs from the Rv0073 and Rv2564 share a more than 70% amino acid sequence identity with ATPases from glutamine transporter-type importers, causing some doubts about their true function [55,56]. A protein microarray study has shown that Rv2564 is immunogenic and reacts positively with serum from TB-infected patients, while showing no reactivity in control patients' samples [21]. The transporters Rv0072/Rv0073 and Rv2563/Rv2564 are described as non-essential for M. tuberculosis in vitro growth, as many clinical isolates show a partial or complete deletion of Rv0072/Rv0073 [40,46,47].
GlnH is a periplasmic binding protein and its structure was solved in complex with glutamine, glutamate, and asparagine [22] (Table 2); it has structural feature similar to the SBPs of anion transporters. Genes up and downstream of glnH encode, respectively, the permease GlnX and the kinase PknG, which phosphorylates the protein GarA, either in M. smegmatis and M. tuberculosis. The phosphorylation of GarA culminates in the cancellation of the repression of the metabolism of glutamic acid [22]. Finally, the amino acid transporter ProXVWZ is similar to the glycine betaine transporters that are found in various bacteria. It is formed by the substrate binding-protein domain ProX, the TMDs ProW and ProZ, and the NBD ProV [9]. In other microorganisms, this type of transporter is responsible for the control of osmoregulation through osmoactive compounds, such as glycine betaine, proline, and others that do not show metabolic activity even in high concentrations. M. tuberculosis ProX binds polyphenols such as phloretin, which can be used as a carbon source [23]. Mutants of the proXVWZ operon showed problems in accumulating glycine betaine, deficiency in survival and growth in macrophages, and impaired the bacillus growth in a medium with a high osmolarity [57].

Anion Transporters
M. tuberculosis has at least four complete ABC transporter systems for anion transport that share similar structural organization with conserved type II SBPs, TMDs with six predicted TM helices and NBDs with regulatory domains [9,58] (Table 1).
SubICysTWA is a sulfate transporter formed by the periplasmic binding protein SubI, the TMDs CysT and CysW and the NBD CysA1. This transporter is part of an important pathway for the production of L-cysteine, methionine, mycothiol and other cofactors that draw attention to them as potential targets for drug development [58,59]. Mutants of this transporter affect the growth of the bacterium in vitro and its survival in macrophages during infection [34,40,46,47]. Studies have shown that strains with mutations in cysA1 and subI were unable to capture sulfur [60] and showed an increased sensitivity to several antibiotics compared to the wild-type strain where genes encoding this transporter were upregulated in depletion of sulfur [28]. The three-dimensional structure of the periplasmic binding protein SubI was solved in the presence of sulfate (PDB: 6DDN), revealing a conserved binding site ( Table 2).
ModABC is highly conserved with respect to the E. coli molybdate importer system and imports molybdate ions that are used as cofactor in a series of enzymes that act on the M. tuberculosis metabolism [61,62]. The transporter system is constituted of SBP (ModA), two TMDs (ModB) and two NBDs (ModC) ( Table 1). ModC was identified as one of the antigens present in the urine of patients with active pulmonary TB it is therefore a possible biomarker for point-of-care diagnostics in combination with other MTB antigens [25]. A M. tuberculosis mutant lacking ModA protein has shown a lower survival rate in lungs of mice and attenuated infectious phenotype when compared to the wild-type strain but showed in vitro growth faster [46]. Moreover, the gene was non-essential during the infection of M. tuberculosis in macrophages [34,40].
Phosphate uptake in M. tuberculosis is organized in four operons: pstS1pstC1pstA2pstB (SBP-TMD-TMD-NDB), pstS3pstC2pstA1 (SBP-TMD-TMD), phoT (NDB), and pstS2 (SBP) ( Table 1). It is still unclear if the uncomplete systems can be completed by components from other operons or if they assemble by combining the various components from different operons [9,63,64]. The three SBPs are present in the mycobacterial surface and they seem to be upregulated during the starvation of phosphate [26,64]. The pstS3pstC2pstA2 expression was dependent of the two-component system SenX3-RegX3, during phosphate starvation. PstA1, PstC2, and PstS3 proteins are essential for in vivo growth and macrophage survival, and PhoT protein is essential for virulence [65]. The pknD gene is located downstream of the pstS3pstC2pstA2 operon and encodes a serine/threonine kinase that plays a key role in phosphate regulation and in the activity of the transporters (Table 1). Mutations in pknD, induced a similar phenotype to pstS mutants, altering the survival ability of the bacillus in macrophages and the lungs of mice [66]. PstS1 and PstS3 have similar identical three-dimensional structures that were solved in the presence of phosphate [42,43]. Another interesting observation is that under phosphate deprivation conditions, the bacillus shows an isoniazid tolerance phenotype [67]. A high level of expression of the pstB in response to fluoroquinolone treatment was also observed suggesting that the expression of this gene is associated with fluoroquinolone resistance [68]. Finally, PstS proteins are highly immunogenic and hence good targets for the development of new diagnostic approaches [27] (Table 2).

Metal Transporters
M. tuberculosis uses ABC transporter components for the uptake of metals, mostly related to survival and virulence [69][70][71][72]. ABC proteins include FecB (SBP), FecB2 (SBP), Rv3041c (NDB), Rv1463 (NDB), and IrtA/IrtB, a non-canonical importer of siderophores [9,29,73,74]. The fecB gene encodes a substrate binding-protein homologous to E. coli FecB that binds iron from ferric citrate. The expression of FecB orthologous in M. avium was directly influenced by the iron concentration [75]. Mutants of M. tuberculosis fecB, have shown to be susceptible to several antibiotics, suggesting a direct relationship between FecB and intrinsic resistance to these drugs. This effect was probably due to changes in the permeability of the cell envelope caused by changes in iron metabolism [28]. The FecB2 is the second SBP identified in M. tuberculosis and its structure, as reported in the Protein Data Bank (PDB: 4PM4), shows a classic type III substrate binding-protein topology [76], with two subdomains αβ connected by a small α-helical hinge ( Table 2). Possible functions for FecB2 include heme binding, uptake, degradation and interaction with proteins coupled to heme. The fecB2 mutant showed reduced growth in a medium with heme as the unique iron source, in comparison with the parental strain [49]. Rv3041c consists of an NBD protein that has not yet been characterized [9]. Single nucleotide polymorphisms (SNPs) found in rv3041c could be responsible for phenotypes of resistance to rifampicin, ofloxacin, streptomycin and the resistance observed in MDR strains [77].
The M. tuberculosis operon rv1461-1466 encodes a system for biogenesis of iron-sulfur cluster. Fe-S clusters are co-factors that require multiple protein systems for their biosynthesis and are related to several functions such as DNA repair, amino acid metabolism, nitrogen fixation, and others [78]. While rv1460 encodes the operon regulator, rv1463 encodes the NBD SufC. All the genes from this cluster are essential for M. tuberculosis growth [29]. During iron-limiting conditions, M. tuberculosis upregulates the expression of iron-related genes, such as the siderophores carboxymycobactin (cMyco) and lipophilic mycobactin [74].
The irtA and irtB genes encode an ABC-type transporter, with fused membrane-spanning and ATPase domains similar to those seen for Type V transporters (Figure 1). However, biochemical analyses and the three-dimensional structure of this transporter have shown that IrtA has an additional N-terminal domain, positioned in the same side of the ATPase, which works as a siderophore-interaction domain (SID) [30] ( Table 2). The siderophore interaction domain from IrtA is specifically required for the transport of the lipid-bound mycobactin, but not for carboximycobactin, which also can be diffused through the inner membrane [30]. On the other hand, the siderophore domain is responsible for the uptake of carboxymycobactin from inside the cell and deliver it to the TMDs for its exportation [79]. This way, IrtA also could act as carboxymycobactin exporter working in synergy with IrtB. The mutation of irtAB operon in M. tuberculosis affects the growth in iron-deficient conditions in vitro, the efficient utilization of iron from Fe-carboxymycobactin, as well as replication of the bacillus in human macrophages [80] and in mouse lungs [40]. This transporter is essential to the bacillus survival during iron deficiency and is required for its replication in macrophages and mice [74,81].

Hydrophilic Compounds
Although the transporter Rv1819c (BacA) has an overall fold similar to Type IV ABC transporters (Figure 1), with two copies of TMD, each one has six transmembrane helices that are fused to an individual NBD ( Table 2). As observed in Type IV ABC transporters (exporters), the Rv1819c substrate is located in the interface between the two TMDs. Interestingly, this transporter has a large occluded water-filled cavity that spans across the whole lipid membrane. Its function was determined as an importer of hydrophilic compounds, such as vitamin B12 and bleomycin [32]. Studies have shown that a mutant bacillus of rv1819c loses the ability to maintain chronic infection in murine models and increases resistance to bleomycin [82]. Besides the previous functions attributed to Rv1819c, it is also speculated to play a role in the transport of peptides and drugs [31].

Energy-Coupling Factor Transporter (ECF)
The ABC transporters type III (ECF, energy-coupling factor) are a special case of importers. These systems do not use a classic SBP, as seen for type I and II importers. The TMDs called EcfT and EcfS are structurally and functionally different (Table 1). EcfT is predicted to have between four and eight helices and makes direct contact with the two subunits of the NBDs. On the other hand, EcfS or S-component, is formed by six-helix cylinder embedded in the membrane and it is responsible for substrate binding. In some characterized ECF transporters, NBDs and the T-component interact with more than one type of S-component [82]. The operon rv2325-rv2326 is a homologue to the ECF transporter of E. coli and Lactobacillus brevis and encodes a putative transmembrane component similar to T-component and the NBD, respectively. Recently, only the S-component was identified in the M. tuberculosis genome.

ABC Transporters Type Exporters
M. tuberculosis has at least 28 identified genes encoding components of ABC transporter type exporters, from which 26 form 14 complete systems subdivided into four main functional categories: (i) recycling/transport of membrane components (two systems), (ii) electron transport chain (ETC) (one system), (iii) virulence and adaptation (two systems), and (iv) drug efflux (nine systems). The genomic organization show the genes are organized in operons that also contain related genes that, depending on the function, will help in transport. Based on secondary structure predictions, domain analyses, and the prediction of the number of transmembrane helices, these transporters show a variety of structural organizations that go beyond the classical architecture of two NBDs and two TMDs. Furthermore, both transporters and components have shown a functional plasticity in M. tuberculosis and related species.

Transporters Involved in the Recycling and Transport of Membrane Components and Liposaccharides
Two complete systems were identified in this group: RfbDE and Rv1747. RfbDE is encoded by rv3783 and rv3781, respectively, which are separated by a gene encoding a putative sugar transferase ( Table 3).
The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2). Indeed, this transporter is phosphorylated by the M. tuberculosis serine/threonine protein kinase (STPK) PknF [102], a gene that is in the same operon of rv1747 [84,103,104] (Table 3). Studies have shown that the phosphorylation is essential for transporter function [105] and induces the phenomenon of the phase separation and clustering of the transporter in vitro in membrane models and live cells [84]. Although still not clear, this transporter has been associated with the translocation of bacterial cell wall components such as lipo-oligosaccharides or phosphatidyl-myo-inositol-mannosides (PIMs), antibiotic extrusion, and cell wall synthesis or remodeling [102]. Interestingly, the phosphorylated protein Rv2623 (USP) binds to Table 3. Genomic context and structural organization of ATP-binding cassette (ABC) export systems in Mycobacterium tuberculosis. The ABC exporters are divided into four groups according to their function. Genes that belong to the genomic context are shown as arrows. The predicted number and structural organization of TM helices and structural organization according TOPCONS are shown in the last column, where transmembrane domains (TMDs) are colored in clear and dark green, nucleotide-binding domains (NBDs) in purple, and regulatory domains (when present) in pale purple. FHA is the fork-head associated domain and ECD is the extracellular domain.

Rv1686c/Rv1687c
Biology 2020, 9, [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray Multidrug efflux [9] Rv1273/Rv1272 [TM/NBD](2x) MSBA subfamily/Drug efflux [87] Rv1456c/Rv1457c/Rv1458c Antibiotic transport TM1/TM2-[NBD](2x) [89] Rv0194 Drug efflux transport [TM/NBD](2x) [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2).
[TM/NBD] (2x) Multidrug efflux [9] Rv1273/Rv1272  [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2). Multidrug efflux [9] Rv1273/Rv1272 [TM/NBD](2x) MSBA subfamily/Drug efflux [87] Rv1456c/Rv1457c/Rv1458c Antibiotic transport TM1/TM2-[NBD](2x) [89] Rv0194 Drug efflux transport [TM/NBD](2x) [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2).
[TM/NBD] (2x) MSBA subfamily/Drug efflux [87] Rv1456c/Rv1457c/Rv1458c  [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2). Multidrug efflux [9] Rv1273/Rv1272 [TM/NBD](2x) MSBA subfamily/Drug efflux [87] Rv1456c/Rv1457c/Rv1458c Antibiotic transport Rv0194 Drug efflux transport [TM/NBD](2x) [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2). Multidrug efflux [9] Rv1273/Rv1272 [TM/NBD](2x) MSBA subfamily/Drug efflux [87] Rv1456c/Rv1457c/Rv1458c Antibiotic transport TM1/TM2-[NBD](2x) [89] Rv0194 Drug efflux transport [TM/NBD](2x) [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2).  [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2).

Drug efflux transport
[TM/NBD] (2x) [90] Rv1217c/Rv1218c  [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2).  [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2).
[TM/NBD] (2x) [91] Rv1473 Biology 2020, 9, [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2).  [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2). NBD Macrolides efflux [92,93] Rv2477c Biology 2020, 9, [90] Rv1217c/Rv1218c [TM/NBD](2x) [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2).  [91] Rv1473 NBD Macrolides efflux [92,93] Rv2477c NBD Macrolides efflux [93] The membrane-spanning (RfbD) and nucleotide-binding domains (RfbE) share homology with components of O-antigen and lipopolysaccharide exporter from different species [94,95]. RfbE and RfbD have also orthologues in M. leprae [96]. The inactivation of their respective orthologues in M. smegmatis has suggested that they are involved in the biosynthesis of cell wall components and arabinogalactan, working as a potential flippase candidate that exports the lipid intermediate containing the galactan structure prior to its arabinosylation [97]. RfbE was identified as one of the most expressed proteins in the proteomic analysis of a one-year-old dormant M. tuberculosis [98] bacillus and is highly abundant in multidrug-resistant and susceptible M. tuberculosis isolates [99]. RfbDE seems to be essential for in vitro growth [40,46] and is required for growth in C57BL/6J mouse spleen [34]. The relevance of arabinogalactan for the bacillus makes this transporter an excellent target for therapeutics.
In the group of transporters dedicated to liposaccharides release, Rv1747 presents a quite interesting structural organization. Besides the canonical TMDs and NBDs present in exporters, it has two Fork-Head Associated domains (FHA-1 and FHA-2) in the cytoplasm side that are connected by an intrinsically disordered region of 150 amino acids [44]. The FHA are modular recognition domains with a high specificity for phospho-threonine (pThr) that participate in important cellular processes such as growth, division, differentiation, apoptosis, transcription, DNA repair, and protein degradation [100,101]. The structures of FHA-1 and FHA-2 were determined by X-ray crystallography and nuclear magnetic resonance (NMR) spectroscopy, respectively [84] (Table 2). NBD Macrolides efflux [93]

Electron Transport Chain (ETC)
The operon cydABCD in M. tuberculosis is responsible for cytochrome assembly and microaerobic respiration and plays an active role in the electron transport chain [107,108] (Table 3). While the genes cydA and cydB, similarly to E. coli, encode subunits I and II, respectively, of the cytochrome bd-quinol oxidase [85], the cydC and cydD genes each encode a polypeptide consisting of the TMD and NBD that will form a heterodimer ABC transporter (type V), responsible for cytochrome bd assembly and heme transport in M. tuberculosis [109] and M. smegmatis [85]. The genes cydABCD are upregulated during the exposure of M. tuberculosis to hypoxia and nitric oxide in vitro and during the chronic phase of infection [110]. Interestingly, the disruption of cydC also has been associated with the persistence of the bacillus in isoniazid-treated (INH-treated) mice without affecting growth or survival in untreated mice, suggesting a connection between this transporter and resistance mechanisms in M. tuberculosis. Proteins from the cytochrome assembly and microaerobic respiration are considered valid targets for drug discovery [111].

Virulence and Adaptation
The ABC transporter Rv0987/Rv0986 is homologous to the AttFGH transporter of Agrobacterium tumefaciens, which is known to be necessary for infection in plants due its participation in attachment and virulence [112,113]. In M. tuberculosis, rv0986 and rv0987 are essential for the in vitro growth of the H37Rv strain [40]. Mutants of rv0986 showed an attenuated phenotype associated with the prevention of phagosome maturation and acidification in bone marrow macrophages from BALB/c mice [114,115] and development in the central nervous system of BALB/c mice [86]. The transporter is associated with the exportation of substrate(s) that might be critical in the infection of different cells [9]. A bioinformatics analysis of Rv0987 predicted it to have 10 to 12 transmembrane helices, with two extracellular domains forming a complex organization that is not clearly classified (Table 3) [9]. Rv0986 is closely related to FtsE (a protein that is predicted to bind ATP and hydrolyse it) from FtsXE system, an ABC transporter implicated in the cell division of M. tuberculosis [9,87] and the cleavage of peptideoglycans [45]. The three-dimensional structure of the extracellular domain (ECD) transmembrane FtsX component has an unusual fold that binds the N-terminal segment of RipC (Rv2190c), a peptideoglycan peptidase, inducing conformational changes in this enzyme [45] ( Table 2). The interaction of M. tuberculosis FtsX with FtsZ (homologue of eukaryotic tubulin) was observed in vivo and ex vivo, suggesting the role of this transporter in the Z-ring formation in the divisome [87].

Drug Efflux and Resistance in M. tuberculosis
The resistance of M. tuberculosis to the first and second lines of antibiotics is one of largest problems that challenges TB control strategies and therapy. The bacillus has a set of different tactics to decrease drug susceptibility, including the alteration of targets, the inactivation of the drugs, and cell envelope impermeability. The role of efflux pumps has been pointed as critical in this process. Different M. tuberculosis clinical isolates have shown increased levels of efflux pump gene expression, as well as the identification of critical SNPs (Single Nucleotide Polymorphisms) [4,116]. The results of these studies reveal the development of multi-drug resistant (MDR) strains that are resistant to at least two anti-TB drugs, rifampicin and isoniazid, and extensive-drug resistant (XDR) strains that are resistant to at least one of the second-line drugs [4].
The genome of M. tuberculosis has a large number of genes (2.5%) involved in drug efflux, where in the large ABC transporter family at least seven complete systems of exporters were identified, including two isolated NBDs. Five of them present a similar organization, and they are involved in the transport of macrolides and multi-drugs; these include DrrABC, Rv1686c/87c, Rv1273/Rv1272, Rv1456c/57c/58c, and Rv2686c/87c/88c. These transporters' topology presents two TMDs with six to eight TM helices each and two NBDs homodimers ( Table 3). The DrrABC transporter is implicated in doxorubicin resistance and transport of surface lipid phthiocerol dimycocerosate (PDIM) [117] and daunorubicin. In M. smegmatis, DrrAB has shown to confer resistance to a number of clinically relevant but structurally unrelated antibiotics. where the ATP binding was positively regulated by the compounds. Moreover, treatment with reserpine and verapamil, which are classical inhibitors of ABC transporters, was capable to impair DrrAB function [118]. DrrAB also was over-expressed in MDR isolates [88,119]. This operon is needed for growth in C57BL/6J mouse spleen [34]. Not much is described in the literature for the Rv2686c/87c/88c transporter, which is still poorly studied, but it is known to be related to the efflux of fluoroquinolone [120,121]. Although Rv1686c/87c are non-essential genes for the in vitro growth of H37Rv [46], Rv1687c is upregulated in clinical isolates [122]. Genes rv1272/73 are non-essential for the in vitro growth of H37Rv [46], yet they are required for bacillus survival in primary murine macrophages [39] and primate lungs [123]. The analysis of the XDR clinical isolates of M. tuberculosis revealed a common SNP in Rv1273 [124]. The genes encoding the ABC transporter Rv1456c/57c/58c were overexpressed in the presence of ethambutol, isoniazid, rifampicin, and streptomycin in M. tuberculosis [90]. The disruption of components from this operon results in the growth defect of H37Rv in vitro [40,46,47].
Structurally different from the drug exporters described previously, the Rv0194 and Rv1217c/Rv1218c systems present large TMDs of 12 predicted helices. The transporter Rv0194 has two TMDs and two NBDs encoded by a single gene ( Table 3). Disruption of the rv0194 gene promotes the in vitro growth of H37Rv [46], although proteomics studies have shown that it is a non-essential gene [47,125]. On the other hand, rv0194 is significantly upregulated under hypoxic conditions compared to under aerobic conditions [126]. The Rv0194 transporter is highly induced in rifampicin (RIF)-resistant and RIF-susceptible isolates [91], and its role is also implicated in the efflux of ethidium bromide [127] and capreomycin/amikacin/kanamycin [128]. Rv1217c/Rv1218c transporters mediate resistance to different classes of antibiotics, such as novobiocins, pyrazolones, biarylpiperazines, bisanilinopyrimidines, pyrroles, and pyridines, and have been implicated in drug resistance in many clinical isolates [116]. The three-dimensional structure of Rv1219c, a TetR family transcriptional regulator, revealed a cavity with key aromatic residues essential for the binding of small drugs [92].
Finally, in the drug-efflux group, two isolated genes encode for ATPases. While Rv2477c has been associated with the efflux of kanamycin and amikacin in M. tuberculosis MDR and XDR clinical isolates, Rv1473 seems to be involved in macrolide transport [94].

Distribution of ABC Transporters across Different Species of M. tuberculosis Genus
In order to evaluate the distribution of the ABC transporters across different species of the genus Mycobacterium, we have organized a panel comparing the use of all the components previously described (Figure 2).  (Figure 2). The ABC exporters panel has revealed that species from the M. tuberculosis complex group conserve all the transporter components, forming a consistent large number of exporters when compared to the other species, including the pathogenic group. This appears to suggest that, in some way, these transporters are correlated to the mechanisms of infection and pathogenesis in humans. The RfbDE, PtsXE, Rv1456c/57c/58c, Rv1473, Rv2477, Rv1272/73, Rv1747, and CydCD transporters are conserved in all species (apart from Rv1747 and CydCD that are missing in M. leprae), indicating that they might be part of a conserved "core" of ABC transporters needed for physiological functions in the genus. Two transporters stood out for their almost exclusive presence in species of the M. tuberculosis complex, with M. marinum as an exception. However, it should be noted that this species tuberculosis components were used as a query for ortholog searching in the KEGG (Kyoto Encyclopedia of Genes and Genomes) orthologist tool [129]. The species are classified into three groups: M. tuberculosis complex, other pathogenic species, and environmental species. Each bar corresponds to the amino acid sequence identity (100% to 0%) of that specific protein related to the M. tuberculosis putative ortholog. Amino acid sequences from M. tuberculosis proteins were used as a query for blastP in the Kyoto Encyclopedia of Genes and Genomes (KEGG) [129] against the data bank of relevant species, including the M. tuberculosis complex members, other pathogenic species, and environmental species. The analysis of the ABC transporters importer systems revealed that all the transporters identified in M. tuberculosis are conserved in the members of the complex. Some of these ABC importers have orthologues in all the species, such as the systems ModABC, CysWTA, OppABCD (only missing in M. abscessus), BacA, and ECF and the components GlnH, PstS2/PstA2, PhoT, FecB, Rv3041c, and Rv1463, suggesting that they might constitute a minimum set of importers. Nevertheless, there are other importers that are exclusive to the M. tuberculosis complex or just present in a few species, such as UgpABCE, which is also conserved in M. kansasii and M. marinum (two species not considered human pathogens); PstS1/PstC1/PstA1/PstB, conserved in M. yogonense, M. intracellulare, and M. terrae; and the transporters Rv0072/Rv0073 and Rv2563/Rv2564, also present in M. florentinum, M. rhodesiae, M. kansasii, M. terrae, and M. fortuitum. The analysis of the Rv0072/Rv0073 and Rv2563/Rv2564 transporters is particularly interesting since they are grouped with GlnH (ABC glutamine transporter), which is conserved in all the species. We have noticed the absence of IrtA/IrtB and FecB in M. leprae, M. kansasii, and M. gilvum. These systems are involved with iron/siderophores transport; hence their absence suggests that iron and siderophores are not relevant substrates for these species. Another mycobacterium that stands out is the M. marinum, which was the most similar to the M. tuberculosis complex in terms of the distribution of ABC importers. Studies of M. marinum have largely increased and gained interest due its genetic similarity with M. tuberculosis and its use as a pathogenesis model with zebra fish as the host (Figure 2).
The ABC exporters panel has revealed that species from the M. tuberculosis complex group conserve all the transporter components, forming a consistent large number of exporters when compared to the other species, including the pathogenic group. This appears to suggest that, in some way, these transporters are correlated to the mechanisms of infection and pathogenesis in humans. The RfbDE, PtsXE, Rv1456c/57c/58c, Rv1473, Rv2477, Rv1272/73, Rv1747, and CydCD transporters are conserved in all species (apart from Rv1747 and CydCD that are missing in M. leprae), indicating that they might be part of a conserved "core" of ABC transporters needed for physiological functions in the genus. Two transporters stood out for their almost exclusive presence in species of the M. tuberculosis complex, with M. marinum as an exception. However, it should be noted that this species is responsible for the development of the TB in fish, which is very similar to human TB. Components related to drug efflux vary a great deal, probably reflecting the need to be exposed to xenobiotic agents and drugs.

Mce Components of Mycobacterium tuberculosis
Although all M. tuberculosis ABC transporters fit structurally and functionally into the previously mentioned seven families, M. tuberculosis contains two (novel) ABC-like transmembrane proteins, YrbEA and YrbEB [10], and one ATPase termed MceG (mkl ATPase, Rv0655) [16] that belong to a large complex spanning the cellular envelope. YrbEA and YrbEB are encoded in four mce (from "Mammalian cell entry") highly conserved operons where genes play essential roles in the entry of the microorganism into the mammalian cells and their survival within phagocytes [130][131][132] (Figure 3).
Each mce operon (Mce1 to Mce4) encodes six Mce proteins (MceA-F) that span the bacillus envelope and are bound to the inner membrane as part of the ABC complex formed by the YrbEA and YrbB components. All twenty-four Mce proteins have a conserved Mce domain, with unique C-terminal domains including the cholesterol uptake porter domain, RGD motifs for probable integrin binding, and DEF motifs. The initial functions attributed to Mce proteins included an important role in the host cell invasion through cholesterol-rich regions, immuno-modulation [131] and lipid or steroid transport [123]. However, their role seems to go much beyond this, as they have been implicated in (i) pathogenesis by inhibiting alveolar macrophage activity or eliciting immune response from the host; (ii) virulence, interfering with the granuloma formation and long-term survival of mycobacteria within the host [11,132]; and, lately, (iii) altering cytokine expression through interaction with ERK1/2, promoting cell proliferation through preventing the proteasomal degradation of eEF1A1 and enabling cell adherence and entry through interactions with integrins. Therefore, the use of these proteins as diagnosis markers for mycobacterial infection has been suggested [132][133][134]. Finally, and interestingly, the mce3 operon is absent in the non-pathogenic species M. bovis, M. avium, M. bovis BCG, and M. smegmatis [11], suggesting a specific role in virulence and survival in the human host.

Mce Components of Mycobacterium Tuberculosis
Although all M. tuberculosis ABC transporters fit structurally and functionally into the previously mentioned seven families, M. tuberculosis contains two (novel) ABC-like transmembrane proteins, YrbEA and YrbEB [10], and one ATPase termed MceG (mkl ATPase, Rv0655) [16] that belong to a large complex spanning the cellular envelope. YrbEA and YrbEB are encoded in four mce (from "Mammalian cell entry") highly conserved operons where genes play essential roles in the entry of the microorganism into the mammalian cells and their survival within phagocytes [130][131][132] (Figure 3).  [131] and lipid or steroid transport [123]. However, their role seems to go much beyond this, as they have been implicated in (i) pathogenesis by inhibiting alveolar macrophage activity or eliciting immune response from the host; (ii) virulence, interfering with the granuloma formation and long-term survival of mycobacteria within the host [11,132]; and, lately, (iii) altering cytokine expression through interaction with ERK1/2, promoting cell proliferation through preventing the proteasomal degradation of eEF1A1 and enabling cell adherence and entry through interactions with integrins. Therefore, the use of these proteins as diagnosis markers for mycobacterial infection has been

Conclusions
In this review, we have compiled the most relevant data regarding ABC transporters and components from the ABC importer and exporter systems present in M. tuberculosis. The number and type of ABC transporters present in M. tuberculosis are highly conserved in species that form the MTBC, which show a similar infection phenotype, virulence, and pathogenesis. It is evident that the distribution of the importers and exporters is determined by the availability of nutrients, hosts, or types of environment they use as a habitat. MTBC species have a large number of components dedicated to phosphate uptake, opposite to the other pathogenic and environmental species, indicating that phosphate might be a relevant element for the physiology and maintenance of the microorganism in the host.
Furthermore, many transporters have non-canonical structures, and even when they are organized in classic domains they are associated with unexpected functions. For example, the two ABC transporters IrtAB and BacA play a role as importers but have structures that are mostly similar to type IV exporters. Indeed, IrtAB has shown to export siderophore carboxymycobactin, and BacA has been related to the import of vitamin B12.
Altogether, the features presented in this review emphasize how diverse M. tuberculosis ABC transporters are. They also show how much investigation still is required to fully understand the structure-function mechanisms of this large protein family in one of the most important human pathogens.