The type VII secretion system ESX-5 is a major pathway for export of PE and PPE proteins in pathogenic mycobacteria. These mycobacteria-specific protein families are characterized by conserved N-terminal domains of 100 and 180 amino acids, which contain the proline-glutamic acid (PE) and proline-proline-glutamic acid (PPE) motifs after which they are named. Here we investigated secretion of the triacylglycerol lipase LipY, which in fast-growing mycobacteria contains a signal sequence, but in slow-growing species appears to have replaced the signal peptide with a PE or PPE domain. Selected LipY homologues were expressed in wild-type Mycobacterium marinum and its corresponding ESX-5 mutant, and localization of the proteins was investigated by immunoblotting and electron microscopy. Our study shows that Mycobacterium tuberculosis PE-LipY (LipY tub ) and M. marinum PPE-LipY (LipY mar ) are both secreted to the bacterial surface in an ESX-5-dependent fashion. After transport, the PE/PPE domains are removed by proteolytic cleavage. In contrast, Mycobacterium gilvum LipY, which has a signal sequence, is not transported to the cell surface. Furthermore, we show that LipY tub and LipY mar require their respective PE and PPE domains for ESX-5-dependent secretion. The role of the PE domain in ESX-5 secretion was confirmed in a whole cell lipase assay, in which wild-type bacteria expressing full-length LipY tub , but not LipY tub lacking its PE domain, were shown to hydrolyze extracellular lipids. In conclusion, both PE and PPE domains contain a signal required for secretion of LipY by the ESX-5 system, and these domains are proteolytically removed upon translocation.Mycobacteria such as Mycobacterium tuberculosis, the etiological agent of tuberculosis, have a highly unusual and complex cell envelope (1). To secrete virulence factors across the cell envelope, these bacteria use specialized protein secretion systems, known as ESX or type VII secretion systems (2-8). Mycobacterial genomes contain up to five genetic loci coding for type VII secretion systems, named ESX-1 to ESX-5 (9, 10). The most well studied system, ESX-1, is responsible for the secretion of 10 substrates, including the important T-cell antigens ESAT-6 and CFP-10, and is required for full virulence of M. tuberculosis (7,(11)(12)(13)(14)(15)(16)(17). Phylogenetic analyses and comparative genomics suggest that the five ESX clusters have evolved by gene duplication and that ESX-5 is the result of the most recent duplication event (9). Interestingly, ESX-5 is restricted to a group of mycobacterial species known as the slow-growing mycobacteria, which include all major pathogens, such as M. tuberculosis, Mycobacterium leprae, and Mycobacterium ulcerans, and the fish pathogen Mycobacterium marinum (9). Four of the ESX loci contain also PE and PPE genes (named after the conserved Pro-Glu (PE) and Pro-Pro-Glu (PPE) motifs near the N termini of their respective gene products) (9, 10), and the appearance of ESX-5 predates the huge expansion of these gene families in s...