Nearly 1.7 billion people are infected with Mycobacterium tuberculosis. Its ability to survive intracellularly is thought to be central to its success as a pathogen, but how it does this is poorly understood. Using a Drosophila model of infection, we identify three host cell activities, Rab7, CG8743, and the ESCRT machinery, that modulate the mycobacterial phagosome. In the absence of these factors the cell no longer restricts growth of the nonpathogen Mycobacterium smegmatis. Hence, we identify factors that represent unique vulnerabilities of the host cell, because manipulation of any one of them alone is sufficient to allow a nonpathogenic mycobacterial species to proliferate. Furthermore, we demonstrate that, in mammalian cells, the ESCRT machinery plays a conserved role in restricting bacterial growth.O ne-third of the human population is infected with M. tuberculosis, and each year it causes 2-3 million deaths. The success of M. tuberculosis as a pathogen is due to its ability to survive within macrophages, which normally eradicate intracellular bacteria, a property that has been attributed to resistance to reactive nitrogens, as well as the capacity to alter IFN-␥ signaling and phagosome maturation (see reviews in refs. 1 and 2). Virulent mycobacteria are able to alter phagosome maturation, residing in a compartment that resembles an early endosome. The bacteria inhabit a replicative niche that retains early endosomal markers, such as Rab5, but fails to fully acidify or recruit late endosomal markers, such as Rab7, or mature lysosomal hydrolases. M. tuberculosis, as well as a number of species that are used as models, including Mycobacterium avium and the vaccine strain, Mycobacterium bovis bacillus Calmette-Guérin, share the ability to alter phagosome maturation and grow in a variety of evolutionarily divergent phagocytic cells (3-5), suggesting that mycobacteria target evolutionary conserved molecules to survive within macrophages. In contrast, Mycobacterium smegmatis, a useful laboratory tool because of its rapid growth and genetic tractability, does not grow within macrophages and is unable to cause infection in humans. Although there are a number of molecular differences between the phagosomes containing virulent mycobacteria compared with those containing M. smegmatis (or latex beads or heat-killed mycobacteria), the functional importance of these differences in terms of restricting bacterial growth remains unclear.Previously we performed a functional genomic screen to identify host factors that influence the uptake and growth of mycobacteria (6). We developed a model of infection using Mycobacterium fortuitum and Drosophila S2 cells, a macrophagelike cell line that is amenable to RNAi. Such an approach, using RNAi in combination with a Drosophila tissue culture model of infection, has proved a valuable strategy for dissecting the host contribution to infection for a number of pathogens (7-12). We used M. fortuitum as a model mycobacterial pathogen because, like M. tuberculosis, it restricts phagosom...