EsxA (ESAT-6) and EsxB (CFP-10) are virulence factors exported by the ESX-1 system in mycobacterial pathogens. In Mycobacterium marinum, an established model for ESX-1 secretion in Mycobacterium tuberculosis, genes required for ESX-1 export reside at the extended region of difference 1 (RD1) locus. In this study, a novel locus required for ESX-1 export in M. marinum was identified outside the RD1 locus. An M. marinum strain bearing a transposon-insertion between the MMAR_1663 and MMAR_1664 genes exhibited smooth-colony morphology, was deficient for ESX-1 export, was nonhemolytic, and was attenuated for virulence. Genetic complementation revealed a restoration of colony morphology and a partial restoration of virulence in cell culture models. Yet hemolysis and the export of ESX-1 substrates into the bacteriological medium in vitro as measured by both immunoblotting and quantitative proteomics were not restored. We show that genetic complementation of the transposon insertion strain partially restored the translocation of EsxA and EsxB to the mycobacterial cell surface. Our findings indicate that the export of EsxA and EsxB to the cell surface, rather than secretion into the bacteriological medium, correlates with virulence in M. marinum. Together, these findings not only expand the known genetic loci required for ESX-1 secretion in M. marinum but also provide an explanation for the observed disparity between in vitro ESX-1 export and virulence.T he ESAT-6 system-1 (ESX-1)/WXG-100 secretion system (Wss) is required for the virulence of both Gram-positive and mycobacterial pathogens (1-5). In mycobacterial pathogens the ESX-1 system likely promotes permeabilization of the phagosomal membrane allowing either the bacterial cell or bacterial products access to the cytosol of the macrophage (6-10). The ESX-1/Wss system is conserved and functional in nonpathogenic bacteria, where it promotes a range of activities, including conjugation (11-16).Protein substrates are translocated across the mycobacterial cytoplasmic membrane by the ESX-1 export system (3, 5). Several genes are required for protein translocation, disruption of which results in loss of substrate secretion into the bacteriological medium (culture supernatant) in vitro (3)(4)(5)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26). It is unknown how the protein substrates are secreted across the mycolate outer membrane (MOM) out of the mycobacterial cell or if the known ESX genes promote MOM translocation. Likewise, it is not clear if the ESX-1 substrates are true exoproteins (released from the cell) or extrinsically associated with the MOM and shed into the bacteriological medium (27-29). Indeed, in addition to the culture supernatant, ESX-1 substrates have been localized to the mycobacterial cell wall and associated with the surface of the mycobacterial cell (28-31). It is unclear which population of ESX-1 substrates mediates virulence. The active secretion of ESX-1 substrates into the phagosome or cytosol of the macrophage has not been routinely observed.In the human ...