“…As with other bacteria that induce host cell necrosis, such as Legionella pneumophila (22,55), it is likely that numerous complex events contribute to the M. tuberculosis necrotic phenotype of epithelial cells, including invasion, intracellular growth, differential gene expression, and permeation of the membrane. M. tuberculosis infection of host cells could contribute to this necrosis through secretion of pore-forming molecules, such as previously described hemolysins, or other putative cytotoxic molecules including broad-spectrum esterases or phospholipases (4,11,15,19,21,26,40,52).…”