Humans contract Buruli ulcer following infection withMycobacterium ulcerans, a slow-growing toxin producer that evolved from Mycobacterium marinum. Both M. ulcerans and M. marinum are waterborne, but M. ulceransis associated with various insects that might serve as vectors. This Review summarizes recent findings and explains how the toxin, a polyketide called mycolactone, acts on immune cells.
- Caroline Demangel
- Timothy P. Stinear
- Stewart T. Cole