Abstract:Mycobacterium tuberculosis is the main pathogen causing tuberculosis, and its complex secretion system plays a key role in the pathogenic process. In recent years, the ESX-4 secretion system has attracted much attention. This paper introduces the ESX-4 secretion system from the structures and evolution of its coding genes, protein composition and functions, substrate recognition and transport mechanisms, and transcriptional regulation. It focuses on how the ESX-4 secretion system guides the secretion functions of other ESX secretion systems, and its physiological functions in regulating the death of host cells and participating in iron utilization. On this basis, the analysis of existing studies reveals that ESX-4 secretion system may be involved in the secretion of protein tyrosine phosphatase A (PtpA), a key virulence protein of Mycobacterium tuberculosis. Finally, this paper makes an outlook on the future research directions of the secretory system, aiming to provide some reference for in-depth study of the function of the secretory system and for drug design and vaccine development targeting the secretory system.