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Mycobacterium tuberculosis chaperonin 60.1 (Cpn60.1), also known as GroEL1, is a molecular chaperone and a key virulence factor of the tuberculosis-causing bacterium. Unlike its essential paralog Cpn60.2 (GroEL2), Cpn60.1 is non-essential for bacterial growth in vitro but is critical for the formation of mature granulomas and survival under low-oxygen conditions during infection. It functions as a potent immunomodulator, stimulating the production of pro-inflammatory cytokines by interacting with host receptors such as CD14 and TLR4. Interestingly, while the full-length protein is pro-inflammatory, a specific peptide derived from it, IRL201104, has demonstrated significant anti-inflammatory properties by increasing the expression of the anti-inflammatory molecule A20 and inhibiting NF-kappaB. This peptide is currently being developed as a first-in-class immune resetting therapy for allergic and inflammatory diseases, including asthma and eosinophilic esophagitis. Cpn60.1 also interacts with the mycolic acid synthesis enzyme KasA, influencing biofilm formation and antibiotic tolerance.
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