A total of 102 isolates of the Mycobacterium tuberculosis complex, including available "M. canettii" isolates, were studied by PCR-restriction analysis of a 441-bp fragment of the hsp65 gene. PRA upon HhaI enzyme digestion (GCGC) allowed easy differentiatiation of "M. canettii" from other members of the M. tuberculosis complex (three bands of 260, 105, and 60 bp for "M. canetti," compared to four bands of 185, 105, 75, and 60 bp for other members of the M. tuberculosis complex). Sequencing of the 441-bp hsp65 fragment of "M. canettii" isolates showed the disappearance of an HhaI site at position 235 due to a C-to-T transition that corresponded to position 631 of the homologous hsp65 gene of M. tuberculosis H37Rv. Considering that "M. canettii" may also exist as a stable rough morphotype, we suggest that the true number of "M. canettii" isolates may be underestimated in clinical microbiology laboratories.The Mycobacterium tuberculosis complex includes five recognized members; M. tuberculosis and M. africanum are human pathogens, M. bovis is known to infect a wide range of domestic and wild animals as well as humans, M. bovis BCG is a vaccine strain with attenuated virulence, and M. microti is a pathogen of small rodents. Another member named "M. canettii" was added to this list of M. tuberculosis complex organisms in 1997 (the name is given in quotation marks since it does not yet appear on the approved list of bacterial names) (16). In 1969, Georges Canetti, of the Institut Pasteur, Paris, France, was the first to isolate "M. canettii" in France. It was isolated as a smooth-colony variant of M. tuberculosis from a 20-year-old farmer suffering from pulmonary tuberculosis. The original isolate, isolate HB3177, was reported to be virulent for guinea pigs and was temporarily designated "M. tuberculosis var. canettii (negrei)." In 1969 and 1970, two other "M. tuberculosis var. canettii" strains (strains HB3178 and HB3253) were isolated from a 54-year-old dairy-farm worker who had lived in Madagascar and who was suffering from pulmonary tuberculosis and from the pus of a patient of unknown age in Papeete, French Polynesia, who was suffering from adenitis of the armpit, respectively. These three isolates were found to constitute a homogeneous group of isolates within the M. tuberculosis complex and were deposited in the Culture Collection of the Pasteur Institute-Tuberculosis (CIPT) under the numbers CIPT140010059, CIPT140010060, and CIPT140010061, respectively. Studies of the cell wall glycolipids showed that a single phenolic glycolipid (PGL-Tb1) was produced at high levels by these isolates and may explain the smooth phenotype observed in "M. canettii" strains (8, 10).Recently, two other "M. canettii" strains were isolated (11, 16) and were shown to be similar to the original M. canettii strain; they had in common a single copy of IS1081, two copies of IS6110, identical recA gene sequences, and identical spoligotypes (11,15,16). In the present investigation, we have investigated M. tuberculosis complex organisms by ...