Metabolism underpins the physiology and pathogenesis of Mycobacterium tuberculosis. However, although experimental mycobacteriology has provided key insights into the metabolic pathways that are essential for survival and pathogenesis, determining the metabolic status of bacilli during different stages of infection and in different cellular compartments remains challenging. Recent advances-in particular, the development of systems biology tools such as metabolomics-have enabled key insights into the biochemical state of M. tuberculosis in experimental models of infection. In addition, their use to elucidate mechanisms of action of new and existing antituberculosis drugs is critical for the development of improved interventions to counter tuberculosis. This review provides a broad summary of mycobacterial metabolism, highlighting the adaptation of M. tuberculosis as specialist human pathogen, and discusses recent insights into the strategies used by the host and infecting bacillus to influence the outcomes of the host -pathogen interaction through modulation of metabolic functions.Ultimately, the process of pathogenicity itself will be describable in terms of the chemistry of the mycobacterial cell.-Wheeler and Ratledge (1994) T he term "metabolism" has a very wide purview. For bacteria, it is commonly used to describe the full set of complex and interconnected chemical transformations that enable individual cells to survive and replicate. In turn, these might be broadly divided into the anabolic pathways that consume energy in generating biomass and the energy-releasing catabolic reactions that channel organic building blocks into diverse cellular structures and pathways. Metabolism also includes pathways that are essential to the ability of bacteria to respond to dynamic environments and to maintain structural integrity in the face of fluctuating nutrient availability. Therefore, in an obligate pathogen such as Mycobacterium tuberculosis whose entire life cycle is driven in the context of human infection, metabolism necessarily underpins both physiology and pathogenesis (Rhee 2013).Owing to this dual role, the metabolism of M. tuberculosis has been the subject of intense research Beste and McFadden 2010). However, although experimental mycobacteriology-in particular, the use of genetic tools to disrupt enzymatic and regulatory functions-has provided critical insights into the metabolic pathways that are esEditors: