Tuberculosis is a worldwide health problem, given that one-third of the world's population is currently infected with Mycobacterium tuberculosis. Understanding the regulation of virulence on the molecular level will provide a better understanding of how M. tuberculosis can establish chronic infection. Using in vivo microarray analysis (IVMA), we previously identified a group of genes that are activated in BALB/c mouse lungs compared to in vitro cultures, including the rv0990c gene. Our analysis indicated that this gene is a member of the heat shock regulon and was activated under other stress conditions, including survival in macrophages or during the late phase of chronic tuberculosis in the murine lungs. Deletion of rv0990c from the genome of M. tuberculosis strain H37Rv affected the transcriptional profiles of many genes (n ؍ 382) and operons involved in mycobacterial survival, including the dormancy regulon, ATP synthesis, respiration, protein synthesis, and lipid metabolism. Comparison of the proteomes of the mutant to those of the wild-type strain further confirmed the differential expression of 15 proteins, especially those involved in the heat shock response (e.g., DnaK and GrpE). Finally, the rv0990c mutant strain showed survival equivalent to that of the isogenic wild-type strain during active tuberculosis in guinea pigs, despite showing significant attenuation in BALB/c mice during the chronic phase of the disease. Overall, we suggest that rv0990c encodes a heat shock protein that plays an important role in mycobacterial virulence. Hence, we renamed rv0990c heat shock protein 22.5 (hsp22.5), reflecting its molecular mass.Tuberculosis is a devastating disease that threatens onethird of the world's population, with 1.8 million deaths each year from infection with Mycobacterium tuberculosis (11). Following aerosol infection, M. tuberculosis can persist inside the host macrophages for long periods, leading to chronic infection. Under certain circumstances, chronically infected patients can develop an active progressive infection that could lead to death (6). Unfortunately, several aspects of the chronic phase of tuberculosis are not completely understood. For example, the molecular basis responsible for the persistence of M. tuberculosis inside the host remains largely unknown. Also, the triggers for M. tuberculosis reactivation are not well characterized. Several in vitro and in vivo models have been developed in order to elucidate the mechanisms employed by the pathogen to survive and persist inside the host (5, 12, 25, 30-33). Such studies have identified genes activated during M. tuberculosis survival inside macrophages or under hostile stress conditions, including transcriptional regulators which control the expression of a large number of genes (1,22). One such gene is rv0990c, which was preferentially activated in murine lungs among a group of 32 genes sharing the same genomic locus, termed the in vivo-expressed genomic island, iVEGI (31). The iVEGI includes several genes and operons that are inv...