The majority of slow-growing mycobacteria have a functional oxyR, the central regulator of the bacterial oxidative stress response. In contrast, this gene has been inactivated during the evolution of Mycobacterium tuberculosis. Here we inactivated the oxyR gene in Mycobacterium marinum, an organism used to model M. tuberculosis pathogenesis. Inactivation of oxyR abrogated induction of ahpC, a gene encoding alkylhydroperoxide reductase, normally activated upon peroxide challenge. The absence of oxyR also resulted in increased sensitivity to the front-line antituberculosis drug isoniazid. Inactivation of oxyR in M. marinum did not affect either virulence in a fish infection model or survival in human macrophages. Our findings demonstrate, at the genetic and molecular levels, a direct role for OxyR in ahpC regulation in response to oxidative stress. Our study also indicates that oxyR is not critical for virulence in M. marinum. However, oxyR inactivation confers increased sensitivity to isonicotinic acid hydrazide, suggesting that the natural loss of oxyR in the tubercle bacillus contributes to the unusually high sensitivity of M. tuberculosis to isoniazid.Tuberculosis is the number one cause of death from a single infectious agent in the world, with 8 million new cases of active disease each year, 2 million fatalities annually, and over a billion people latently infected (WHO fact sheet; http://www .who.int/mediacentre/factsheets/fs104/en/). The members of the Mycobacterium tuberculosis complex (16, 21), the causative agent of tuberculosis, and several other pathogenic mycobacteria, including M. marinum (7,15,32), have the ability to infect macrophages and survive within phagocytic cells (2,3,17). Despite several advances in the field in the wake of the availability of M. tuberculosis genomic information, much remains to be learned about the biology and pathogenesis of the tubercle bacillus. Evolutionarily, M. marinum is closely related to M. tuberculosis (38), causing tuberculosis like-disease in poikilothermic hosts, such as fish (6,26). In humans, M. marinum can cause localized disease that is restricted to the extremities (39). Due to its close evolutionary link to M. tuberculosis and apparent parallels between the diseases caused by the two microbes, M. marinum has been used effectively to study mycobacterial pathogenesis (1,14, 24,25,32,34).Recent studies of the oxidative stress response genes in mycobacteria have revealed that the two most significant mycobacterial pathogens, M. tuberculosis and M. leprae, paradoxically lack parts of their oxidative stress response defenses (11, 24). In M. tuberculosis, oxyR, the central regulator of bacterial oxidative and nitrosative stress response (18, 33), is surprisingly inactive (10,11,28); it is represented in the M. tuberculosis genome as an unannotated pseudogene (see Fig. 1A), located between the Rv2427c and Rv2428 (AhpC) open reading frames. M. leprae, on the other hand, has an intact oxyR but lacks a functional furA, the negative regulator of KatG (43). Despit...