Mycobacterium avium is widely distributed in the environment, and it is chiefly found in water and soil. M. avium, as well as Mycobacterium smegmatis, has been recognized to produce a biofilm or biofilm-like structure. We screened an M. avium green fluorescent protein (GFP) promoter library in M. smegmatis for genes involved in biofilm formation on polyvinyl chloride (PVC) plates. Clones associated with increased GFP expression >2.0-fold over the baseline were sequenced. Seventeen genes, most encoding proteins of the tricarboxylic acid (TCA) cycle and GDP-mannose and fatty acid biosynthesis, were identified. Their regulation in M. avium was confirmed by examining the expression of a set of genes by real-time PCR after incubation on PVC plates. In addition, screening of 2,000 clones of a transposon mutant bank constructed using M. avium strain A5, a mycobacterial strain with the ability to produce large amounts of biofilm, revealed four mutants with an impaired ability to form biofilm. Genes interrupted by transposons were homologues of M. tuberculosis 6-oxodehydrogenase (sucA), enzymes of the TCA cycle, protein synthetase (pstB), enzymes of glycopeptidolipid (GPL) synthesis, and Rv1565c (a hypothetical membrane protein). In conclusion, it appears that GPL biosynthesis, including the GDP-mannose biosynthesis pathway, is the most important pathway involved in the production of M. avium biofilm.Mycobacterium avium complex is widely distributed in the environment, such as in water and soil, and is a chief component of many natural aquatic biofilms (8). M. avium is also known to cause chronic pulmonary infection in patients with predisposing lung disease, such as previous tuberculosis and chronic obstructive pulmonary disease (28). Urban water systems contain organisms of the M. avium complex in biofilm or a biofilm-like structure, and individuals can potentially be exposed to the bacterium, either by inhalation of aerosol particles or ingestion of contaminated water. Studies have established an association between M. avium in urban water and the development of disseminated disease in individuals with AIDS (36).Mycobacterium smegmatis, as well as M. avium, has been shown to produce a biofilm or a biofilm-like structure (6, 19). The outermost layers of the M. smegmatis and M. avium cell walls contain glycopeptidolipid (GPL), whereas the outermost layer of M. tuberculosis is made of phenolic glycolipids, dimycocerosate, and lipo-oligosaccharides (24). Recent studies suggest that the M. smegmatis biofilm is associated with a GPL present on the cell wall, and indirect evidence indicates a similar role in M. avium (6). Aspects of biofilm formation have begun to be examined with M. smegmatis. Transposon inactivation of the GPL gene clusters in M. smegmatis decreased the production of biofilm, and the deletion of the genes tmtp and mps revealed their involvement in biofilm formation upon seeding of the bacterium on polyvinyl chloride (PVC) plates (19,26). The tmtp gene is highly conserved between M. smegmatis and M. avium, ...