A promising modified sugar molecule was identified which was active against multidrug-resistant (MDR) strains of Mycobacterium tuberculosis, suggesting involvement of a new target. The compound was demonstrated to be bactericidal, inhibited the growth of M. tuberculosis in mice, and targeted alpha-mannosidase as a competitive inhibitor with a K i value of 353.9 M.T he emergence of drug resistance has become a major obstacle in chemotherapy of tuberculosis (TB), and new drugs with newer modes of action are needed to meet the global threat posed by TB infection (1). The biological role of carbohydrates and their implications in pathologies have evoked interest in designing carbohydrate-based drugs as antivirals, antibacterials, antitumors, and immunostimulants (2). The diversity, easy availability, welldefined stereochemistry, and highly functionalized nature of carbohydrates make them a very desirable starting material for the synthesis of bioactive compounds (3, 4). A major impediment in the development of carbohydrate molecules as therapeutics is their rapid degradation in the body by glycosidases, which has been overcome through use of modified sugars that may not be recognized by the regular complement of glycosidases present in the body (5,6). A large number of modified sugars or glycomimetics have been found to act as glycosidase inhibitors, and many of these glycosidase inhibitors have been developed as drugs. Characteristic examples of modified sugar-based or glycomimetic drugs are the viral neuraminidase inhibitors zanamivir (Relenza) and oseltamivir (Tamiflu) for influenza A and B, miglustat (Zavesca) for the treatment of Gaucher disease, miglitol (Glyset) for the treatment of diabetes, and topiramate (Topamax) as an anticonvulsant drug (7-9). Another class of modified sugar, a series of 2,3-dideoxy hex-2-enopyranosid-4-uloses, was recently described by Saquib et al. (10,11) as possessing very good antitubercular activity. One of the compounds, 5g, on the basis of in vitro activity against drug-susceptible and multidrug-resistant (MDR) strains of Mycobacterium tuberculosis, was selected as the lead antitubercular compound (11). Compound 5g was further evaluated for bactericidal activity against M. tuberculosis and in vivo activity in a murine infection model (this study).The bactericidal drug targets are considered better targets for antitubercular drug discovery both in terms of relapse of infection and countering drug resistance (12). The 5g compound was evaluated for bactericidal activity against replicating aerobic and hypoxia-adapted dormant cultures of M. tuberculosis H37Rv. In the former, cells were grown to log phase in Middlebrook 7H9 broth (Difco) followed by the addition of the compound at 1ϫ, 2ϫ, 3ϫ, and 4ϫ MIC. The cultures were incubated at 37°C for 10 days without shaking. Serial dilutions of cells were plated at 0 and 10 days on MB7H10 agar containing oleic acid-albumin-dextrosecatalase (OADC) for CFU determination to determine the minimal bactericidal concentration (MBC) that killed 99....