Isoniazid (isonicotinic acid hydrazide, INH) is one of the most widely
used antituberculosis drugs, yet its precise target of action on Myco
bacterium tuberculosis is unknown. A missense mutation within the myco
bacterial inhA gene was shown to confer resistance to both INH and eth
ionamide (ETH) in M. smegmatis and in M. bovis. The wild-type inhA gen
e also conferred INH and ETH resistance when transferred on a multicop
y plasmid vector to M. smegmatis and M. bovis BCG. The InhA protein sh
ows significant sequence conservation with the Escherichia coli enzyme
EnvM, and cell-free assays indicate that it may be involved in mycoli
c acid biosynthesis. These results suggest that InhA is likely a prima
ry target of action for INH and ETH.