The study of genetic variability within natural populations of pathogens ma
y provide insight into their evolution and pathogenesis. We used a Mycobact
erium tuberculosis high-density oligonucleotide microarray to detect small-
scale genomic deletions among 19 clinically and epidemiologically well-char
acterized isolates of M. tuberculosis. The pattern of deletions detected wa
s identical within mycobacterial clones but differed between different clon
es, suggesting that this is a suitable genotyping system for epidemiologic
studies. An analysis of genomic deletions among an extant population of pat
hogenic bacteria provided a novel perspective on genomic organization and e
volution. Deletions are likely to contain ancestral genes whose functions a
re no longer essential for the organism's survival, whereas genes that are
never deleted constitute the minimal mycobacterial genome. As the amount of
genomic deletion increased, the likelihood that the bacteria will cause pu
lmonary cavitation decreased, suggesting that the accumulation of mutations
tends to diminish their pathogenicity. Array-based comparative genomics is
a promising approach to exploring molecular epidemiology, microbial evolut
ion, and pathogenesis.