Mycobacterium kansasii
(
Mk
) is an opportunistic pathogen that is frequently isolated from urban water systems, posing a health risk to susceptible individuals. Despite its ability to cause tuberculosis-like pulmonary disease, very few studies have probed the genetics of this opportunistic pathogen. Here, we report a comprehensive essentiality analysis of the
Mk
genome. Deep sequencing of a high-density library of
Mk Himar1
transposon mutants revealed that 86.8% of the chromosomal thymine–adenine (TA) dinucleotide target sites were permissive to insertion, leaving 13.2% TA sites unoccupied. Our analysis identified 394 of the 5,350 annotated open reading frames (ORFs) as essential. The majority of these essential ORFs (84.8%) share essential mutual orthologs with
Mycobacterium tuberculosis
(
Mtb
). A comparative genomics analysis identified 139
Mk
essential ORFs that share essential orthologs in four other species of mycobacteria. Thirteen
Mk
essential ORFs share orthologs in all four species that were identified as being not essential, while only two
Mk
essential ORFs are absent in all species compared. We used the essentiality data and a comparative genomics analysis reported here to highlight differences in essentiality between candidate
Mtb
drug targets and the corresponding
Mk
orthologs. Our findings suggest that the
Mk
genome encodes redundant or additional pathways that may confound validation of potential
Mtb
drugs and drug target candidates against the opportunistic pathogen. Additionally, we identified 57 intergenic regions containing four or more consecutive unoccupied TA sites. A disproportionally large number of these regions were located upstream of
pe
/
ppe
genes. Finally, we present an essentiality and orthology analysis of the
Mk
pRAW-like plasmid, pMK1248.
IMPORTANCE
Mk
is one of the most common nontuberculous mycobacterial pathogens associated with tuberculosis-like pulmonary disease. Drug resistance emergence is a threat to the control of
Mk
infections, which already requires long-term, multidrug courses. A comprehensive understanding of
Mk
biology is critical to facilitate the development of new and more efficacious therapeutics against
Mk
. We combined transposon-based mutagenesis with analysis of insertion site identification data to uncover genes and other genomic regions required for
Mk
growth. We also compared the gene essentiality data set of
Mk
to those available for several other mycobacteria. This analysis highlighted key similarities and differences in the biology of
Mk
compared to these other species. Altogether, the genome-wide essentiality information generated and the results of the cross-species comparative genomics analysis represent valuable resources to assist the process of identifying and prioritizing potential
Mk
drug target candidates and to guide future studies on
Mk
biology.