FtsZ, a bacterial homolog of tubulin, forms a structural element called the FtsZ ring (Z ring) at the predivisional midcell site and sets up a scaffold for the assembly of other cell division proteins. The genetic aspects of FtsZ-catalyzed cell division and its assembly dynamics in Mycobacterium tuberculosis are unknown. Here, with an M. tuberculosis strain containing FtsZ TB tagged with green fluorescent protein as the sole source of FtsZ, we examined FtsZ structures under various growth conditions. We found that midcell Z rings are present in approximately 11% of actively growing cells, suggesting that the low frequency of Z rings is reflective of their slow growth rate. Next, we showed that SRI-3072, a reported FtsZ TB inhibitor, disrupted Z-ring assembly and inhibited cell division and growth of M. tuberculosis. We also showed that M. tuberculosis cells grown in macrophages are filamentous and that only a small fraction had midcell Z rings. The majority of filamentous cells contained nonring, spiral-like FtsZ structures along their entire length. The levels of FtsZ in bacteria grown in macrophages or in broth were comparable, suggesting that Z-ring formation at midcell sites was compromised during intracellular growth. Our results suggest that the intraphagosomal milieu alters the expression of M. tuberculosis genes affecting Z-ring formation and thereby cell division.Mycobacterium tuberculosis, the causative agent of tuberculosis, is an important infectious agent that globally causes more than three million new infections each year (8). Recent years have seen an increase in the number of M. tuberculosis strains that are resistant to one or more antituberculosis drugs, and this has highlighted the need for the development of a new generation of antimicrobial agents. One hallmark of the M. tuberculosis life cycle is that it exists in two metabolically distinct growth states: an active replicative state and a nonproliferative persistent state where the bacterium survives without any increase in the bacterial burden on the host. Physiological studies carried out by Wayne and colleagues indicate that M. tuberculosis cells in the hypoxiainduced nonreplicative persistent state are blocked at the cell division stage after completing DNA replication and undergo a round of cell division prior to initiation of a new round of DNA replication (40,41). This latter process is also referred to as reactivation. Development of antimycobacterial agents targeting the cell division process could potentially prevent the multiplication and subsequent proliferation of the pathogen in active, as well as reactivation, growth states.FtsZ, a bacterial homolog of tubulin, is a key player in cell division and is essential for initiation of this process (22, 32). FtsZ protein catalyzes the formation of distinct structures, referred to as FtsZ rings (Z rings), at the midcell site and sets up a scaffold for ordered assembly of other cell division proteins. The combined action of multiple cell division proteins results in septation (22,32)....