As part of our effort to uncover the molecular basis for the phenotypic variation among clinical Mycobacterium tuberculosis isolates, we have previously reported that isolates belonging to the W/Beijing lineage constitutively overexpress the DosR-regulated transcriptional program. While generating dosR knockouts in two independent W/Beijing sublineages, we were surprised to discover that they possess two copies of dosR. This dosR amplification is part of a massive genomic duplication spanning 350 kb and encompassing >300 genes. In total, this equates to 8% of the genome being present as two copies. The presence of IS6110 elements at both ends of the region of duplication, and in the novel junction region, suggests that it arose through unequal homologous recombination of sister chromatids at the IS6110 sequences. Analysis of isolates representing the major M. tuberculosis lineages has revealed that the 350-kb duplication is restricted to the most recently evolved sublineages of the W/Beijing family. Within these isolates, the duplication is partly responsible for the constitutive dosR overexpression phenotype. Although the nature of the selection event giving rise to the duplication remains unresolved, its evolution is almost certainly the result of specific selective pressure(s) encountered inside the host. A preliminary in vitro screen has failed to reveal a role of the duplication in conferring resistance to common antitubercular drugs, a trait frequently associated with W/Beijing isolates. Nevertheless, this first description of a genetic remodeling event of this nature for M. tuberculosis further highlights the potential for the evolution of diversity in this important global pathogen.Mycobacterium tuberculosis-the bacterium responsible for almost 2 million human deaths each year due to tuberculosis (TB)-exhibits a highly clonal population structure and, unlike many pathogenic bacteria, shows little evidence of having recently acquired exogenous DNA from unrelated organisms via horizontal gene transfer and recombination (30). Thus, it seems that the primary mechanism by which M. tuberculosis is able to modify existing phenotypes is through an alteration in the complement of genetic material that it already has available. To date, most of the phenotypic variation that has been reported for M. tuberculosis involves single nucleotide polymorphisms (SNPs) and deletions, although transposition of conserved insertion sequence elements (e.g., IS6110) represents another potential mode for generating variability (1,14,16,22). Recent SNP-and microarray-based whole-genome surveys have demonstrated that M. tuberculosis has evolved via clonal expansion into six major lineages that are referred to colloquially as Indo-Oceanic, East Asian, East African-Indian, Euro-American, West African-1, and West African-2. Aside from the widespread Euro-American lineage, each of these lineages tends to exhibit a strong degree of association with a particular geographic area (19,29,38).Of all the major lineages described to date, it is...