The glyoxylate shunt is a metabolic pathway of bacteria, fungi, and plants used to assimilate even-chain fatty acids (FAs) and has been implicated in persistence of Mycobacterium tuberculosis (Mtb). Recent work, however, showed that the first enzyme of the glyoxylate shunt, isocitrate lyase (ICL), may mediate survival of Mtb during the acute and chronic phases of infection in mice through physiologic functions apart from fatty acid metabolism. Here, we report that malate synthase (MS), the second enzyme of the glyoxylate shunt, is essential for in vitro growth and survival of Mtb on even-chain fatty acids, in part, for a previously unrecognized activity: mitigating the toxicity of glyoxylate excess arising from metabolism of even-chain fatty acids. Metabolomic profiling revealed that MS-deficient Mtb cultured on fatty acids accumulated high levels of the ICL aldehyde endproduct, glyoxylate, and increased levels of acetyl phosphate, acetoacetyl coenzyme A (acetoacetyl-CoA), butyryl CoA, acetoacetate, and β-hydroxybutyrate. These changes were indicative of a glyoxylate-induced state of oxaloacetate deficiency, acetate overload, and ketoacidosis. Reduction of intrabacterial glyoxylate levels using a chemical inhibitor of ICL restored growth of MS-deficient Mtb, despite inhibiting entry of carbon into the glyoxylate shunt. In vivo depletion of MS resulted in sterilization of Mtb in both the acute and chronic phases of mouse infection. This work thus identifies glyoxylate detoxification as an essential physiologic function of Mtb malate synthase and advances its validation as a target for drug development.tuberculosis | metabolism | malate synthase | glyoxylate detoxification T he unusual evolution of Mycobacterium tuberculosis (Mtb) within humans as both host and reservoir has shaped its pathogenicity around adaptation of its carbon and energy metabolism to the diverse yet specific array of microenvironments encountered within human hosts (1). Current evidence indicates that Mtb can be found inside lipid-rich macrophages and in cavities, suggesting that these environments provide the pathogen with nutrients that facilitate persistence (2, 3). Consistent with this evidence, multiple Mtb genes involved in fatty acid (FA) and lipid uptake and catabolism have been shown to be essential to establish and maintain chronic infections in mice (4-8). Together, such studies have directed considerable attention to pathways of lipid catabolism as a key determinants of Mtb's pathogenicity and sources of potential drug targets (9).Our understanding of Mtb's metabolic pathways however remains rudimentary. This knowledge derives in large part from the functions of orthologous genes conserved in other organisms. Though powerful for its assignment of biochemical functions, comparative genomic approaches neglect potentially important differences in the ecologic niches and selective pressures that genes have evolved to serve. One emerging and prominent example of such dissociation is exemplified by our understanding of the function of M...