Mycobacterium tuberculosis is predicted to subsist on alternative carbon sources during persistence within the human host. Catabolism of odd-and branched-chain fatty acids, branched-chain amino acids, and cholesterol generates propionyl-coenzyme A (CoA) as a terminal, three-carbon (C 3 ) product. Propionate constitutes a key precursor in lipid biosynthesis but is toxic if accumulated, potentially implicating its metabolism in M. tuberculosis pathogenesis. In addition to the well-characterized methylcitrate cycle, the M. tuberculosis genome contains a complete methylmalonyl pathway, including a mutAB-encoded methylmalonyl-CoA mutase (MCM) that requires a vitamin B 12 -derived cofactor for activity. Here, we demonstrate the ability of M. tuberculosis to utilize propionate as the sole carbon source in the absence of a functional methylcitrate cycle, provided that vitamin B 12 is supplied exogenously. We show that this ability is dependent on mutAB and, furthermore, that an active methylmalonyl pathway allows the bypass of the glyoxylate cycle during growth on propionate in vitro. Mycobacterium tuberculosis is an obligate human pathogen that is expected to adapt metabolically to conditions that are often hostile and nutrient poor during successive cycles of infection, replication, persistence, and transmission. In particular, glucose deficiency and an abundance of fatty acids are thought to dictate mycobacterial metabolism during infection (3, 35), consistent with the complex repertoire of genes involved in lipid metabolism in the M. tuberculosis genome (10). Subsistence on fatty acids requires the sequential action of the catabolic -oxidation cycle and, where glycolytic substrates are limiting, the anaplerotic glyoxylate cycle, which enables the assimilation of derivative two-carbon (C 2 ) acetyl-coenzyme A (CoA) subunits (37). In addition to producing acetyl-CoA, -oxidation of odd-and branched-chain fatty acids yields the C 3 subunit propionyl-CoA. This metabolite can also be generated by the catabolism of branched-chain amino acids (24) and cholesterol. Recently, a cassette of genes involved in the catabolism of the A and B rings of cholesterol to propionyl-CoA, pyruvate, and other metabolites was identified in actinomycetes, including members of the M. tuberculosis complex (27,52). Although the relevance of cholesterol as a carbon source for M. tuberculosis in vivo has yet to be established, the likely action of this catabolic pathway during intracellular growth and survival of M. tuberculosis (52) suggests that it may constitute an additional, and potentially significant, source of propionylCoA in this pathogen.Propionyl-CoA is a key precursor in several lipid biosynthetic pathways in M. tuberculosis (28); however, while providing a high-energy metabolite, the accumulation of propionate is toxic to the cell, and as such, efficient mechanisms are required for its disposal (5). This dual nature implies a central role for propionate metabolism in the growth and persistence of M. tuberculosis in vivo (18,37). Evi...