The cell envelope architectures and cytoplasmic structures of Mycobactenium aurum CIPT 1210005, M. fortuitum, M. phlei 425, and M. thermoresistible ATCC 19527 were compared by conventional embedding and freeze-substitution methods. To ascertain the integrity of cells during each stage of the processing regimens, [1-_4Cjacetate was incorporated into the mycolic acids of mycobacterial walls, and the extraction of labeled mycolic acids was monitored by liquid scintillation counting. Radiolabeled mycolic acids were extracted by both processing methods; however, freeze-substitution resulted in the extraction of markedly less radiolabel. During conventional processing of cells, most of the radiolabel was extracted during the dehydration stage, whereas postsubstitution washes in acetone yielded the greatest loss of radiolabel during freeze-substitution. Conventional embedding frequently produced cells with condensed fibrous nucleoids and occasional mesosomes. Their cell walls were relatively thick (-25 nm) but lacked substance. Freeze-substituted cells appeared more robust, with well-dispersed nucleoids and ribosomes. The walls of all species were much thinner than those of their conventionally processed counterparts, but these stained well, which was an indication of more wall substance; the fabric of these walls, in particular the plasma membrane, appeared highly condensed and tightly apposed to the peptidoglycan. Some species possessed a thick, irregular outer layer that was readily visualized in the absence of exogenous stabilizing agents by freeze-substitution. Since freeze-substituted mycobacteria retained a greater percentage of mycolic acids in their walls, and probably other labile wall and cytoplasmic constituents, we believe that freeze-substitution provides a more accurate image of structural organization in mycobacteria than that achieved by conventional procedures.Tuberculosis remains a major health problem for humans, particularly in developing countries, with an estimated 8 million cases and 3 million deaths per year worldwide (7). In the United States, more than 22,000 new cases are being reported annually in particular populations. The epidemiology of tuberculosis has undergone a profound transition in recent years (21). An increase in the incidence of infection due to human immunodeficiency virus has resulted in a rise in the number of both typical and atypical mycobacterial infections. The Mycobacterium avium complex and M. kansasii are the most frequently encountered etiologic agents of atypical mycobacterial infections associated with AIDS (21); however, M. xenopi, M. fortuitum, and M. chelonae have also been reported previously (21).The molecular and structural compositions of the mycobacterial cell wall must play a significant role in its mechanisms of pathogenicity (18,22,23). Moreover, the intricate physical relationships among the diverse macromolecules within the wall appear to be responsible for properties such as drug resistance (4), acid fastness (1), hydrophobic interactions (25), and th...