Growth ofMycobacterium tuberculosisin a Defined Medium Is Very Restricted by Acid pH and Mg2+Levels

Abstract
Mycobacterium tuberculosisgrows within the phagocytic vacuoles of macrophages, where it encounters a moderately acidic and possibly nutrient-restricted environment. Other mycobacterial species encounter acidic conditions in soil and aquatic environments. We have evaluated the influence of pH and divalent cation levels on the growth ofM. tuberculosisand seven other mycobacterial species. In a defined medium, the growth ofM. tuberculosiswas very restricted by acidic pH. Higher levels of Mg2+were required for growth ofM. tuberculosisin mildly acidic media (pH 6.0 to 6.5) compared to pH 7.0 medium. The divalent cations Ca2+, Zn2+, or Mn2+could not replace Mg2+during growth at pH 6.25, but Ca2+could at least partially substitute for Mg2+during growth at pH 7.0. Among eight species of mycobacteria tested, there was a diversity of growth rates in media with acidic pH and low Mg2+levels.M. tuberculosiswas the most restricted in growth at pH 6.0, and all of this growth required elevated levels of Mg2+.M. kansasiiandM. smegmatisalso grew very poorly in acidic media with limiting Mg2+.M. fortuitum,M. marinum,M. scrofulaceum,M. avium, andM. chelonaegrew at pH 6.0 in an unrestricted manner. These results demonstrate thatM. tuberculosisis unique among the mycobacteria in its extreme sensitivity to acid and indicate thatM. tuberculosismust acquire sufficient Mg2+in order to grow in a mildly acidic environment such as within the phagosome of macrophages.