Active efflux of drugs across the membrane is a major survival strategy of bacteria against many drugs. In this work, we characterize an efflux pump EfpA, from the major facilitator superfamily, that is highly conserved among both slow growing and fast-growing
mycobacterium
species and has been found to be upregulated in many clinical isolates of
Mycobacterium tuberculosis
. The gene encoding EfpA from
Mycobacterium smegmatis
was over-expressed under both constitutive and an inducible promoter. Expression of
efpA
gene under both the promoters resulted in greater than 32-fold increased drug tolerance of
M. smegmatis
cells to many first-line (rifampicin, isoniazid and streptomycin) and second-line (amikacin) anti-tuberculosis drugs. Notably, drug tolerance of
M. smegmatis
cells to moxifloxacin increased by more than 180-fold when
efpA
was over-expressed. The increase in minimum inhibitory concentration (MIC) correlated with the decreased uptake of drugs including norfloxacin, moxifloxacin and ethidium bromide and the high MIC could be reversed in the presence of an efflux pump inhibitor. A correlation was observed between the MIC of drugs and the efflux pump expression level, suggesting that the latter could be modulated by varying the expression level of the efflux pump. The expression of high levels of
efpA
did not impact the fitness of the cells when supplemented with glucose.The
efpA
gene is conserved across both pathogenic and non-pathogenic mycobacteria. The
efpA
gene from the
Mycobacterium bovis
BCG/
M. tuberculosis
, which is 80% identical to
efpA
from
M. smegmatis
, also led to decreased antimicrobial efficacy to many drugs, although the fold-change was lower. When over-expressed in
M. bovis
BCG, an 8-fold higher drug tolerance to moxifloxacin was observed . This is the first report of an efflux pump from
mycobacterium
species that leads to higher drug tolerance to moxifloxacin, a promising new drug for the treatment of tuberculosis.