, 2008). Despite the fungal nature of Pneumocystis, drugs used for the treatment of PCP include pentamidine, atovaquone and combinations of either trimethoprim and sulfamethoxazole (TMP-SMX) or clindamycin and primaquine (Hughes et al., 1974, 1991; Girard et al., 1987; Black et al., 1991), which are typically used to treat bacterial and protozoal infections. Pneumocystis are resistant to many standard antifungal drugs that target either enzymes involved in sterol biosynthesis or ergosterol, the end product of the sterol biosynthesis in fungal cells. Resistance to these drugs has been attributed in part to the lack of detectable ergosterol within the membranes of Pneumocystis. It has been hypothesized

that Pneumocystis scavenges see more cholesterol from its mammalian host and incorporates it into its cellular membranes, making cholesterol rather than ergosterol the bulk sterol of Pneumocystis (Worsham et al., 2003). The inability of Pneumocystis carinii to synthesize ergosterol, the substitution

of cholesterol as the bulk sterol, combined with the lack of efficacy of standard antifungal drugs that target the sterol pathway, would seem to indicate that de novo sterol synthesis does not occur within P. carinii. Yet, the presence of several putative ergosterol biosynthetic genes in the P. carinii Roxadustat genome (Cushion & Smulian, 2001) and the presence of non-host-derived sterols within the membranes of P. carinii (Kaneshiro et al., 1996, 1999; Kaneshiro & Wyder, 2000; Giner et al., 2002) seem to indicate the existence of a functional sterol pathway. The steps involved in ergosterol and cholesterol synthesis have been determined for both fungi and mammals, respectively, but the complete sterol pathway of P. carinii has not been determined. Sterols are vital components of all eukaryotic Liothyronine Sodium cell membranes, and are essential for cell growth and viability. Ergosterol, the major sterol found in fungal cell membranes, functions in the same capacity as cholesterol, the major

sterol found in mammalian cell membranes (Henneberry & Sturley, 2005). Sterols have many roles in eukaryotic membranes including establishing appropriate membrane fluidity (Lees et al., 1979), regulating membrane-bound enzymes (Cobon & Haslam, 1973) and maintaining membrane permeability (Bard et al., 1978). The sterol biosynthetic pathway in fungi and mammals is strikingly similar, but differences in the later steps of both pathways result in two structurally different molecules. Both ergosterol and cholesterol (Fig. 1) have a −OH group on C-3 of the sterol ring and a double bond at C-5 of the ring. However, the synthesis of ergosterol has three additional steps, resulting in two additional double bonds at C-7 and C-22 and a methyl group at C-24 of the ergosterol side chain. These structural differences make cholesterol and ergosterol remarkably suited for fulfilling both the cellular and the membrane requirements of the organism in which they are the most abundant sterol (Henriksen et al.