%0 Journal Article %T Mutations in the pantothenate kinase of Plasmodium falciparum confer diverse sensitivity profiles to antiplasmodial pantothenate analogues %A Alan L. Sewell %A Alexander G. Maier %A Anna E. Sexton %A Annabelle Hoegl %A Christina Spry %A Darren J. Creek %A Erick Strauss %A Erick T. Tjhin %A Ghizal Siddiqui %A Karine Auclair %A Kevin J. Saliba %A Leanne Barnard %A Rodolfo Marquez %A Vanessa M. Howieson %J - %D 2018 %R 10.1371/journal.ppat.1006918 %X The malaria-causing blood stage of Plasmodium falciparum requires extracellular pantothenate for proliferation. The parasite converts pantothenate into coenzyme A (CoA) via five enzymes, the first being a pantothenate kinase (PfPanK). Multiple antiplasmodial pantothenate analogues, including pantothenol and CJ-15,801, kill the parasite by targeting CoA biosynthesis/utilisation. Their mechanism of action, however, remains unknown. Here, we show that parasites pressured with pantothenol or CJ-15,801 become resistant to these analogues. Whole-genome sequencing revealed mutations in one of two putative PanK genes (Pfpank1) in each resistant line. These mutations significantly alter PfPanK activity, with two conferring a fitness cost, consistent with Pfpank1 coding for a functional PanK that is essential for normal growth. The mutants exhibit a different sensitivity profile to recently-described, potent, antiplasmodial pantothenate analogues, with one line being hypersensitive. We provide evidence consistent with different pantothenate analogue classes having different mechanisms of action: some inhibit CoA biosynthesis while others inhibit CoA-utilising enzymes %K Phosphorylation %K Cloning %K Parasitic diseases %K Plasmodium %K Malarial parasites %K Red blood cells %K Enzyme inhibitors %K Polymerase chain reaction %U https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1006918