Membrane anchoring of cell surface proteins via glycosylphosphatidylinosito
l (GPI) occurs in all eukaryotic organisms. In addition, GPI-related glycop
hospholipids are important constituents of the glycan coat of certain proto
zoa, Defects in GPI biosynthesis can retard, if not abolish growth of these
organisms. In humans, a defect in GPI biosynthesis can cause paroxysmal no
cturnal hemoglobinuria (PNH), a severe acquired bone marrow disorder. Here,
we review advances in the characterization of GPI biosynthesis in parasiti
c protozoa, yeast and mammalian cells. The GPI core structure as well as th
e major steps in its biosynthesis are conserved throughout evolution. Howev
er, there are significant biosynthetic differences between mammals and micr
obes. First indications are that these differences could be exploited as ta
rgets in the design of novel pharmacotherapeutics that selectively inhibit
GPI biosynthesis in unicellular microbes.