"Head-to-head" terpene synthases catalyze the first committed steps in sterol and carotenoid biosynthesis: the condensation of two isoprenoid diphosphates to form cyclopropylcarbinyl diphosphates, followed by ring opening. Here, we report the structures of Staphylococcus aureus dehydrosqualene synthase (CrtM) complexed with its reaction intermediate, presqualene diphosphate (PSPP), the dehydrosqualene (DHS) product, as well as a series of inhibitors. The results indicate that, on initial diphosphate loss, the primary carbocation so formed bends down into the interior of the protein to react with C2,3 double bond in the prenyl acceptor to form PSPP, with the lower two-thirds of both PSPP chains occupying essentially the same positions as found in the two farnesyl chains in the substrates. The second-half reaction is then initiated by the PSPP diphosphate returning back to the Mg 2þ cluster for ionization, with the resultant DHS so formed being trapped in a surface pocket. This mechanism is supported by the observation that cationic inhibitors (of interest as antiinfectives) bind with their positive charge located in the same region as the cyclopropyl carbinyl group; that S-thiolo-diphosphates only inhibit when in the allylic site; activity results on 11 mutants show that both DXXXD conserved domains are essential for PSPP ionization; and the observation that head-to-tail isoprenoid synthases as well as terpene cyclases have ionization and alkene-donor sites which spatially overlap those found in CrtM.triterpene | X-ray crystallography | drug discovery | staphyloxanthin | quinuclidine H ead-to-head terpene synthases catalyze the first committed steps in the biosynthesis of sterols and carotenoid pigments: the C1′-2,3 condensation of two isoprenoid diphosphates to form a cyclopropylcarbinyl diphosphate (1, 2), followed by ring opening to form squalene, dehydrosqualene, or phytoene. In humans and in many pathogenic yeasts, fungi, and protozoa, as well as in plants, the isoprenoid diphosphate is farnesyl diphosphate (FPP) and the initial product is the C 30 isoprenoid, presqualene diphosphate (PSPP). As implied by its name, PSPP is then converted (by the same enzyme as used in the condensation reaction, squalene synthase, SQS) to squalene which, after epoxidation, is cyclized to lanosterol (3), as shown in Fig. 1. Lanosterol then undergoes numerous additional reactions, resulting in formation of sterols, key cell membrane components. As such, squalene synthase inhibitors are of interest as antiparasitics, in particular against Trypanosoma cruzi (4) and Leishmania spp. (5), the causative agents of Chagas disease and the leishmaniases. In plants, the related enzyme phytoene synthase (PSY) catalyzes the condensation of two C 20 isoprenoid diphosphate (geranylgeranyl diphosphate, GGPP) molecules (6) to form prephytoene diphosphate (PPPP) that, after ring opening, forms phytoene, which is then converted to carotenoid pigments (7) (Fig. 1). In the bacterium Staphylococcus aureus, the initial step in formation of the carote...