Phosphatidylinositol mannosides (PIMs) and their related molecules lipomannan (LM) and lipoarabinomannan (LAM) are important components of the mycobacterial cell wall. These molecules mediate host-pathogen interactions and exhibit immunomodulatory activities. The biosynthesis of these lipoglycans is not fully understood. In this study, we have identified a mycobacterial gene (Rv1500) that is involved in the synthesis of PIMs. We have named this gene pimF. Transposon mutagenesis of pimF of Mycobacterium marinum resulted in multiple phenotypes, including altered colony morphology, disappearance of tetracyl-PIM 7 , and accumulation of tetraacyl-PIM 5 . The syntheses of LAM and LM were also affected. In addition, the pimF mutant exhibited a defect during infection of cultured macrophage cells. Although the mutant was able to replicate and persist within macrophages, the initial cell entry step was inefficient. Transformation of the M. marinum mutant with the pimF homolog of Mycobacterium tuberculosis complemented all of the above mentioned phenotypes. These results provide evidence that PimF is a mannosyltransferase. However, sequence analysis indicates that PimF is distinct from mannosyltransferases involved in the early steps of PIM synthesis. PimF catalyzes the formation of high molecular weight PIMs, which are precursors for the synthesis of LAM and LM. As such, this work marks the first analysis of a mannosyltransferase involved in the later stages of PIM synthesis.The mycobacterial cell wall modulates interactions between the tubercle bacillus and its environment. The cell wall consists of a covalently bound structure, the mycolic acid-arabinogalactan-peptidoglycan complex, and a variety of free lipids that complement the mycolate residues to form an asymmetric bilayer (1-3). Among the cell wall-associated lipids, phosphatidylinositol mannosides (PIMs) 1 and their multiglycosylated counterparts lipomannan (LM) and lipoarabinomannan (LAM), have emerged as major factors in mediating host-pathogen interactions and are presumed to be necessary for the survival and persistence of the pathogen within the host (4). LAM has been implicated in various immunomodulatory effects, including the down-regulation of cell-mediated immunity (5). In addition, the mannose-capped LAM found in the slowly growing mycobacteria, including Mycobacterium tuberculosis, Mycobacterium leprae, Mycobacterium bovis, and Mycobacterium avium, has been shown to bind cell surface receptors of macrophages and dendritic cells and aid invasion of host cells (6 -8).PIMs are known to mediate the attachment of M. tuberculosis to nonphagocytic cells and have been implicated in the recruitment of natural killer T cells, which affects the granulomatous response (9, 10).Mycobacterial LAMs are lipoglycans composed of three structural components: the membrane anchor, which is a mannosyl-phosphatidyl-myo-inositol; the backbone, which consists of two homopolysaccharides, mannopyranose (Manp) and arabinofuranose (Araf); and the capping motif, which varies among...