Diagram illustrating the location and trafficking of key ciliogenesis factors in the presence of PAM (left) and the consequences of PAM loss (right). The PAM catalytic domains are in the lumen of the secretory pathway, where they act on glycine-extended peptides and lipids to yield amidated products. In the cilium, these PAM domains are exposed to the extracellular environment. In the absence of PAM, Golgi morphology and function are altered, PAM substrates can no longer be amidated, there are abnormal accumulations of transition zone and intraflagellar transport components, and cilia fail to assemble.