More than 50 human proteins with a wide range of functions have a 120 resid
ue phosphoinositide binding module known as the PX domain. The 1.7 Angstrom
X-ray crystal structure of the PX domain from the p40(phox) subunit of NAD
PH oxidase bound to PtdIns(3)P shows that the PX domain embraces the 3-phos
phate on one side of a water-filled, positively charged pocket and reveals
how 3-phosphoinositide specificity is achieved. A chronic granulomatous dis
ease (CGD)-associated mutation in the p47(phox) PX domain that abrogates Pt
dlns(3)P binding maps to a conserved Arg that does not directly interact wi
th the phosphoinositide but instead appears to stabilize a critical lipid b
inding loop. The SH3 domain present in the full-length protein does not aff
ect soluble Ptdlns(3)P binding to the p40(phox) PX domain.