bPhosphatidylinositol 4,5-bisphosphate [PI(4,5)P 2 ] activates the yeast cell wall integrity pathway. Candida albicans exposure to caspofungin results in the rapid redistribution of PI(4,5)P 2 and septins to plasma membrane foci and subsequent fungicidal effects. We studied C. albicans PI(4,5)P 2 and septin dynamics and protein kinase C (PKC)-Mkc1 cell wall integrity pathway activation following exposure to caspofungin and other drugs. PI(4,5)P 2 and septins were visualized by live imaging of C. albicans cells coexpressing green fluorescent protein (GFP)-pleckstrin homology (PH) domain and red fluorescent protein-Cdc10p, respectively. PI(4,5)P 2 was also visualized in GFP-PH domain-expressing C. albicans mkc1 mutants. Mkc1p phosphorylation was measured as a marker of PKC-Mkc1 pathway activation. Fungicidal activity was assessed using 20-h time-kill assays. Caspofungin immediately induced PI(4,5)P 2 and Cdc10p colocalization to aberrant foci, a process that was highly dynamic over 3 h. PI(4,5)P 2 levels increased in a dose-response manner at caspofungin concentrations of <4؋ MIC and progressively decreased at concentrations of >8؋ MIC. Caspofungin exposure resulted in broad-based mother-daughter bud necks and arrested septum-like structures, in which PI(4,5)P 2 and Cdc10 colocalized. PKC-Mkc1 pathway activation was maximal within 10 min, peaked in response to caspofungin at 4؋ MIC, and declined at higher concentrations. The caspofungin-induced PI(4,5)P 2 redistribution remained apparent in mkc1 mutants. Caspofungin exerted dose-dependent killing and paradoxical effects at <4؋ and >8؋ MIC, respectively. Fluconazole, amphotericin B, calcofluor white, and H 2 O 2 did not impact the PI(4,5)P 2 or Cdc10p distribution like caspofungin did. Caspofungin exerts rapid PI(4,5)P 2 -septin and PKC-Mkc1 responses that correlate with the extent of C. albicans killing, and the responses are not induced by other antifungal agents. PI(4,5)P 2 -septin regulation is crucial in early caspofungin responses and PKC-Mkc1 activation. E chinocandin antifungals are the agents of choice for the treatment of most cases of invasive candidiasis (1-3). The echinocandins disrupt cell wall integrity through inhibition of -1,3-Dglucan synthase, an enzyme that synthesizes a major fungal cell wall component (3). Brief exposures to inhibitory concentrations of echinocandins in vitro trigger cellular events that result in sustained killing of Candida albicans (4-7). The killing of certain C. albicans strains is attenuated during ongoing exposure to echinocandins (in particular, caspofungin) at concentrations that significantly exceed the MIC (8). These paradoxical effects are not known to be relevant in the treatment of invasive candidiasis. Nevertheless, the phenomenon is a useful model for studying cell wall stress responses. The precise mechanisms of paradoxical growth are incompletely understood, but the phenotype is associated with increased chitin synthesis (9). It is eliminated in C. albicans mutant strains with disruptions in the protein kina...