Synaptotagmin I (syt), an integral protein of the synaptic vesicle membrane, is believed to act as a Ca 2+ sensor for neuronal exocytosis. Syt's cytoplasmic domain consists largely of two C2 domains, C2A and C2B. In response to Ca 2+ binding, the C2 domains interact with membranes, becoming partially embedded in the lipid bilayer. We have imaged syt C2AB in association with lipid bilayers under fluid, using AFM. As expected, binding of C2AB to bilayers required both an anionic phospholipid [phosphatidylserine (PS)] and Ca 2+ . C2AB associated with bilayers in the form of aggregates of varying stoichiometries, and aggregate size increased with an increase in PS content. Repeated scanning of bilayers revealed that as C2AB dissociated it left behind residual indentations in the bilayer. The mean depth of these identations was 1.81 nm, indicating that they did not span the bilayer. Individual C2 domains (C2A and C2B) also formed aggregates and produced bilayer indentations. Binding of C2AB to bilayers and the formation of indentations were significantly compromised by mutations that interfere with binding of Ca 2+ to syt or reduce the positive charge on the surface of C2B. We propose that bilayer perturbation by syt might be significant with respect to its ability to promote membrane fusion.Neurotransmitter release occurs in response to Ca 2+ influx across the presynaptic plasma membrane (1). There is persuasive evidence that a major Ca 2+ sensor at most nerve terminals is synaptotagmin I (syt), 1 an integral protein of the synaptic vesicle membrane (reviewed in refs 2 and 3). The cytoplasmic region of syt consists predominantly of two C2 domains, known as C2A and C2B, which bind three and two Ca 2+ ions, respectively (4, 5). In response to Ca 2+ binding, syt interacts both with negatively charged phospholipids, such as phosphatidylserine (PS) (5-11) and phosphatidylinositol 4,5-bisphosphate (PIP 2 ) (12-14), and with soluble N-ethylmaleimide-sensitive fusion protein attachment protein receptors (SNAREs), proteins known to be key players in the process of membrane fusion (15-18). It is likely that the Ca 2+ -triggered binding of syt to both phospholipids and SNAREs is essential for its function as a Ca 2+ sensor for neurotransmitter release (19)(20)(21)(22)(23)(24).