Pleckstrin homology (PH) domains are phosphoinositide (PI)-binding modules that target proteins to membrane surfaces. Here we define a family of PH domain proteins, including Tiam1 and ArhGAP9, that demonstrates specificity for PI(4,5)P 2 , as well as for PI(3,4,5)P 3 and PI(3,4)P 2 , the products of PI 3-kinase. These PH domain family members utilize a noncanonical phosphoinositide binding pocket related to that employed by -spectrin. Crystal structures of the PH domain of ArhGAP9 in complex with the headgroups of Ins(1,3,4)P 3 , Ins(1,4,5)P 3 , and Ins(1,3,5)P 3 reveal how two adjacent phosphate positions in PI(3,4)P 2 , PI(4,5)P 2 , and PI(3,4,5)P 3 are accommodated through flipped conformations of the bound phospholipid. We validate the non-canonical site of phosphoinositide interaction by showing that binding pocket mutations, which disrupt phosphoinositide binding in vitro, also disrupt membrane localization of Tiam1 in cells. We posit that the diversity in PI interaction modes displayed by PH domains contributes to their versatility of use in biological systems.The spatial and temporal regulation of protein localization plays an important role in the transduction of signals between sub-cellular compartments. Targeting of proteins to membrane surfaces through interactions with phosphoinositides (PIs) 4 promotes the formation of functional complexes and concomitantly restricts their site of biochemical activity (1).Phosphoinositides are lipid components of cellular membranes that function as signaling molecules. The inositol headgroups of phosphoinositides are differentially phosphorylated, and selectively bound by a variety of protein modules, including PH, FERM, ENTH, FYVE, and PX domains (2-4). PH domains were the first phosphoinositide binding domain identified (5) and serve important roles in kinase signaling and cytoskeletal organization (6, 7). PH domains consist of 100 -120 amino acids that form a seven-stranded -sandwich with a C-terminal ␣-helix. The PI binding properties of PH domains are diverse, ranging from family members that display no detectable interaction to domains that bind one or more headgroups with nanomolar binding affinity (8 -10). Generally, PH domains that possess weak affinity for phosphoinositides are inefficient at PIdependent membrane localization. These PH domains may require multimerization or cooperation with other factors for their targeting function (11,12). In contrast, PH domains that bind with high affinity and selectivity to either PI(4,5)P 2 or the PI 3-kinase products PI(3,4,5)P 3 and PI(3,4)P 2 are efficiently targeted to membrane surfaces. The PH domain of PLC␦ is a specific sensor of PI(4,5)P 2 , whereas those of Akt, Btk, and Grp1 exemplify domains that selectively bind with high affinity to PI(3,4)P 2 and/or PI(3,4,5)P 3 (10).A basic consensus motif within the 1-2 loop region is characteristic of PH domains that bind phosphoinositides with high affinity and specificity (13). This motif defines the core of the canonical PI binding pocket, and mutations th...