In view of the importance of Candida drug resistance protein (Cdr1p) in azole resistance, we have characterized it by overexpressing it as a green fluorescent protein (GFP)-tagged fusion protein (Cdr1p-GFP). The overexpressed Cdr1p-GFP in Saccharomyces cerevisiae is shown to be specifically labeled with the photoaffinity analogs iodoarylazidoprazosin (IAAP) and azidopine, which have been used to characterize the drug-binding sites on mammalian drug-transporting P-glycoproteins. While nystatin could compete for the binding of IAAP, miconazole specifically competed for azidopine binding, suggesting that IAAP and azidopine bind to separate sites on Cdr1p. Cdr1p was subjected to site-directed mutational analysis. Among many mutant variants of Cdr1p, the phenotypes of F774A and ⌬F774 were particularly interesting. The analysis of GFP-tagged mutant variants of Cdr1p revealed that a conserved F774, in predicted transmembrane segment 6, when changed to alanine showed increased binding of both photoaffinity analogues, while its deletion (⌬F774), as revealed by confocal microscopic analyses, led to mislocalization of the protein. The mislocalized ⌬F774 mutant Cdr1p could be rescued to the plasma membrane as a functional transporter by growth in the presence of a Cdr1p substrate, cycloheximide. Our data for the first time show that the drug substrate-binding sites of Cdr1p exhibit striking similarities with those of mammalian drug-transporting P-glycoproteins and despite differences in topological organization, the transmembrane segment 6 in Cdr1p is also a major contributor to drug substrate-binding site(s).Candida albicans is an opportunistic diploid fungus that causes infections in immunocompromised and debilitated patients (34). Widespread and prolonged usage of azoles in recent years has led to the rapid development of the phenomenon of multidrug resistance (MDR), which poses a major hurdle in antifungal therapy. Various mechanisms which contribute towards the development of MDR have been implicated in Candida, and some of these include overexpression of or mutations in the target enzyme of azoles, lanosterol 14␣-demethylase, and overexpression of drug efflux pumps (1, 33) belonging to the ATP-binding cassette (ABC) transporter channel superfamily (18) and to the major facilitator superfamily of transporters (MFS) (22, 35). Among ABC transporters, CDR1 has been shown to play a key role in azole resistance in C. albicans as deduced from its high level of expression found in several azole resistance clinical isolates recovered from patients receiving long-term antifungal therapy (41, 39). Additionally, high-level expression of CDR1 invariably contributes to an increased efflux of fluconazole, thus corroborating its direct involvement in drug efflux (24, 38). Cdr1p has not only acquired significant clinical importance but is considered an important player in any design of strategies to combat antifungal resistance.The CDR1 gene encodes an integral plasma membrane (PM) protein of 1,501 amino acids, with a predicted molecu...