The growth-inhibitory activity of two imidazole antimycotics, clotrimazole and miconazole, against Candida albicans was significantly reversed when lipid extracts from protoplast membranes of the same organism were added to the assay medium together with the drugs. Of four major classes of lipids further separated from them, viz., phospholipids, triglycerides, sterol esters, and free sterols, the former two were capable of counteracting both drugs, whereas the latter two were not. However, even with phospholipids or triglycerides, no antagonism was noted when they were saturated by catalytic hydrogenation before use. The antagonistic effect of varying classes of commercial lipids, including phospholipids, acylglycerides, sterols, and fatty acids, was also studied by means of the agar diffusion technique. Significant antagonism to both drugs was observed with: (i) phospholipids with an unsaturated acyl group; (ii) acylglycerides, the ester portion of which consists of unsaturated fatty acid; (iii) ultraviolet-activated sterols; and (iv) unsaturated fatty acids of cis-configuration. By contrast, none of the saturated phospholipids and acylglycerides nor sterols was effective as an antagonist. With the exception only of lauric acid, all of a series of saturated fatty acids and unsaturated trans-fatty acids ranging from C8 to C18 in chain length were either minimally effective or completely ineffective. Essentially, there was no qualitative difference between clotrimazole and miconazole in the response to these various lipids.Both clotrimazole (Bay b 5097; bis-phenyl-[2-chloro-phenyl]-1-imidazolyl methane) and miconazole (R14889; 1-[2,4-dichloro-(t-[(2,4-dichlorobenzyl)oxylphenethyllimidazole nitrate) are promising imidazole antimycotics active against a''wide range of pathogenic fungi. Our previous studies showed that when Candida albicans cells were exposed to relatively high concentrations of clotrimazole, leakage of various types of small molecules was induced, such as K+, amino acids, inorganic phosphate, and nucleotides (19,20,21,34). As with clotrimazole, miconazole also has proved to cause loss of those cellular components from susceptible fungal cells (31). Our current interest is directed to understanding the details of the mechanism of action on membranes ofthese imidazole derivatives. There is a large number of antimicrobial agents which have been demonstrated to have a membrane-active property. However, in no case has the specific site or component in the susceptible membrane that can be involved in the binding and/or the action of a drug been clarified. The only exception is the case of polyene antibiotics which appear to interact preferentially with sterols existing in the membrane of susceptible organisms (24).Early evidence for the interaction between polyenes and sterols was provided by and Lampen et al. (25), who showed that growth-inhibitory and other actions of polyene antibiotics could be offset by sterols in the medium. Results have also been published which showed that certain types of pho...