PICK1 (protein interacting with C kinase 1) contains a single PDZ domain known to mediate interaction with the C termini of several receptors, transporters, ion channels, and kinases. In contrast to most PDZ domains, the PICK1 PDZ domain interacts with binding sequences classifiable as type I (terminating in (S/T)X⌽; X, any residue) as well as type II (⌽X⌽; ⌽, any hydrophobic residue). To enable direct assessment of the affinity of the PICK1 PDZ domain for its binding partners we developed a purification scheme for PICK1 and a novel quantitative binding assay based on fluorescence polarization. Our results showed that the PICK1 PDZ domain binds the type II sequence presented by the human dopamine transporter (-WLKV) with an almost 15-fold and >100-fold higher affinity than the type I sequences presented by protein kinase C␣ (-QSAV) and the  2 -adrenergic receptor (-DSLL), respectively. Mutational analysis of Lys 83 in the ␣B1 position of the PDZ domain suggested that this residue mimics the function of hydrophobic residues present in this position in regular type II PDZ domains. The PICK1 PDZ domain was moreover found to prefer small hydrophobic residues in the C-terminal P(0) position of the ligand. Molecular modeling predicted a rank order of (Val > Ile > Leu) that was verified experimentally with up to a ϳ16-fold difference in binding affinity between a valine and a leucine in P(0). The results define the structural basis for the unusual binding pattern of the PICK1 PDZ domain by substantiating the critical role of the ␣B1 position (Lys 83 ) and of discrete side chain differences in position P(0) of the ligands.With over 540 domains in more than 300 different proteins, PDZ (PSD-95/Disc-large/ZO-1 homology) 1 domains are among the most common protein domains in the human genome (1-3). They mediate cellular protein-protein interactions and serve important roles in protein targeting and in the assembly of protein complexes (1, 2). PICK1 (protein interacting with C kinase 1) contains a single N-terminal PDZ domain and was originally identified as an interaction partner for protein kinase C␣ (PKC␣) (5). In addition to its N-terminal PDZ domain, PICK1 contains a coiled-coil domain (residue 145-165 in rat PICK1) that is believed to mediate dimerization of PICK1 (6), followed by a region bearing homology to Arfaptin 1 and 2 (residue 152-362), and a C-terminal acidic cluster (residue 381-389). Although PICK1 was named for its interaction with PKC␣, it rapidly became clear that it had multiple interaction partners. At the current stage, the PDZ domain of PICK1 has been shown to mediate interaction with a broad range of proteins including receptor tyrosine kinases, ionotropic glutamate receptors of the L-␣-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA) and kainate subtypes, metabotropic glutamate receptors, ion channels, G protein-coupled receptors, aquaporins, transmembrane transporters, and ADPribosylation factors (see Table I and Ref. 7). PICK1 has been proposed to play a key role in clustering several o...