Multidrug resistance (MDX) in mammalian tumour cells is mediated by P-
glycoproteins. The apparent similarities between MDX and the chloroqui
ne-resistance phenotype (CQR) in Plasmodium falciparum suggests that h
omologous proteins may be involved. In mammals, P-glycoproteins are en
coded by mdr genes that are a subset of a superfamily characterized by
ATP-binding cassettes (ABC). Three genes, pfmdr1, pfmdr2 and pfef3-r1
, have been identified in P. falciparum that have homology to the ABC
transporter gene family. Each protein encoded by these genes has a dis
tinct structure, suggesting functional differences between the three.
Justin Rubio and Alan Cowman here discuss the structure and possible f
unction of the ABC proteins from P. falciparum and evidence that the p
rotein encoded by the pfmdr1 gene can influence quinoline-containing a
ntimalarial drug-resistance phenotypes.