The overexpression of the P-glycoprotein, the MDR1 gene product, has b
een linked to the development of resistance to multiple cytotoxic natu
ral product anticancer drugs in certain cancers and cell lines derived
from tumors. P-glycoprotein, a member of the ATP-binding cassette (AB
C) superfamily of transporters, is believed to function as an ATP-depe
ndent drug efflux pump with broad specificity for chemically unrelated
hydrophobic compounds. We review here recent studies on the purificat
ion and reconstitution of P-glycoprotein to elucidate the mechanism of
drug transport. P-glycoprotein from the human carcinoma multidrug res
istant cell line, KB-V1, was purified by sequential chromatography on
anion exchange followed by a lectin (wheat germ agglutinin) column. Pr
oteoliposomes reconstituted with pure protein exhibited high levels of
drug-stimulated ATPase activity as well as ATP-dependent [H-3]vinblas
tine accumulation. Both the ATPase and vinblastine transport activitie
s of the reconstituted P-glycoprotein were inhibited by vanadate. In a
ddition, the vinblastine transport was inhibited by verapamil and daun
orubicin. These studies provide strong evidence that the human P-glyco
protein functions as an ATP-dependent drug transporter. The developmen
t of the reconstitution system and the availability of recombinant pro
tein in large amounts due to recent advances in overexpression of P-gl
ycoprotein in a heterologous expression system should facilitate a bet
ter understanding of the function of this novel protein.