Cancer chemotherapy often results in the development of multidrug resistanc
e (MDR), which is commonly associated with overexpression of P-glycoprotein
(P-gp), a plasma membrane drug efflux ATPase, It was shown recently that g
lycosphingolipids are elevated in MDR cells. Sphingolipids are major consti
tuents of caveolae and of detergent-insoluble, glycosphingolipid-rich membr
ane domains. Here we report that multidrug-resistant HT-29 human colon aden
ocarcinoma cells exhibit a 12-fold overexpression of caveolin-1, a 21-kDa c
oat/adaptor protein of caveolae, Similar observations were made in adriamyc
in-resistant MCF-7 human breast adenocarcinoma cells. Caveolin-2 expression
is also up-regulated in MCF-7-AdrR cells, but neither caveolin-l nor caveo
lin-2 were detected in MCF-7 cells stably transfected with P-gp, The up-reg
ulation of caveolins is associated with a 5-fold increase in the number of
caveolae-like structures observed in plasma membrane profiles of HT-29-MDR
cells and with the appearance of a comparable number of caveolae in MCF-7-A
drR cells, A significant fraction (similar to 40%) of cellular P-gp is loca
lized in low density detergent-insoluble membrane fractions derived from ei
ther HT-29-RIDR or MCF-7-AdrR cells. The distribution of recombinant P-gp i
n stably transfected MCF-7 cells was similar, even though these cells do no
t express caveolins and are devoid of caveolae. The possibility that caveol
ae contribute to the multidrug resistance and thus are coselected with P-gp
during the acquisition of this phenotype is discussed.