Natural killer (NK) cells express the highest amount of P-glycoprotein (Pgp
), a product of the multidrug resistance (MDR) 1 gene, among lymphoid cells
, and our previous studies demonstrated that Pgp is required for NK cell-me
diated cytotoxicity, In this study we examined the role of Pgp in NK cell-m
ediated cytotoxicity using a human NK-like cell line, i.e., YTN cells and t
wo MDR reversing agents, nicardipine and its structural analog, AHC-93. The
se two agents inhibited the Pgp function (rhodamine-las excretion) as well
as cell-mediated cytotoxicity, confirming that; Pgp is critical for Mt cell
-mediated cytotoxicity, As revealed by video-rate ultraviolet laser-scannin
g confocal microscopy, AHC-93 did not inhibit the increase in the intracell
ular calcium concentration upon binding to target cells, whereas nicardipin
e did, as reported previously. These two reagents relocated acridine orange
dye from lysosomes to the cytoplasm at concentrations similar to those req
uired for the inhibition of cell-mediated cytotoxicity. These results sugge
st that Pgp is directly or indirectly involved in pH regulation in lysosome
s, but not in calcium homeostasis. (C) 1999 Academic Press.