bMultidrug resistance (MDR) is the most common cause of chemotherapy failure in gastric cancer (GC) treatment; however, the underlying molecular mechanisms remain elusive. Long noncoding RNAs (lncRNAs) can be involved in carcinogenesis, but the effects of lncRNAs on MDR are poorly understood. We show here that the lncRNA MRUL (MDR-related and upregulated lncRNA), located 400 kb downstream of ABCB1 (ATP-binding cassette, subfamily B, member 1), was significantly upregulated in two multidrug-resistant GC cell sublines, SGC7901/ADR and SGC7901/VCR. Furthermore, the relative expression levels of MRUL in GC tissues were negatively correlated with in vitro growth inhibition rates of GC specimens treated with chemotherapeutic drugs and indicated a poor prognosis for GC patients. MRUL knockdown in SGC7901/ADR and SGC7901/VCR cells led to increased rates of apoptosis, increased accumulation, and reduced doxorubicin (Adriamycin [ADR]) release in the presence of ADR or vincristine. Moreover, MRUL depletion reduced ABCB1 mRNA levels in a dose-and time-dependent manner. Heterologous luciferase reporter assays demonstrated that MRUL might positively affect ABCB1 expression in an orientation-and position-independent manner. Our findings indicate that MRUL promotes ABCB1 expression and is a potential target to reverse the MDR phenotype of GC MDR cell sublines.T he development of multidrug resistance (MDR) followed by failure to respond to chemotherapy is a crucial problem in gastric cancer (GC) (1, 2). However, to date, the molecular mechanisms underlying MDR have not been fully elucidated.Chemotherapeutic drugs, such as doxorubicin (Adriamycin [ADR]) and vincristine (VCR), can induce Bax-and Bak-mediated apoptosis of tumor cells through DNA damage. Ribosomal protein (RP) S13 (RPS13) or RPL23 can promote MDR in gastric cancer cells by suppressing drug-induced apoptosis (3), while the activation of c-Jun N-terminal kinase 1 (JNK1) and caspase 3 (CPP32) is associated with enhancement of apoptosis in Baxtransfected gastric cancer cells (4). Among the MDR-related proteins, P-glycoprotein (P-gp), a 170-kDa transmembrane glycoprotein encoded by ABCB1, has been extensively studied (5-7). P-gp is an ATP-dependent efflux pump in the ATP-binding cassette (ABC) family and is expressed constitutively in the liver, kidney, intestine, brain, and many other tissues (5, 8). P-gp exhibits broad substrate specificity and is necessary for the elimination of intracellular toxic metabolic products or materials to maintain body homeostasis. Hence, P-gp can reduce intracellular chemotherapeutic drug concentrations by transporting cytotoxic agents out of the cell. P-gp upregulation often results in a compromised chemotherapy response and a worse prognosis for malignant tumor patients. However, the mechanism by which P-gp is upregulated remains unclear.Long noncoding RNAs (lncRNAs) refer to RNAs that lack coding potential, are Ͼ200 bp in length, and are responsible for at least 80% of all genome transcripts. lncRNAs play important roles in regulating t...