Three mutants of Lactococcus lactis subsp. lactis MG1363, termed EthR, DauR, and RhoR, were selected for resistance to high concentrations of ethidium bromide, daunomycin, and rhodamine 6G, respectively. These mutants were found to be cross resistant to a number of structurally and functionally unrelated drugs, among which were typical substrates of the mammalian multidrug transporter (P-glycoprotein) such as daunomycin, quinine, actinomycin D, gramicidin D, and rhodamine 6G. The three multidrug-resistant strains showed an increased rate of energy-dependent ethidium and daunomycin efflux compared with that of the wild-type strain. This suggests that resistance to these toxic compounds is at least partly due to active efflux. Efflux of ethidium from the EthR strain could occur against a 37-fold inwardly directed concentration gradient. In all strains, ethidium efflux was inhibited by reserpine, a well-known inhibitor of P-glycoprotein. lonophores which selectively dissipate the membrane potential or the pH gradient across the membrane inhibited ethidium and daunomycin efflux in the wild-type strain, corresponding with a proton motive force-driven efflux system. The ethidium efflux system in the EthR strain, on the other hand, was inhibited by ortho-vanadate and not upon dissipation of the proton motive force, which suggests the involvement of ATP in the energization of transport.The partial inhibition of ethidium efflux by ortho-vanadate and nigericin in the DauR and RhoR strains suggest that a proton motive force-dependent and an ATP-dependent system are expressed simultaneously. This is the first report of an ATP-dependent transport system in prokaryotes which confers multidrug resistance to the organism.Multidrug resistance (MDR) is the intrinsic or acquired resistance of cells to various structurally and functionally unrelated toxic compounds. For various mammalian cells, it has been established that MDR is the result of active extrusion of drugs from the cells, a process that is catalyzed by an ATP-dependent transport protein termed P-glycoprotein or MDR1 (14). P-glycoprotein confers resistance to vinca alkaloids, anthracyclines, actinomycin D, valinomycin, gramicidin D, and phosphonium ions (4, 7, 9). P-glycoprotein is classified among members of the ATP-binding cassette (ABC) proteins (15) or traffic ATPases (26), to which belong prokaryotic and eukaryotic transport systems that facilitate either uptake or extrusion of substrates. Because of the importance of MDR in the failure of drug-based treatment of cancers and parasital infections, most attention has been focused on eukaryotic MDR systems. Recently, however, several MDR-like systems in both gram-positive (31, 42) and gram-negative (11, 20, 23) bacteria as well as in archaea (27) have been described. The occurrence of acquired resistance in bacteria, and especially in pathogenic bacteria like enterococci, staphylococci (35), and Mycobacterium tuberculosis (3), also poses serious problems to public health. MDR in these organisms is believed to be the...