Increased levels of glutathione S-transferase (GST; RX:glutathione R-transferase; EC 2.5.1.18) mRNA, protein, and activity in tumor biopsy samples and in drugresistant cultured cells are associated with resistance to anticancer drugs. We report that each of three full-length cloned GST cDNAs, that for X7 (acidic), Ya (basic), and Yb1 (neutral), can confer drug resistance when expressed in cultured mammalian cells. In one approach, stably transfected mouse C3H/10T½ cells that express GST ar, Ya, or Ybj were cloned and analyzed for drug resistance in colony-forming assays. Transiently transfected COS cells that were sorted on a fluorescence-activated cell sorter were used in the second approach to avoid interclonal variation in factors other than the recombinant GST and to show that reversion of transient GST expression correlated with loss of drug resistance. A sorting technique, developed to separate the 20% of the electroporated COS cell population that transiently expressed GST ir, Ya, or Yb, from the nonexpressing population, was based on a GST-catalyzed intracellular cotijugation of glutathione to the fluorescent labeling reagent monochlorobimane. GST Ya conferred the greatest increase in resistance to chlorambucil and melphalan (1.3-to 2.9-fold), Yb, conferred the greatest increase in resistance to cisplatin (1.5-fold), and ir conferred the greatest increase in resistance to a racemic mixture of 7fi,8a-dihydroxy-9a, 10ar-epoxy-7,8,9,10-tetrahydrobenzo[alpyrene and 7a,8p-dihydroxy-9fi,108-epoxy-7,8,9,10-tetrahydrobenzo[a]pyrene and doxorubicin (1.5-and 1.3-fold) relative to controls. These resistance values to alkylating agents are commensurate with values observed clinically. Cytotoxicity curves representing recombinant GST' populations were significantly different from their controls with P values ranging from 0.005 to 0.0001. No resistance to vinblastine was detected. Conferred drug resistance was proportional to the magnitude of GST Ya expression, and reversion of transient expression in GST Ya+ COS cell clones to a GST Ya-phenotype was associated with total loss of drug resistance.A major obstacle to the effective treatment of cancer is the inability to eliminate tumor cell subpopulations that have an intrinsic or acquired resistance to anticancer drugs. Various cellular defense mechanisms have developed that may be important in conferring protection against cytotoxicity induced by anticancer drugs. Decreased intracellular drug accumulation, elevated DNA repair rates, altered topoisomerase activity, and enhanced drug detoxification are associated with development of the drug-resistant phenotype (1-3).The glutathione S-transferases (GST; RX:glutathione Rtransferase; EC 2.5.1.18) are a family of dimeric isozymes that can confer resistance to (detoxify) xenobiotic molecules by several mechanisms (1-3). In one mechanism, GSTs catalyze the covalent addition of the tripeptide glutathione to electrophilic molecules, including products of the cytochrome P-450 mixed-function oxidases, yielding conjugat...