Tetracycline resistance encoded by four genetically different determinants residing on plasmids in Escherichia coli was shown to be associated in each case with an energy-dependent decrease in accumulation of the antibiotic in whole cells in which resistance had been induced. The different class determinants examined were those on plasmids RP1 (class A), R222 (class B), R144 (class C), and RAI (class D). This decrease in accumulation was attributable to an active efflux, because everted (inside-out) membrane vesicles made from tetracycline-induced E. coli cells containing any one of the four plasmids were shown to concentrate tetracycline by an active influx. This active uptake was not seen in inside-out vesicles from sensitive cells or uninduced R222-containing cells. In vesicles from induced R222-containing cells, the efflux appeared to be carrier-mediated with a Km of about 6 ;M. These results demonstrate that active export of tetracycline is a common component of the mechanism for tetracycline resistance encoded by different plasmid-borne determinants in bacteria. The tetracyclines are bacteriostatic antibiotics used to treat a broad spectrum of microbial disease agents in humans, animals, and plants (1). They act by inhibiting protein synthesis, specifically by preventing aminoacyl tRNA from binding to the A site on the ribosome during peptide elongation (2-4). Bacterial resistance to tetracycline is widespread and is caused by at least four different resistance determinants (5) carried on plasmids in the host bacterial cell. In most cases, resistance is inducible by subinhibitory amounts of tetracycline, and for some plasmids it can reach 200 times the resistance of plasmidless cells. The most common tetracycline resistance determinant in Escherichia coli appears to be that borne on transposon TnlO.t Plasmid-mediated tetracycline resistance does not lead to inactivation of the tetracycline molecule (6-8). Rather, resistance is associated with a decrease in tetracycline accumulation (8-11). A tetracycline-inducible inner membrane protein of molecular weight about 37,000, TET, is associated with TnlO-encoded resistance (8, 12), and a repressor activity of TET synthesis has been found (13). A TET protein of similar size encoded by other plasmid-borne resistance determinants has been described (8,12,(14)(15)(16).In previous work we showed two transport systems for tetracycline in sensitive E. coli K-12 cells, only one of which was sensitive to energy inhibitors (17). Both were altered by the tetracycline resistance plasmid R222 (11). The energy-dependent component of uptake in sensitive cells was replaced in resistant cells by a non-energy-requiring uptake of a lesser rate. In addition, the energy-independent uptake system in sensitive cells was decreased to 1/3-1/5 (11). This decrease appeared to be at least partly reversed by energy inhibitors (11), which suggested that energy was required for the lowered tetracycline accumulation. Using everted membrane vesicles, we now demonstrate that resistant...