Coelenterazine is widely distributed among marine organisms, producing bioluminescence by calcium-insensitive oxidation mediated by Renilla luciferase (Rluc) and calcium-dependent oxidation mediated by the photoprotein aequorin. Despite its abundance in nature and wide use of both proteins as reporters of gene expression and signal transduction, little is known about mechanisms of coelenterazine transport and cell permeation. Interestingly, coelenterazine analogues share structural and physiochemical properties of compounds transported by the multidrug resistance MDR1 P-glycoprotein (Pgp). Herein, we report that living cells stably transfected with a codon-humanized Rluc show coelenterazinemediated bioluminescence in a highly MDR1 Pgp-modulated manner. In Pgp-expressing Rluc cells, low baseline bioluminescence could be fully enhanced (reversed) to non-Pgp matched control levels with potent and selective Pgp inhibitors. Therefore, using coelenterazine and noninvasive bioluminescence imaging in vivo, we could directly monitor tumor-specific Pgp transport inhibition in living mice. While enabling molecular imaging and highthroughput screening of drug resistance pathways, these data also raise concern for the indiscriminate use of Rluc and aequorin as reporters in intact cells or transgenic animals, wherein Pgp-mediated alterations in coelenterazine permeability may impact results. B ioluminescence, a common phenomenon particularly in marine ecosystems, is the emission of light by living organisms, representing a major form of communication and camouflage and a potential adaptation to oxidative stress (1). A substrate (luciferin) is oxidized by an enzyme (luciferase) in the presence of oxygen, yielding an excited intermediate that emits light on returning to the ground state (2, 3). Coelenterazine, the imidazolopyrazine luciferin, is widely distributed among coelenterates, fishes, squids, and shrimps (4, 5). Renilla luciferase (Rluc), purified from a bioluminescent soft coral known as sea pansy (Renilla reniformis), catalyzes the calcium-insensitive oxidation of coelenterazine (6). The gene has been cloned and sequenced (7) and used extensively in reporter gene assays in bacteria, yeast, plant, and mammalian cells (8) for bioluminescence resonance energy transfer studies and for high throughput drug screening (9-11). Rluc provides a kinetically rapid, alternative bioluminescence signal to firefly (Photinus pyralis) luciferase and, when coexpressed, enables dual reporter readouts.A rapidly evolving area of biomedical research, use of bioluminescence as an optical marker for gene expression has been recently extended to noninvasive, real-time analysis of molecular events in intact cells and living animals (12)(13)(14). Although previous data suggested that Rluc could be used for reporter imaging in mice in vivo (15), limited utility and poor bioavailability of coelenterazine was reported in a mouse model of viral infection with an Rluc reporter strain of herpes simplex virus 1 (16). Interestingly, anabolic enzymes ena...