Expression of the MRP1 gene encoding the GS-X pump and of the ␥-GCSh gene encoding the heavy (catalytic) subunit of the ␥-glutamylcysteine synthetase is frequently elevated in many drug-resistant cell lines and can be co-induced by many cytotoxic agents. However, mechanisms that regulate the expression of these genes remain to be elucidated. We report here that like ␥-GCSh, the expression of MRP1 can be induced in cultured cells treated with pro-oxidants such as tert-butylhydroquinone, 2,3-dimethoxy-1,4-naphthoquinone, and menadione. Intracellular reactive oxygen intermediate (ROI) levels were increased in hepatoma cells treated with tert-butylhydroquinone for 2 h as measured by flow cytometry using an ROI-specific probe, dihydrorhodamine 123. Elevated GSH levels in stably ␥-GCSh-transfected cell lines down-regulated endogenous MRP1 and ␥-GCSh expression. ROI levels in these transfected cells were lower than those in the untransfected control. In the cell lines in which depleting cellular GSH pools did not affect the expression of the MRP1 and ␥-GCSh genes, only minor increased intracellular levels of ROIs were observed. These results suggest that intracellular ROI levels play an important role in the regulation of MRP1 and ␥-GCSh expression. Our data also suggest that elevated intracellular GSH levels not only facilitate substrate transport by the MRP1/GS-X pump as previously demonstrated, but also suppress MRP1 and ␥-GCSh expression.Human MRP1 (multidrug resistance protein) encoded by MRP1 was first isolated by molecular cloning from doxorubicinselected multidrug-resistant lung cancer cells (Ref. 1; reviewed in Ref. 2). Studies using plasma membrane vesicles prepared from MRP1-overproducing cell lines demonstrated increased ATP-dependent, high-affinity transport activities of cysteinyl leukotrienes (e.g. LTC 4 ) 1 (3, 4). Deletion of homologous MRP1 alleles in mice results in impaired response to inflammatory stimulus in these animals because LTC 4 is a potent mediator of the inflammation reaction (5). These findings suggest that MRP1 encodes the previously described GS-X (ATP-dependent glutathione S-conjugate export) pump (6). In addition to transporting LTC 4 and its related glutathione S-conjugates, naturally occurring organic conjugates, including 17-estradiol (17-D-glucuronide), and bile salt conjugates, including 6␣-glucuronosylhydrodeoxychlorate and 3␣-sulfatolithocholytaurine, are also good substrates for the MRP1/GS-X pump (7-9). There are also reports suggesting that GSH may serve as a cofactor in MRP1/GS-X pump-mediated drug transport (8, 11). In addition, the MRP1/GS-X pump is responsible for the release of GSSG from cells. This active export of GSSG is considered to be an important mechanism to maintain the reduced status of intracellular thiols under oxidative stress (12, 13). These observations underscore the importance of GSH for the function of MRP1.Biosynthesis of GSH is controlled by multiple enzyme systems (reviewed in Refs. 14 and 15). The first step of GSH biosynthesis, catalyzed by ␥-...