The ABCC subfamily of proteins is composed of nine members in Leishmania. We report that all of these proteins have an intracellular localization and that the overexpression of at least four members, ABCC3, ABCC4, ABCC5, and ABCC7, can confer resistance to antimonials, the first-line drug against Leishmania.The protozoan parasite Leishmania is responsible for a variety of clinical manifestations, ranging from mild cutaneous infections to life-threatening visceral diseases (12). Pentavalent antimony [Sb(V)] containing compounds such as sodium stibogluconate (Pentostam) and N-methylglucamine (Glucantime) remain the first-line drugs against all forms of Leishmania infections in developing countries (19), but their efficacies are threatened by resistant parasites in several regions where the disease is endemic (9,17,21). Our previous in vitro work on metal resistance in Leishmania led to the definition of a model of resistance involving proteins of the ATP-binding cassette (ABC) superfamily (20). ABC proteins form one of the largest families of transmembrane proteins and are characterized by the presence of the strongly conserved nucleotide-binding domain (NBD), which is composed of three major motifs. Along with the Walker A and B motifs found in many nucleotide-binding proteins (23), the NBD is composed of a characteristic ABC signature "C" motif located just upstream of the Walker B site (13). Eukaryotic ABC proteins can be divided into eight different subfamilies (ABCA to ABCH) on the basis of gene structure and NBD sequence homologies. A previous survey indicated the presence of 42 ABC protein-coding genes in the genomes of Leishmania major and Leishmania infantum (16), but the latest version of the L. infantum genome (GeneDB V3.0) revealed the presence of a new member of the ABC superfamily (LinJ24_V3.1510). This gene seems to be specific to L. infantum since it is absent from the genome of L. major (GeneDB V5.1) and is found as a pseudogene of low homology in the genome of Leishmania braziliensis (GeneDB V2.0). A phylogenetic analysis of the L. infantum ABC proteins revealed that LinJ24_V3.1510 is the most divergent member of the ABCC subfamily in Leishmania (results not shown) and has been named ABCC9. While the Walker A and B motifs are well conserved in the ABCC proteins of Leishmania, some conserved residues essential to the function of ABC proteins (7) are absent from the C motif of ABCC9 (Fig. 1), and the functionality of this protein in L. infantum still needs to be established.Resistance to metalloids in Leishmania requires multiple steps, where Sb(V) is reduced to the trivalent form Sb(III), and the latter is conjugated to trypanothione (TSH), a bisglutathione-spermidine conjugate (6), before being transported inside an intracellular detoxification organelle by the ABC transporter MRPA/ABCC3 (15) or being extruded outside the cell by an ATP-dependent efflux pump of unknown identity (4). As the active extrusion of metalloids conjugated to thiols is a feature of the ABCC subfamily (14, 25), we hypothe...