The phenomenon of multidrug resistance ( MDR ) in human cancers is one of the major causes of failure of chemotherapy. A recently identified new member of the superfamily of ATP -binding cassette transporters, breast cancer resistance protein ( BCRP ), was demonstrated to confer an atypical multidrug -resistant phenotype to tumor cells. To overcome the BCRP -mediated drug resistance, a specific anti -BCRP hammerhead ribozyme was introduced into the human gastric carcinoma cell line, EPG85 -257RNOV, exhibiting an atypical MDR phenotype. By this approach, the expression levels of the targeted BCRP -encoding mRNA and the BCRP transport protein were decreased to the low constitutive expression level that was observed in highly drug -sensitive parental gastric carcinoma cells. In addition, in the anti -BCRP ribozyme -treated cells, the cellular drug accumulation was dramatically increased to the level measured in drug -sensitive cells. These effects were accompanied by an extensive reversal of the drug -resistant phenotype of more than 80%. Because additional mechanisms contribute to the multimodal -mediated MDR phenotype exhibited by this gastric carcinoma cell line, the data suggest that the BCRP -mediated contingent to the drug resistance was overcome nearly completely. Moreover, the data indicate that ribozyme -based gene therapy may be clinically applicable in preventing and reversing BCRPmediated atypical MDR.