Multidrug resistance protein 1 (MRP1/ABCC1) belongs to the ATP-binding cassette transporter superfamily and is capable of conferring resistance to a broad range of chemotherapeutic agents and transporting structurally diverse conjugated organic anions. In this study, we found that substitution of a highly conserved tryptophan at position 1246 with cysteine (W1246C-MRP1) in the putative last transmembrane segment (TM17) of MRP1 eliminated 17-estradiol 17-(-D-glucuronide) (E 2 17G) transport by membrane vesicles prepared from transiently transfected human embryonic kidney cells while leaving the capacity for leukotriene C 4 -and verapamil-stimulated glutathione transport intact. In addition, in contrast to wild-type MRP1, leukotriene C 4 transport by the W1246C-MRP1 protein was no longer inhibitable by E 2 17G, indicating that the mutant protein had lost the ability to bind the glucuronide. A similar phenotype was observed when Trp 1246 was replaced with Ala, Phe, and Tyr. Confocal microscopy of cells expressing Trp 1246 mutant MRP1 molecules fused at the C terminus with green fluorescent protein showed that they were correctly routed to the plasma membrane. In addition to the loss of E 2 17G transport, HeLa cells stably transfected with W1246C-MRP1 cDNA were not resistant to the Vinca alkaloid vincristine and accumulated levels of [ 3 H]vincristine comparable to those in vector control-transfected cells. Cells expressing W1246C-MRP1 were also not resistant to cationic anthracyclines (doxorubicin, daunorubicin) or the electroneutral epipodophyllotoxin VP-16. In contrast, resistance to sodium arsenite was only partially diminished, and resistance to potassium antimony tartrate remained comparable to that of cells expressing wild-type MRP1. This suggests that the structural determinants required for transport of heavy metal oxyanions differ from those for chemotherapeutic agents. Our results provide the first example of a tryptophan residue being so critically important for substrate specificity in a eukaryotic ATP-binding cassette transporter.The 190-kDa multidrug resistance protein 1 (MRP1) 1 is a member of a branch of the ATP-binding cassette (ABC) superfamily of transport proteins designated ABCC (1-3). When overexpressed in tumor cells, MRP1 (gene symbol ABCC1) confers resistance to anticancer drugs and other xenobiotics of remarkably diverse structures and charge. Thus, the resistance spectrum associated with MRP1 expression extends from cationic and neutral natural product drugs (e.g. vincristine, doxorubicin, and VP-16) to the antimetabolite methotrexate to arsenical and antimonial oxyanions (4). MRP1 is also a primary active transporter of conjugated organic anions that include GSH-, glucuronide-, and sulfate-conjugated derivatives of both endo-and xenobiotics, suggesting a role for MRP1 in the disposition and elimination of these compounds (2).The ability of MRP1 to confer drug resistance and transport conjugated organic anions is shared by at least two other proteins belonging to the ABCC subfamily, ...