Mechanisms by which the intestinal epithelium resists invasion by food-borne pathogens such as Listeria monocytogenes are an evolving area of research. Intestinal P glycoprotein is well known to limit the absorption of xenobiotics and is believed to act as a cytotoxic defense mechanism. The aim of this study was to determine if intestinal P glycoprotein is involved in host defense against L. monocytogenes. Caco-2 cells and a Pglycoprotein-overexpressing subclone (Caco-2/MDR) were employed in addition to mdr1a ؊/؊ mice and wildtype controls. In vitro invasion assays and in vivo experiments were employed to measure bacterial invasion and dissemination. In addition, L. monocytogenes proteins were labeled with [35 S]methionine, and the transepithelial transport across Caco-2 monolayers was characterized in both directions. Overexpression of P glycoprotein in Caco-2/MDR cells led to increased resistance to L. monocytogenes invasion, whereas P-glycoprotein inhibition led to increased invasion. Flux of [35 S]methionine-labeled L. monocytogenes proteins was significantly greater in the basolateral-to-apical direction than in the apical-to-basolateral direction, indicating dependence on an apically located efflux transporter. Moreover, inhibiting P glycoprotein reduced the basolateral-to-apical flux of the proteins. Early dissemination of L. monocytogenes from the gastrointestinal tract was significantly greater in the mdr1a ؊/؊ mice than in wild-type controls. Expression and function of intestinal P glycoprotein is an important determinant in resistance to early invasion of L. monocytogenes.P glycoprotein is the 170-kDa product of the human MDR1 gene and is arguably one of the most extensively studied members of the ATP-binding cassette superfamily of transport proteins (28). P glycoprotein is best known for its ability to transport drug substrates out of cells in a variety of tissues, including the intestine (1,12,27). Both the expression and the function of P glycoprotein have been linked to considerable variability in oral drug absorption; however, the precise physiological role of intestinal P glycoprotein is unknown. Because P glycoprotein is well conserved throughout evolution and has a broad substrate affinity, it is widely believed to act as a cytotoxic protection mechanism. Given its apical distribution on the enterocyte, P glycoprotein is exquisitely positioned to limit the absorption of substances that the cell perceives as harmful. Thus, it is conceivable that P glycoprotein restricts the absorption of other, nondrug substances in the intestine. Proteins facilitating invasion of pathogenic bacteria would be ideal candidates given the purported mechanism of action of P glycoprotein.Listeria monocytogenes is a food-borne pathogen responsible for considerable morbidity and mortality (11,24). Although multiple sites of invasion have been proposed, the vanguard of the body's interaction with L. monocytogenes is the intestinal epithelial barrier. Intestinal epithelial cells come in contact with not only the bacter...