RT Journal Article SR Electronic T1 ABC transporters confer multidrug resistance to Drosophila intestinal stem cells JF bioRxiv FD Cold Spring Harbor Laboratory SP 511584 DO 10.1101/511584 A1 Hannah Dayton A1 Jonathan DiRusso A1 Kristopher Kolbert A1 Olivia Williamson A1 Aiste Balciunaite A1 Edridge D’Souza A1 Kelly Becker A1 Elizaveta Hosage A1 Muneera Issa A1 Victoria Liu A1 Raghuvir Viswanatha A1 Shu Kondo A1 Michele Markstein YR 2019 UL http://biorxiv.org/content/early/2019/01/04/511584.abstract AB Adult stem cells can survive a wide variety of insults from ionizing radiation to toxic chemicals1–3. To date, the multidrug resistant features of stem cells have been characterized only in vertebrates, where there is a critical need to understand how cancer stem cells thwart chemotherapy drugs4–6. These studies reveal that the ability of both normal and cancer stem cells to survive toxins hinges on their high levels of expression of ABC transporters, transmembrane pumps that efflux lipophilic compounds out of cells7,8. This has been observed across a wide spectrum of vertebrate stem cells including breast, blood, intestine, liver, and skin, suggesting that high efflux ability and multidrug resistance may be general features of stem cells that distinguish them from their differentiated daughter cells. Here we show that these previously described vertebrate stem cell features are conserved in Drosophila intestinal stem cells. Using a novel in vivo efflux assay and multiple drug challenges, we show that stem cells in the fly intestine depend on two ABC transporters—one constitutively expressed and the other induced—for efflux and multidrug resistance. These results suggest that stem cell multidrug resistance by ABC transporters is a general stem cell feature conserved over 500 million years of evolution.