[14C]miltefosine accumulation and efflux in Leishmania lines. (A) Time-dependent accumulation of [14C]miltefosine. Labeling of wild-type (solid circles) and MDR (open circles) parasites was measured as described in Materials and Methods, and the [14C]miltefosine concentration, expressed in counts per minute per microgram of protein, was monitored at different times. All values represent the means ± the standard errors of two independent experiments, each of which was performed in duplicate. (B) Time-dependent [14C]miltefosine efflux. The outward transport of [14C]miltefosine was measured after preincubation of wild-type (solid circles) and MDR (open circles) parasites with [14C]miltefosine as described in Materials and Methods, and the decay in radioactivity was monitored at different times. The data are expressed as the percentage of the initial amount of [14C]miltefosine incorporated and represent the means ± the standard errors of two independent experiments, each of which was performed in duplicate.