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. 2013 Oct;21(4):327–335. doi: 10.1016/j.jsps.2012.10.003

Table 1.

Mechanisms behind interaction between polymeric inhibitors and efflux pump.

Sr. No. Mechanism of interaction Polymeric inhibitor
1. Bypass of drug efflux system by drug-polymer conjugate Dendrimers
2. Inhibitors form conjugates with ATP that results into ATP depletion Poloxamer unimers[42], Myrj, Brij, Dendrimers
3. Inhibitors interfering with ATP-binding sites resulting into site depletion for ATP binding TPGS 1000[69], Dendrimers
4. Blockage of trans-membrane situated drug binding sites by polymeric inhibitor Thiomers[68]
5. Interactions between membrane and polymeric inhibitor that alters the integrity of membrane lipids PEG, Thiomers, Pluronics[42], Myrj, Brij, Dendrimers

Possibly by mentioned mechanism as exact mechanism is not clear.