Structure and localization of Pgp in plasma membrane. (A) Pgp is
a transmembrane protein with drug-binding pocket localized in the
inner leaflet of the plasma membrane, and two NBD localized in cytoplasm.
Functional Pgp is localized in cholesterol, sphingomyelin, and GM1
ganglioside-rich membrane microdomains, called lipid rafts, where
it is surrounded by fluid phase of the membrane, containing unsaturated
fatty acids like DPPC. Pgp is pictured in inward-open (outward closed)
conformation ready to bind substrate. The model is based on X-ray
analysis56 and NMR data from protein data
bank (http://www.rcsb.org/). (B) Incorporation of Pluronic
into lipid bilayer disrupts lipid rafts, possibly causing conformational
changes in Pgp, which results in inhibition of Pgp ATPase and transport
activities.