“…Multivalent drugs on nanoparticles also proved efficient for escaping efflux pumps [ 30 ]. Originally discovered with glycosidases [ 15 , 16 , 17 , 18 , 19 , 20 ], the inhibitory multivalent effect has been generalized to other enzymes such as glycosyltransferases and carbonic anhydrases [ 31 , 32 , 33 , 34 ]. In the case of enzyme inhibition, multivalent inhibitors may interact with enzymes by numerous mechanisms, such as the bind-and-recapture process, the chelate effect or receptor clustering [ 15 , 16 , 17 , 18 , 19 , 20 , 35 ].…”