lular water layers. This article reviews how this process After entering the cell, small molecules must penetrate works and how it may fail in certain disease states. the cytoplasm before they are metabolized, excreted, or can convey information to the cell nucleus. Without effi-THE VARIETY OF SOLUBLE BINDING PROTEINS cient cytoplasmic transport, most such molecules would efflux back out of the cell before they could reach their Many biologically important compounds are only sparingly targets. Cytoplasmic movement of amphipathic mole-soluble in water. For example, the solubility of long-chain cules (e.g., long-chain fatty acids, bilirubin, bile acids) is fatty acids at physiological pH is õ10 mmol/L, 7,8 while that greatly slowed by their tendency to bind intracellular of bilirubin is õ1 nmol/L. 9,10 Other metabolites with low solustructures. Soluble cytoplasmic binding proteins reduce bilities include phospholipids, 11 hydrophobic bile acids, 12 retithis binding by increasing the aqueous solubility of their noids, 13 coenzyme A-esters, 14 cholesterol, 15 thyroid and steligands. These soluble carriers catalyze the transport of roid hormones, 16 and a wide variety of exogenous drugs and hydrophobic molecules across hydrophilic water layers, toxins collectively termed ''organic anions.'' Solubility of these just as membrane carriers catalyze the transport of hy-molecules may be greatly increased by binding proteins. drophilic molecules across the hydrophobic membrane These proteins provide mobile hydrophobic binding sites that core. They even display the kinetic features of carrier-allow amphipathic molecules to penetrate into and across mediated transport, including saturation, mutual com-aqueous layers that would otherwise block transport. 17 This petition between similar molecules, and countertrans-function has been compared with boats (the binding proteins) port. Recent data suggest that amphipathic molecules carrying nonswimming passengers (the amphipaths) across cross the cytoplasm very slowly, with apparent diffusion a river (the water layer). 18 Cytoplasm contains a large numconstants 10 2 to 10 4 times smaller than in water. By mod-ber of soluble binding proteins. These include fatty acid bindulating the rate of cytoplasmic transport, cytosolic bind-ing proteins, 19 of glutathione S-transferases with overlapping specificities. 26 Albumin serves a similar function outside the cell by carrying long chain fatty acids and numerous organic anions across The oldest paradigm in transport physiology is that cell unstirred plasma layers near the cell surface. 17 membranes provide the major barrier to cellular uptake and secretion. This is clearly true for hydrophilic molecules such