“…For example, MDR is associated with increased sensitivity (collateral sensitivity) to membrane active agents, such as non-ionic detergents, local anaesthetics and steroids (Bech-Hansen et al, 1976;Riordan & Ling, 1985). Changes in membrane permeability (Riordan & Ling, 1985), composition , ultrastructure (Arsenault et al, 1988), and the physical properties of the membrane bilayer (Wheeler et al, 1982;Ramu et al, 1983;Siegfried et al, 1983, Kessel, 1988 have also been reported. All of these observations suggest that the overexpression of P-glycoprotein leads to perturbations in membrane structure and function, perhaps arising in part from the insertion of a large hydrophobic protein into the plasma membrane.…”