“…As lipids travel from the ER to the plasma membrane through the Golgi apparatus, the lipid composition of the membranes becomes progressively asymmetric via the action of two classes of ATP-driven enzymes, flippases and floppases, which catalyze the slow transbilayer movement of lipids between leaflets and establish their chemical gradients (Balasubramanian and Schroit, 2003; Pomorski and Menon, 2006; Bevers and Williamson, 2010). The final result of their activity is the generation and maintenance of strict lipid asymmetry in the plasma membrane: choline-containing phospholipids, phosphatidylcholine (PC), and sphingomyelin, are more abundant in the outer leaflet whereas amino phospholipids, phosphatidylethanolamine (PE), phosphatidylserine (PS), and phosphoinositides (such as PI and PIP 2 ), are confined to the inner leaflet (Holthuis and Levine, 2005; Bevers and Williamson, 2010, 2011). Flippases and floppases are lipid-specific, with the former mostly belonging to the P4 subfamily of ATPases tasked with the internalization of PE and PS, whereas the latter are ATP-binding cassette transporters and move PC and sphingomyelin from the inner to the outer leaflet (Seigneuret and Devaux, 1984; Pomorski and Menon, 2006; Quazi and Molday, 2013).…”