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Cholesterol-containing plasma membranes are essential eukaryotic structures where cholesterol regulates fluidity, thickness, and the formation of lipid rafts (Nature Reviews Molecular Cell Biology, 2000). These membranes act as a physical barrier and a scaffold for signaling proteins, influencing processes like endocytosis and transmembrane signaling (Journal of Cell Science, 2011). In pharmacology, they are the primary off-target site for polyene antifungals like Amphotericin B, which binds to cholesterol in human cells, causing pore formation and subsequent toxicity such as hemolysis and nephrotoxicity (StatPearls, 2023). Additionally, cholesterol-rich domains are exploited by pathogens, including HIV-1 and SARS-CoV-2, for host cell entry, making membrane cholesterol a target for antiviral strategies (Frontiers in Physiology, 2020). Research also highlights the role of membrane cholesterol in modulating amyloid-beta production in Alzheimer's disease and promoting oncogenic signaling in various cancers (Journal of Lipid Research, 2016).
Direct binding to membrane cholesterol leading to pore formation, membrane permeabilization, or sequestration of cholesterol to disrupt lipid raft-mediated signaling (PubChem; Biochemical Journal, 2002).
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