1 Supplementary data: Formal determination of the time residency of drugs in 2 membrane 3 To formally determine Eq.2, one will consider that (see Fig.1-SM); (i) the external 4 concentration of drugs is much higher than the internal/cytoplasmic concentration of 5 drugs, such that the global flow of drugs through the membrane follows Fick’s law. In 6 other words, out equilibrium conditions with a unidirectional flow within the membrane 7 towards the cytoplasm are considered here; (ii) the maximal value of the membrane 8 barrier potential, U max , is such that U max / k BT 1 , which allows a stationary regime to be 9 considered with regard to the flow of drugs through the membrane; (iii) drugs located 10 before the maximum value of the barrier potential remain in this location long enough to 11 follow a Maxwell-Boltzmann’s distribution; (iv) the cellular membrane thickness, h , and 12 the membrane diffusion coefficient, D are presumed to be constant; (v) the external 13 concentration of the drugs is low enough so that only a small fraction of drugs are 14 incorporated in the membrane, and therefore the characteristics of the membrane barrier 15 energy are constant and independent of the insertion of drugs. 16 Therefore, using (i) and (ii) the constant flow of drugs, J , is equal to the number of drug 17 molecules into the membrane, N , passing through the cellular membrane (of surface area 18 S cell ) per unit of time and expressed as J ( N / S cell ) / t . In a stationary regime the 19 flow of drugs is a function of the spatial variation of the drugs’ density, w , within the 20 membrane and of the membrane potential, U (x) , along the x-axis normal to the 21 membrane, written under the form: 22 J D x w w xU (Eq.1-SM) 1 23 Where is the drug mobility within the membrane and xU the force applied to the 24 drugs associated with the barrier of potential U within the membrane. As the flow of 25 drugs is constant across the membrane, Eq.1-SM can be rewritten as: 26 J e U D x weU JeU D x weU (Eq.2-SM) 27 Where U U / D U / k BT using Einstein’s relation and eU is introduced to collect 28 Eq.1-SM. Integrating Eq.2-SM over the membrane thickness it follows: 29 J eU dx D wineU in wouteU out (Eq.3-SM) h 30 Where win , wout , U in and U out represent the probability density of drugs and the drugs 31 energy when located at the edges of the membrane, in the inner and outer leaflets 32 respectively. Consequently, the “out”-state corresponds to drugs being inserted in the 33 outer leaflet in order to optimize their dehydration and hydration energies, i.e. the non 34 polar part inserted in the membrane and the polar part external to the membrane, and the 35 “in”-state corresponds to the same optimization but in the inner leaflet. By considering 36 the system composed by the inner leaflet and the internal/cytoplasmic compartment, win 37 is similar and proportional to the probability of the drugs, once inserted, to remain in the 38 inner leaflet, which ultimately depends on the difference in their chemical potential, 39 in , between the adsorbed and desorbed, i.e. cytoplasmic, states: 40 win e in / k BT / h 41 As one considers out equilibrium conditions, that is that the thermal equilibrium has not 42 been reached, the concentration of drugs in the internal/cytoplasmic compartment is very 43 low, verifying 1 C in . Assuming an ideal gas-like chemical potential for cytoplasmic (Eq.4-SS) 2 44 drugs, it follows that the major contribution in in / k BT is ln Cin since 1 C in . 45 Thus, in / kBT ~ ln( Cin ) and accordingly, in / k B T 1 . The latter relation 46 implies that, as the concentration of drugs in the internal/cytoplasmic compartment is 47 very low, the drugs will necessarily desorb the inner leaflet (leaves the “in”-state) to 48 undergo solvation. Furthermore, using both Eq.4-SM and in / kBT 1 , it follows that 49 the density probability of finding drugs in the “in”-state is negligible compared to the 50 density probability of finding drugs in the outer leaflet (which is filled with drugs), i.e. 51 win e in / k BT / h wout . As a result, the first order approximation of Eq.3-SM can be 52 derived as follow: 53 J eU dx Dwout eU out 1 o( win / wout ) Dwout eU out (Eq.5-SM) h 54 The flow of drugs through the membrane is driven by the difference in the number of 55 drugs between the “out” and “in” states: J ( N / S cell ) / t [( N out N in ) / S cell ] / t 0 , 56 where t 0 represents the characteristic time for a drug to pass through the membrane. As 57 the number of drugs is proportional to the probability density and the out equilibrium 58 condition implies win wout , the flow of drugs through the membrane can be reduced to 59 J ( N out / S cell ) / t 0 . Finally, as the density of drugs, wout , present at the edge of the outer 60 leaflet of thickness h / 2 can be approached by wout (2 / h)( N out / S cell ) , inserting these 61 expressions into Eq.5-SM leads to Eq.2 in the text, i.e.: 62 t0 h h 2 1 U ( x ) U o u t dx e 2 D h 0 (Eq.6-SM) 63 64 3 65 Legend supplementary data 66 Figure-SM: Representation of the drug path through the membrane as a function of 67 the energies involved. “Out”, “In” and “h” are the outer leaflet, the inner leaflet and the 68 membrane thickness respectively. The global flow of drugs, J , between the outer 69 medium and the cytoplasm is driven by the difference in the concentration of drugs, or 70 equivalently, the difference in the chemical potential ( ~ ) of drugs between these two 71 compartments. To effectively traverse the membrane, the drug must incorporate the outer 72 leaflet of the membrane (transition states 12) with a decrease in its energy 73 corresponding to out , representing the insertion of the drug non polar part. Once 74 incorporated, the drug must bypass the membrane barrier potential to reach the cytoplasm 75 (transition states 23). The dashed area represents the probability density of the drug in 76 the membrane. In effect, because of the membrane barrier energy the probability density 77 is higher in the outer leaflet than in the inner leaflet. As drugs replenish the outer leaflet 78 due to the global flow of drugs between the outer and cytoplasmic compartments, once at 79 the top of the membrane barrier energy (unstable state 3), the drug cannot come back into 80 the outer or inner leaflets (out equilibrium conditions). As a consequence, the drug 81 desorbs the inner leaflet of the cellular membrane to go into the cytoplasm (transition 82 states 34). Note that the desorption of drugs is energetically favoured as: (i) the 83 difference in the drug energy between states 3 and 4 is driven by the difference of the 84 drug chemical potential in , which is much higher than ~ , which drives initially the 85 global drug flow; (ii) drugs have an affinity toward their cytoplasmic targets. 86 87 4 88 Figure-SM 89 90 91 92 h Out In 3 1 out U max 2 ~ 4 in Drug/target interaction Global drugs flow ~ J 5