The plasma membrane is not a uniform two-dimensional space hut includes var
ious types of specialized regions containing specific lipids and proteins.
These include clathrin-coated pits and caveolae. The existence of other cho
lesterol- and glycosphingolipid-rich microdomains has also been proposed. T
he aim of this review is to illustrate that these latter domains, also call
ed lipid rafts, may he the preferential interaction sites between a variety
of toxins, bacteria, and viruses and the target cell. These pathogens and
toxins have hijacked components that are preferentially found in rafts, suc
h as glycosylphosphatidylinositol-anchored proteins. sphingomyelin, and cho
lesterol. These molecules not only allow binding of the pathogen or toxin t
o the proper target cell but also appear to potentiate the toxic action. We
briefly review the structure and proposed functions of cholesterol- and gl
ycosphingolipid-rich microdomains and then describe the toxins and pathogen
s that interact with them. When possible the advantage conferred by the int
eraction with microdomains will be discussed.