With increasing industrial and biomedical applications of engineered nanomaterials (ENMs), concerns have been raised regarding increased risk of exposure. Exposure to ENMs can potentially lead to adverse health effects including cell toxicity. The plasma membrane, a lipid-protein bilayer surrounding all cells, is the first cellular entity that comes into direct contact with foreign particles. Membrane damage by ENMs is one of the potential mechanisms through which ENMs induce cytotoxicity. In recent years, significant effort has been focused on elucidating the complex interactions at the particle-plasma membrane interface. Such studies have primarily relied on membrane models to tease out what particle physicochemical properties might perturb the structure and function of the cell plasma membrane. However, the role of membrane lipid asymmetry, the fact that the plasma membrane has a different lipid composition in the exofacial leaflet compared to the cytofacial leaflet, in regulating nanoparticle-membrane interactions has remained obscure. In the first aim of this dissertation research, the role of individual membrane leaflets in regulating the interactions of membrane models and erythrocytes with engineered silica nanoparticles (50 and 100 nm) was examined. It was found that silica nanoparticles bind to and disrupt synthetic vesicles mimicking the exofacial leaflet but not those mimicking the cytofacial leaflet of the erythrocyte plasma membrane. Nanoparticles that disrupted vesicles mimicking the exofacial leaflet also induced hemolysis in erythrocytes, suggesting that the exofacial leaflet is the primary regulator of nanoparticle-induced membrane damage. This was confirmed by demonstrating that nanoparticles caused similar disruptive behavior in symmetric and asymmetric vesicles, which had similar outer leaflet, but different inner leaflet lipid compositions. Together, these studies reveal that membrane lipid asymmetry plays a minor role in nanoparticle-induced membrane disruption with the exofacial leaflet being the primary regulator of interactions.The second aim of this study focused on understanding the mechanisms by which engineered nanomaterials disrupt the cell plasma membrane. Here, we investigated the role of the lipid chemical structure in the disruption of lipid vesicles by unmodified silica, carboxyl-modified silica, and unmodified polystyrene nanoparticles (50 nm) was investigated. The role of the lipid headgroup was examined by comparing nanoparticle effects on vesicles composed of 1,2-dioleoyl-sn-glycero-3-phosphocholine (DOPC) vs. an inverse phosphocholine (PC) with the same acyl chain structure. The role of acyl chain saturation was examined by comparing nanoparticle effects on saturated vs. unsaturated PCs and sphingomyelins. Nanoparticle effects on PCs (glycerol backbone) vs. sphingomyelins (sphingosine backbone) were also examined. Results showed that the lipid headgroup, backbone, and acyl chain saturation all affect nanoparticle binding to and disruption of the membranes. A low headgroup tilt angle and the presence of a trimethylammonium moiety at the vesicle surface are required for unmodified nanoparticles to induce membrane disruption. Lipid backbone structure significantly affects nanoparticle-membrane interactions, with carboxyl-modified particles only disrupting lipids containing cis unsaturation and a sphingosine backbone. Acyl chain saturation makes vesicles more resistant to particles by increasing lipid packing in vesicles, impeding molecular interactions. Finally, nanoparticles were capable of changing lipid packing, resulting in pore formation in the process. These observations are important in interpreting nanoparticle toxicity to biological membranes.The third aim of this work was to examine the role of plasma membrane lipid chemistry in the endocytosis of ENMs by altering the plasma membrane lipid composition directly in live cells. Using a methyl alpha cyclodextrin (MαCD)-catalyzed lipid exchange method, endogenous membrane lipids were replaced with lipids of choice, and this exchange process was confirmed using chromatography and mass spectrometry methods. It was demonstrated that the lipid composition of the plasma membrane outer leaflet affects cellular internalization of silica nanoparticles (nominal diameter: 50 nm) in serum free medium, depending on the lipids delivered to the plasma membrane. Importantly, changes in membrane lipid composition altered the intracellular fate of nanoparticles, resulting in their displacement from the lysosome. The role of the new lipid microenvironment on function of low-density lipoprotein receptor (LDLR) and macrophage receptor with collagenous structure (MARCO), two well-known scavenger receptors, known to be involved in the uptake of a variety of nanomaterials, was investigated in single cells. It was observed that cells showed high LDLR activity following exchange with 18:1 SM, but low activity following exchange with 36:2 PC and iPC exchange. Little change in the activity of MARCO was observed except after exchange with 36:2 iPC. Using giant plasma membrane vesicles (GPMVs) and anisotropy measurements, it was observed that lipid exchange affected the fluidity of the cell plasma membrane but did not alter receptor localization. Taken together, these findings reveal that the lipid composition of the plasma membrane outer leaflet plays a significant role in ENM endocytosis, by affecting non-specific ENM diffusion into the cell, by changing membrane fluidity, and active endocytosis.