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Physiological Reviews, Vol. 83, No. 2, April 2003, pp. 633-671; 10.1152/physrev.00027.2002.
Copyright ©2003 by the American Physiological Society
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Karl-Franzens University, School of Medicine, Graz, Austria; and Department of Medicine and Liver Center, Yale University School of Medicine, New Haven, Connecticut
Trauner, Michael and
James
L. Boyer.
Bile Salt Transporters: Molecular Characterization, Function,
and Regulation. Physiol. Rev. 83: 633-671, 2003.
Molecular
medicine has led to rapid advances in the characterization of
hepatobiliary transport systems that determine the uptake and excretion
of bile salts and other biliary constituents in the liver and
extrahepatic tissues. The bile salt pool undergoes an enterohepatic
circulation that is regulated by distinct bile salt transport proteins,
including the canalicular bile salt export pump BSEP (ABCB11), the
ileal Na+-dependent bile salt transporter ISBT (SLC10A2),
and the hepatic sinusoidal Na+- taurocholate cotransporting
polypeptide NTCP (SLC10A1). Other bile salt transporters include the
organic anion transporting polypeptides OATPs (SLC21A) and the
multidrug resistance-associated proteins 2 and 3 MRP2,3 (ABCC2,3).
Bile salt transporters are also present in cholangiocytes, the renal
proximal tubule, and the placenta. Expression of these transport
proteins is regulated by both transcriptional and posttranscriptional
events, with the former involving nuclear hormone receptors where bile
salts function as specific ligands. During bile secretory failure
(cholestasis), bile salt transport proteins undergo adaptive responses
that serve to protect the liver from bile salt retention and which
facilitate extrahepatic routes of bile salt excretion. This review is a
comprehensive summary of current knowledge of the molecular
characterization, function, and regulation of bile salt transporters in
normal physiology and in cholestatic liver disease and liver regeneration.
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