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1 Laboratory of Experimental and Molecular Hepatology, DIvision of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University Graz, Graz, Austria
2 Department of Internal Medicine III, University of Technology Aachen, Aachen, Germany
3 Department of Pathology, Medical University Graz, Graz, Austria
4 University Hospital Innsbruck, Austria
* To whom correspondence should be addressed. E-mail: michael.trauner{at}meduni-graz.at.
Background: Expression of the main hepatic bile acid uptake system, Ntcp, is down-regulated during cholestasis. Bile acid-induced, FXR-mediated induction of the nuclear repressor SHP has been proposed as one key mechanism reducing Ntcp expression. However, the role of FXR and SHP or other nuclear receptors and hepatocyte-enriched transcription factors in mediating Ntcp repression in obstructive cholestasis is unclear. Material & Methods: FXR knockout (FXR-/-) and wild-type (FXR+/+) mice were subjected to CBDL. Cholic acid-fed (CA) and lipopolysaccharide (LPS)-treated FXR-/- and FXR+/+ were studied for comparison. mRNA levels of Ntcp, SHP, nuclear protein levels of hepatocyte nuclear factor 1
(HNF1
), HNF3
, HNF4
, RXR
and RAR
and their DNA binding were assessed. In addition, hepatic cytokine mRNA levels were measured. Results: CBDL and CA led to Ntcp repression in FXR+/+ but not in FXR-/- whereas LPS reduced Ntcp expression in both genotypes. CBDL and LPS - but not CA - induced cytokine expression and reduced levels of HNF1
, HNF3
, HNF4
, RXR
and RAR
to similar extents in FXR+/+ and FXR-/-. DNA binding of these transactivators was unaffected by CA in FXR+/+ but markedly reduced in FXR-/-. Conclusion: Ntcp repression by CBDL and CA is mediated by accumulating bile acids via FXR and does not depend on cytokines while Ntcp repression by LPS is FXR-independent. Reduced levels of HNF1
, RXR
and RAR
in CBDL FXR-/- and reduced DNA binding in FXR-/- despite unchanged Ntcp levels indicate, that these factors may be of minor importance for regulation of mouse Ntcp during cholestasis.
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