title: The bile salt export pump.
abstract: Canalicular secretion of bile salts mediated by the bile salt export pump Bsep constitutes the major driving force for the generation of bile flow. Bsep is a member of the B-family of the super family of ATP-binding cassette transporters and is classified as ABCB11. Bsep has a narrow substrate specificity, which is largely restricted to bile salts. Bsep is extensively regulated at the transcriptional and posttranscriptional level, which directly modulates canalicular bile formation. Pathophysiological alterations of Bsep by either inherited mutations or acquired processes such as inhibition by drugs or disease-related down regulation may lead to a wide spectrum of mild to severe forms of liver disease. Furthermore, many genetic variants of Bsep are known, some of which potentially render individuals susceptible to acquired forms of liver disease.
authors.affiliation: Department of Medicine, Institute of Clinical Pharmacology and Toxicology, University Hospital, Zürich, Switzerland. bstieger@kpt.unizh.ch
authors.forename: Bruno
authors.initials: B
authors.lastname: Stieger
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Meier
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Meier
mesh_terms: D000074020:ATP Binding Cassette Transporter, Subfamily B, Member 11; D018528:ATP-Binding Cassette Transporters / Q000037:antagonists & inhibitors / Q000235:genetics / Q000502:physiology*; D000595:Amino Acid Sequence; D000818:Animals; D001647:Bile Acids and Salts / Q000378:metabolism*; D001648:Bile Canaliculi / Q000502:physiology; D002780:Cholestasis, Intrahepatic / Q000235:genetics; D005786:Gene Expression Regulation; D006801:Humans; D008099:Liver / Q000196:embryology; D051379:Mice; D008969:Molecular Sequence Data; D016601:RNA-Binding Proteins / Q000502:physiology; D051381:Rats; D014158:Transcription, Genetic
chemical_list: C093491:ABCB11 protein, human; D000074020:ATP Binding Cassette Transporter, Subfamily B, Member 11; D018528:ATP-Binding Cassette Transporters; C490549:Abcb11 protein, mouse; D001647:Bile Acids and Salts; C496283:Fxr1h protein, mouse; D016601:RNA-Binding Proteins