ABGG5 (G5) and ABCG8 (G8) are ABC half-transporters that dimerize within the endoplasmic reticulum, traffic to the cell surface, and mediate cholesterol excretion into bile. Mice harboring defects in the leptin axis (db/db and ob/ob) have reduced biliary cholesterol concentrations. Rapid weight loss brought about by administration of leptin or dietary restriction increases biliary cholesterol excretion. We hypothesized that the reduction in biliary cholesterol in mice harboring defects in the leptin axis is associated with a reduction in G5G8 transporters and that levels of the transporter would increase with leptin administration and dietary restriction. We examined mRNA and protein levels for G5 and G8 in db/db and ob/ob mice. In both models G5 and G8 protein levels were reduced. In ob/ob mice, both leptin administration and dietary restriction increased G5 and G8 protein and biliary cholesterol concentrations. Finally, we examined the effects of tauroursodeoxycholate, which has been shown to increase biliary cholesterol excretion and function as a molecular chaperone. Tauroursodeoxycholate increased G5 and G8 protein and biliary cholesterol concentrations in both wild-type and db/db mice. Our results indicate that the mechanism for reduced biliary cholesterol excretion in db/db and ob/ob mice involves reductions in G5 and G8 protein levels and that this may occur at the level of G5G8 heterodimer assembly within the endoplasmic reticulum. ABCG5 (G5) and ABCG8 (G8) play a major role in the elimination of dietary and endogenously synthesized sterols in humans and mice (1-5). G5 and G8 are ATP binding cassette (ABC) 2 half-transporters that dimerize in the endoplasmic reticulum (ER) before trafficking of the functional G5G8 sterol transporter to the apical surface where it promotes the excretion of sterols from hepatocytes and enterocytes (3, 6 -8). In the liver, the G5G8 sterol transporter appears to be the major route for cholesterol excretion into bile. Mice deficient in G5, G8, or both transporters have 80 -90% reductions in biliary cholesterol concentrations (3-5). Conversely, expression of a human transgene in mice results in a 6 -8-fold increase in biliary cholesterol concentration and supersaturation of bile (7).In the absence of dietary or pharmacological perturbations, biliary cholesterol concentrations correlate with Abcg5/Abcg8 genocopy (9). Activation of the liver X receptor (LXR␣, NR1H3) by cholesterol feeding or administration of an agonist increases G5 and G8 mRNA as well as biliary cholesterol concentrations (10). In addition, these effects are absent in mice lacking LXR ␣/, suggesting that LXR is the principal regulator of G5 and G8 expression in response to dietary cholesterol (11). Although biliary cholesterol excretion generally correlates with expression levels of G5 and G8 mRNAs, exceptions include increases in biliary cholesterol excretion after treatment with diosgenin or tauroursodeoxycholate (TUDCA) and in liver transplant patients after surgery (12-14). The uncoupling of biliary chole...