Eisai hyperbilirubinemic rats (EHBR) are mutant Eisai hyperbilirubinemic rats (EHBR) are mutantSprague-Dawley rats (similar to the Groningen Yellow (GY)/ Sprague-Dawley rats that exhibit impaired biliary ortransport-deficient (TR 0 ) mutant Wistar rats) characterized ganic anion and reduced glutathione (GSH) secretion. In by an inherited defect in organic anion secretion into bile. [1][2][3][4] addition, liver GSH levels are twice that of age-matched Both mutants resemble the human Dubin-Johnson syndrome controls. The mechanisms for the defect in biliary GSH and exhibit impaired biliary secretion of organic anions, such secretion and the increase in cell GSH are not fully unas conjugated bilirubin, sulfobromophthalein-reduced glutaderstood. We previously showed that canalicular memthione (GSH) conjugate, and sulfated and glucuronidated bile brane-enriched vesicles isolated from EHBR livers exacids. [1][2][3][4] In addition, biliary GSH excretion is also severely hibited normal GSH transport. In the present study, we impaired in both mutants when examined in vivo or in perexamined the steady-state rat canalicular reduced glutafused livers. [1][2][3] The mechanism for the impairment in biliary thione transporter (RcGshT) messenger RNA (mRNA)GSH secretion has been a subject of controversy. While Oude and protein levels, as well as the mechanisms for the Elferink et al. suggested the defect is a direct effect of the increase in cell GSH. Both Northern and Western blot mutation, 1 we demonstrated normal GSH transport in canaanalyses of EHBR livers showed nearly identical licular membrane-enriched vesicles isolated from EHBR livRcGshT mRNA and polypeptide levels, respectively, as ers, 2 which supports an indirect or secondary effect of the compared with controls. Treatment with phenobarbital, mutation. Because our laboratory recently cloned the rat canwhich increased steady-state RcGshT mRNA by five-to alicular reduced glutathione transporter (RcGshT), 5 possible sixfold, RcGshT polypeptide, and biliary GSH secretion altered expression of RcGshT secondary to the mutation in by onefold in controls, had a smaller effect on steady-EHBR can now be examined. state RcGshT-mRNA level in EHBR (by 1.5-fold) and did Normally, hepatic GSH level is maintained by a balance not increase RcGshT polypeptide or biliary GSH secrebetween synthesis and efflux, 6 about half of which is biliary tion. In examining possible mechanisms for increased in mature rats. 7 GSH synthesis rates are governed by the liver GSH, both cysteine level and g-glutamylcysteine availability of cysteine and the activity of the rate-limiting synthetase (GCS) activity were significantly higher than enzyme, g-glutamylcysteine synthetase (GCS), which, in controls, while the activity of GSH synthetase was unturn, is regulated physiologically by feedback-competitive inchanged. Northern and Western blot analyses also hibition by GSH (K i Å 2.3 mmol/L). 6,8 In GY/TR 0 mutants, showed increased steady-state GCS heavy subunit (GCSliver GSH levels are twice that of age-mat...