The effect of vasopressin (VP) on canalicular function and hepatocellular morphology, with particular regard to actin cytoskeletal organization and the concomitant plasma membrane bleb formation, was studied in isolated rat hepatocyte couplets. VP induced the concentration-dependent formation of multiple plasma membrane blebs as well as simultaneous impairment in both canalicular vacuolar accumulation (cVA) and retention (cVR) of the fluorescent bile acid, cholyl-lysyl-fluorescein (CLF), which evaluate couplet secretory function and tight-junction integrity, respectively. These effects were mimicked by the protein kinase C (PKC) activator, phorbol dibutyrate (PDB), but not by the protein kinase A (PKA) activator, dibutyryl-cAMP. VP-induced bleb formation and canalicular dysfunction were fully prevented by the protein kinase inhibitor, H-7, but not by the PKA inhibitor, KT5720, further suggesting a specific role of PKC. VP-induced alterations were also prevented by pretreatment with the Ca 2؉ -buffering agent, BAPTA/AM, but not with the calmodulin-dependent protein kinase II antagonist, calmidazolium. Neither the Ca 2؉ -activated neutral protease inhibitor, leupeptin, nor the antioxidants, ␣-tocopherol or deferoxamine, were able to prevent either VP-induced plasma membrane blebbing or canalicular dysfunction. The Ca 2؉ -ionophore, A23187, mimicked the VP-induced alterations, but its harmful effects were completely prevented by H-7. Bleb formation induced by VP and PDB was accompanied by an extensive redistribution of filamentous actin from the pericanalicular area to the cell body, and this effect was fully prevented by H-7. These results suggest that VP-induced canalicular and cytoskeletal dysfunction is mediated by PKC and that classical (Ca 2؉ -dependent) PKC appear to be involved because intracellular Ca 2؉ is required for VP to induce its harmful effects. (HEPATOLOGY 1998;28:1031-1041.)Vasopressin (VP), like other hormonal mediators including angiotensin II, epinephrine, and norepinephrine, exerts its biological actions by inducing liberation of inositol 1,4,5-trisphosphate and diacylglycerol. 1 Inositol 1,4,5-trisphosphate mediates increase in cytosolic Ca 2ϩ ([Ca 2ϩ ] cyt ), whereas diacylglycerol mediates activation of protein kinase C (PKC). VP induces bile flow impairment either by PKC activation or Ca 2ϩ mobilization. 2-4 A variety of mechanisms were proposed to account for the cholestatic effect of VP. This hormone decreases primary secretion in isolated rat hepatocyte couplets via both [Ca 2ϩ ] cyt elevation and PKC activation, 5 indicating that the effect is, at least in part, hepatocellular in origin.