Background: Microsomal triglyceride transfer protein (MTP) inhibition augments plasma transaminases, however, mechanisms are unknown. Results: MTP inhibition increased endoplasmic reticulum (ER) stress and induced GPT/GOT1 transcription through the Ire1␣/cJun pathway. Conclusion: Transcriptional up-regulation and increased synthesis contribute to augmentations in plasma ALT/AST. Significance: Increased transcription of the transaminase genes may reflect a mechanism for hepatocyte survival after ER stress.