A complex genetic basis determines the individual predisposition to develop cholesterol gallstones in response to environmental factors. We employed quantitative trait locus/loci (QTL) analyses of an intercross between inbred strains CAST/Ei (susceptible) and DBA/2J (resistant) to determine the subset of gallstone susceptibility ( Lith ) genes these strains possess. Parental and first filial generation mice of both genders and male intercross offspring were evaluated for gallstone formation after feeding a lithogenic diet. Linkage analysis was performed using a form of multiple interval mapping. One significant QTL colocalized with Lith1 [chromosome (chr) 2, 50 cM], a locus identified previously. Significantly, new QTL were detected and named Lith10 (chr 6, 4 cM), Lith6 (chr 6, 54 cM), and Lith11 (chr 8, 58 cM).Statistical and genetic analyses suggest that Lith6 comprises two QTL in close proximity. Our molecular and genetic data support the candidacy of peroxisome proliferator-activated receptor ␥ ( Pparg) and Slc21a1 , encoding Pparg , and the basolateral bile acid transporter SLC21A1 ( Slc21a1 / Oatp1 ), respectively, as genes underlying Studies of model (1-3), animal (4-6), and human biles (7-9) have greatly contributed to the elucidation of the pathophysiology of cholesterol gallstone formation (cholelithiasis). Investigation of both human (10) and mouse models (11) demonstrated that a complex genetic basis determines the individual predisposition to develop cholesterol gallstones in response to environmental factors (12). Advancement of our understanding of cholesterol homeostasis and of the mechanisms of bile formation enables us to identify the primary genetic determinants of cholesterol gallstone formation (13) and may lead to improved management and ultimately prevention of this prevalent and costly disorder (14). To this end, we employed quantitative trait locus/loci (QTL) analysis to define genomic regions associated with cholelithiasis in inbred mice. Our ultimate goal is to identify genes that carry polymorphisms determining cholesterol gallstone susceptibility (i.e., Lith genes) (13,15). Including this report, 11 major QTL for cholelithiasis, named Lith1 through Lith11 (11,(16)(17)(18)(19)(20), have been reported. Each gallstone-susceptible inbred mouse strain carries only a subset (21) of all gallstone susceptibility alleles. Therefore, to confirm loci from previous studies and to identify the entire ensemble of Lith loci in inbred mice, we are conducting a further series of QTL crosses between cholesterol gallstone-susceptible and -resistant inbred mouse strains that were selected on the basis of a large strain survey (22).Abbreviations: Abcb11 , bile salt export pump ( Bsep ); Apobec1 , apolipoprotein B mRNA editing complex 1; CAST, CAST/Ei; Cav , caveolin; Cav2 , caveolin 2; Cftr , cystic fibrosis transmembrane conductance regulator; ChMC, cholesterol monohydrate crystal; chr, chromosome; CI, confidence interval; CSI, cholesterol saturation index; Cyp7a1 /CYP7A1, cholesterol 7 ␣ -hydr...