“…The exact molecular mechanism by which TUD-CA stimulates exocytotic fusion of vesicles at the apical membrane 7,25 and apical carrier insertion 7,12,13 remains elusive. Various signaling molecules including isoforms of PKC, 7,9,13 cytosolic-free calcium (Ca 2 þ ) i , 9,25 mitogen-activated protein (MAP) kinases p38 MAPK6,12,13 and p44/42 MAPK , 11,14 src kinase 6 as well as PI3K 8,[26][27][28] have been shown to be involved in bile acid-dependent hepatobiliary exocytosis and carrier insertion/retrieval in apical membranes under various experimental conditions. 29 In the normal rat liver, TUDCA may trigger insertion of Bsep into canalicular membranes by a dual integrin-dependent signaling pathway which includes activation of p44/42 MAPK on one hand and activation of p38 MAPK on the other hand 6,[11][12][13] Preliminary evidence suggests that this pathway may be less relevant for the anticholestatic effect of TUDCA in bile acid-induced cholestasis 14,15 In TLCA-induced cholestasis, the anticholestatic effect of TUDCA appears to be mediated in part by PKC-dependent mechanisms although the exact isoform involved has not yet been determined.…”