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Canalicular export of BSs through BSEP and MRP2
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Basolateral BS elimination via OSTα/OSTβ
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Inhibition of NTCP- and OATP1B1-mediated BS uptake
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Inhibition of BS synthesis (inhibition of CYP7A1 through FGF19- and SHP- mediated mechanisms, inhibition of CYP8B1and CYP27A1)
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Promotion of BS detoxification (through upregulation of CYP3A4, SULT2A1, UGT2B4)
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Reduction of intracellular BS toxicity |
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Reduced biliary excretion of BSs through inhibition of synthesis
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Canalicular PL secretion through MDR3 and promotion of mixed micelle formation
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Promotion of -rich bile secretion through carbonic anhydrase 14
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Induction of gallbladder secretion via VPAC-1
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Reduction of bile toxicity |
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Inhibition of inflammation |