Metformin Disrupts Bile Acid Efflux by Repressing Bile Salt Export Pump Expression.
Brandy GarzelTao HuLinhao LiYuanfu LuScott HeywardJames PolliLei ZhangShiew-Mei HuangJean-Pierre RaufmanHongbing WangPublished in: Pharmaceutical research (2020)
Repression of BSEP alone is sufficient to disrupt hepatic bile acid efflux. Metformin and tamoxifen appear to be prototypes of a class of BSEP repressors that may cause drug-induced cholestasis through gene repression instead of direct BSEP inhibition.