Table 4

Summary of the results on the 18 tested drugs

Bile canaliculi deformation (i.e., constriction or dilatation), BSEP inhibition (vesicles), [3H]-TCA clearance (control = 100%), BSEP mRNA expression (control = 1), MLC2 phosphorylation state, and MLCK/ROCK implication are summarized. Human BSEP inhibition levels in transfected vesicles are taken from the literature and expressed as high (++), medium (+), and low (−) or absent.

DrugBile Canaliculi DeformationBSEP Inhibition, Vesicles[3H]-TCA Clearance
(Control = 100%)BSEP mRNA Expression (Control = 1)MLC2 Phosphorylation StateMLCK/ROCK Implication
Group 1: drugs involved in clinical cholestasis
 BOSDilatation++a,b,c,d64.24 ± 4.13**0.10 ± 0.01***DephosphorylationMLCK
 CPZConstriction+a,c,d49.96 ± 5.14*0.5 ± 0.2*PhosphorylationROCK
 CsAConstriction++a,b,c,d13.16 ± 1.48**0.54 ± 0.15**PhosphorylationROCK
 NEFConstriction++a,b,c,d52.46 ± 3.87***0.28 ± 0.08*PhosphorylationROCK
 TROConstriction++a,b,c,d21.97 ± 3.72***0.58 ± 0.11*PhosphorylationROCK
Group 2: drugs involved in rare cases of clinical cholestasis
 CIMDilatation+a86.25 ± 12.120.33 ± 0.04***DephosphorylationMLCK
 DICDilatation+a,d384.8 ± 57.96**0.66 ± 0.1*DephosphorylationMLCK
 ENTDilatationb,d109.2 ± 16.940.83 ± 0.18DephosphorylationMLCK
 METConstrictiona,d99.41 ± 8.450.30 ± 0.06***PhosphorylationROCK
 PERConstrictiond41.43 ± 8.22**0.45 ± 0.09*PhosphorylationROCK
 TACDilatationb56.14 ± 2.71***0.44 ± 0.11**DephosphorylationMLCK
 TOLDilatation then constriction+b,c,d48.36 ± 8.14**0.20 ± 0.04***No changeMLCK - ROCK
Group 3: drugs not involved in clinical cholestasis
 AMINo change+a,b,d115.6 ± 15.621.34 ± 0.19No change
 APAPNo changec,d137.2 ± 24.330.63 ± 0.14No change
 BUSNo changea,c,d86.07 ± 13.390.32 ± 0.03**No change
 FIANo changed91.34 ± 9.140.66 ± 0.08No change
 PIONo change+a,b,c,d86.15 ± 3.340.66 ± 0.08No change
 XIMNo changed96.71 ± 10.911.19 ± 0.16No change
  • a Pedersen et al. (2013).

  • b Morgan et al. (2010).

  • c Dawson et al. (2012).

  • d P. Krajcsi (unpublished data).

  • * P < 0.01; **P < 0.05; ***P < 0.001.

  • —, no implication.