Quantitative trait mapping identified a locus colocalizing with L-Fabp, encoding
liver fatty acid binding protein, as a positional candidate for murine
gallstone susceptibility. When fed a lithogenic diet (LD) for 2 weeks, L-Fabp(-/-) mice became hypercholesterolemic with increased hepatic
VLDL cholesterol secretion. Seventy-five percent of L-Fabp(-/-) mice developed solid
gallstones compared with 6% of wild-type mice with an increased
gallstone score (3.29 versus 0.62, respectively; P < 0.01). Hepatic free
cholesterol content, biliary
cholesterol secretion, and the
cholesterol saturation index of hepatic bile were increased in LD-fed L-Fabp(-/-) mice. Chow-fed L-Fabp(-/-) mice demonstrated increased fecal
bile acid (BA) excretion accompanied by decreased ileal Asbt expression. By contrast, there was an increased BA pool and decreased fecal BA excretion in LD-fed L-Fabp(-/-) mice, associated with increased proximal intestinal Asbt
mRNA expression, suggesting that intestinal BA absorption was enhanced in LD-fed L-Fabp(-/-) mice. The increase in biliary BA secretion and enterohepatic pool size in LD-fed L-Fabp(-/-) mice was accompanied by downregulation of Cyp7a1
mRNA and increased intestinal
mRNA abundance of Fgf-15, Fxr, and Fabp6. These findings suggest that changes in hepatic
cholesterol metabolism and biliary
lipid secretion as well as changes in enterohepatic BA metabolism increase
gallstone susceptibility in LD fed L-Fabp(-/-) mice.