Ursodeoxycholic acid in cholestatic liver disease: Mechanisms of action and therapeutic use revisited

@article{Paumgartner2002UrsodeoxycholicAI,
  title={Ursodeoxycholic acid in cholestatic liver disease: Mechanisms of action and therapeutic use revisited},
  author={Gustav Paumgartner and Ulrich Beuers},
  journal={Hepatology},
  year={2002},
  volume={36}
}
Ursodeoxycholic acid (UCDA) is increasingly used for the treatment of cholestatic liver diseases. Experimental evidence suggests three major mechanisms of action: (1) protection of cholangiocytes against cytotoxicity of hydrophobic bile acids, resulting from modulation of the composition of mixed phospholipid‐rich micelles, reduction of bile acid cytotoxicity of bile and, possibly, decrease of the concentration of hydrophobic bile acids in the cholangiocytes; (2) stimulation of hepatobiliary… 

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