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In addition to the replacement and displacement of toxic bile acids, other mechanisms of action include cytoprotection of the injured bile duct epithelial cells (cholangiocytes) against toxic effects of bile acids, inhibition of apotosis of hepatocytes, immunomodulatory effects, and stimulation of bile secretion by hepatocytes and cholangiocytes. Lithocholic acid, when administered chronically to animals, causes cholestatic liver injury that may lead to death from liver failure in certain species unable to form sulfate conjugates, steroids legal canada. Ursodiol is 7-dehydroxylated more slowly than chenodiol. For equimolar doses of Ursodiol and chenodiol, steady state levels of lithocholic acid in biliary bile acids are lower during Ursodiol administration than with chenodiol administration. Humans and chimpanzees can sulfate lithocholic acid.
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