The apical sodium-dependent bile acid transporter (Asbt) is responsible for transport across the intestinal brush border membrane; however, the carrier(s) responsible for basolateral bile acid export into the portal circulation remains to be determined. Although the heteromeric organic solute transporter Ost␣-Ost exhibits many properties predicted for a candidate intestinal basolateral bile acid transporter, the in vivo functions of Ost␣-Ost have not been investigated. To determine the role of Ost␣-Ost in intestinal bile acid absorption, the Ost␣ gene was disrupted by homologous recombination in mice. Ost␣ ؊/؊ mice were physically indistinguishable from wild-type mice. In everted gut sac experiments, transileal transport of taurocholate was reduced by >80% in Ost␣ ؊/؊ vs. wild-type mice; the residual taurocholate transport was further reduced to near-background levels in gut sacs prepared from Ost␣ ؊/؊ Mrp3 ؊/؊ mice. The bile acid pool size was significantly reduced (>65%) in Ost␣ ؊/؊ mice, but fecal bile acid excretion was not elevated. The decreased pool size in Ost␣ ؊/؊ mice resulted from reduced hepatic Cyp7a1 expression that was inversely correlated with ileal expression of fibroblast growth factor 15 (FGF15). These data indicate that Ost␣-Ost is essential for intestinal bile acid transport in mice. Unlike a block in intestinal apical bile acid uptake, genetic ablation of basolateral bile acid export disrupts the classical homeostatic control of hepatic bile acid biosynthesis.cholesterol ͉ liver disease ͉ mouse model ͉ nuclear receptor