Intrahepatic bile ducts (BD) are a critical target of injury in the postischemic liver. Decreased vascular perfusion causes characteristic changes in the morphology of the ductular epithelia including a loss of secondary membrane structures and a decrease in plasma membrane surface area. Using adenosine triphosphate (ATP) depletion of cultured normal rat cholangiocytes (NRC) to model ischemic ducts, the present studies examined the fate of apical membrane proteins to determine whether membrane recycling might contribute to rapid functional recovery. Apical proteins, including ␥-glutamyl transpeptidase (GGT), Na ؉ -glucose cotransporter (SGLT1), and apically biotinylated proteins, were not shed into the luminal space during ATP depletion. Instead, labeling of surface proteins after ATP depletion showed a significant decrease in GGT and SGLT1, consistent with membrane internalization. Similarly, z-axis confocal microscopy of biotinylated apical proteins also showed protein internalization. During ATP recovery, SGLT1 transport activity remained profoundly depressed even after 24 hours of recovery, indicating that the function of the internalized apical proteins is not rapidly recovered. These studies suggest that the membrane internalization in ATPdepleted cholangiocytes is a unidirectional process that contributes to prolonged functional deficits after restoration of normal cellular ATP levels. This sustained decrease in transport capacity may contribute to the development of ductular injury in postischemic livers. (HEPATOLOGY 2000;31: 1045-1054.)Occupying a central anatomical position within the liver, intrahepatic bile ducts (BD) modify bile volume and composition through the absorption and secretion of fluid and electrolytes. 1-3 These functions require the polarized distribution of proteins within the apical and basolateral membrane domains. Liver ischemia or adenosine triphosphate (ATP) depletion in cholangiocytes initiates a sequential disruption of these membrane domains. Along the apical membrane, metabolic inhibition results in the detachment of ezrin from microvillar core filaments, a loss of the microvillar structure, and decreased membrane surface area. 4 The fate of the proteins in the apical membrane domain is not known.Compared with cholangiocytes, the cellular responses of renal epithelia to ischemia and the resultant, domain-specific membrane alterations have been defined in greater detail. Along the basolateral membrane, basolateral infoldings are lost 5-7 and Na,K ATPase is internalized from the membrane surface. 8,9 Along the apical membrane of proximal tubule cells, microvilli undergo profound clubbing and extensive membrane blebbing. 10 These alterations have been linked to changes in actin-associated proteins and the microvillar cytoskeleton. 7,[11][12][13][14][15][16][17][18] During reperfusion, these membranes are both shed into the tubular lumen and internalized into the cell. 10 Loss of membrane structure, organization and transport capacity contribute significantly to the delayed recove...