C57L mice are susceptible and AKR mice are resistant to gallstone formation. We studied in male mice of both strains gallbladder histopathology, cholecystokinininduced emptying, and concentrating function at 0, 14, 28, and 56 days on a lithogenic diet. Gallbladder wall thickness increased on the diet, with stromal granulocyte infiltration, progressive fibrosis, edema, and epithelial cell indentation, particularly in C57L. Strong basal cholecystokinin octapeptide-induced gallbladder emptying (70% of fasting volumes) occurred in both strains, but fasting gallbladder volumes were significantly larger in C57L (14.8 6 2.2 ml vs. 8.8 6 1.0 ml). On the diet, fasting volumes increased exclusively in C57L (28.6 6 2.9 ml on day 56), with progressively decreased emptying (27% of fasting volumes on day 56). Gallbladder emptying remained normal in AKR. Gallbladder concentrating function decreased on the lithogenic diet (especially in C57L), coinciding with decreased aquaporin-1 (AQP1) and AQP8 expression at the mRNA and protein levels. In additional experiments, similar downregulation of AQP1 and AQP8 mRNA expression occurred in farnesoid X receptor (FXR)-deficient mice after 1 week on the lithogenic diet, without any difference from corresponding wild-type mice. In conclusion, during murine lithogenesis, altered gallbladder histology is associated with impaired motility, reduced concentrating function, and decreased AQP1 and AQP8 expression, the latter without the involvement of the FXR. Supplementary key words aquaporin . cholesterol . farnesoid X receptor . gallbladder emptying . water channel C57L and AKR inbred mice exhibit different susceptibilities to cholesterol gallstone formation, depending on Lith genes. Susceptibility is high in C57L males (gallstones in 80% of mice after 56 days on a lithogenic diet) and low in AKR males (gallstones in 15% after 56 days on a lithogenic diet) (1). Based on their time course during the earliest stages of lithogenesis, biliary cholesterol supersaturation, the hydrophobic bile salt deoxycholate, and high concentrations of crystallization-promoting mucin are thought to play crucial roles in murine gallstone formation (1, 2). In humans, the gallbladder is thought to be another key player in gallstone pathogenesis. Impaired postprandial and interdigestive gallbladder emptying are often found in gallstone patients, providing time for nucleation of cholesterol crystals and their aggregation into macroscopic stones (3). Also in animal models, gallbladder contractility is decreased in the earliest stages of gallstone formation, even before gallstones have formed (4). Furthermore, in the fasting gallbladder, hepatic bile is concentrated 4-to 5-fold by absorption of water, thereby enhancing cholesterol crystallization (5, 6). Aquaporins (AQP0 to AQP10) are a family of transmembrane channels mediating the movement of water through the lipid bilayer. AQP1 (7-12) and AQP8 (12) have recently been detected in gallbladder epithelial cells. Virtually no information is available about the g...