Recent progress has begun to elucidate molecular and cellular mechanis
ms whereby bile salts stimulate hepatocellular selection, transport, a
nd biliary secretion of phospholipids, which are enriched (up to 95%)
in phosphatidylcholines. This article first summarizes classical obser
vations concerning the molecular structures of biliary phospholipids,
as well as the role of bile salts in promoting their secretion into bi
le. New data are then reviewed and synthesized into a working model fo
r biliary phospholipid secretion. An important feature is that this mo
del is selective for biliary phospholipids and necessitates a largely
independent pathway for cholesterol secretion into bile.