During chronic liver diseases, hepatic stellate cells (HSC) acquire an activated myofibroblast-like phenotype and proliferate and synthesize fibrosis components. Endothelin-1 (ET-1), which inhibited the growth of human myofibroblastic HSC, increased the formation of two NF-B DNA binding complexes; this effect was also observed with tumor necrosis factor-␣ (TNF-␣). The complexes were identified as the p50/p50 and p50/p65 NF-B dimers. Activation of NF-B was associated with the degradation of the inhibitory protein IB-␣; no IB- was detected. Activation of NF-B and degradation of IB-␣ were prevented by the NF-B inhibitors sodium salicylate and MG-132. In addition to cyclooxygenase-1 (COX-1), COX-2 is also constitutively expressed in human HSC, and the use of dexamethasone and of SC-58125, a selective COX-2 inhibitor, revealed that COX-2 accounts for basal COX activity. Moreover, COX-2 mRNA and protein were up-regulated by ET-1 and TNF-␣, whereas COX-1 was unaffected. Induction of COX-2 and stimulation of COX activity by ET-1 and TNF-␣ were prevented by sodium salicylate and MG-132, suggesting that activation of NF-B by either factor is needed for stimulation of COX-2. Finally, SC-58125 and dexamethasone reduced the growth inhibitory effect of ET-1 and TNF-␣, indicating that activation of COX-2 is required for inhibition of HSC proliferation. Taken together, our results suggest that NF-B, by inducing COX-2 expression, may play an important role in the negative regulation of human myofibroblastic HSC proliferation.