Following chronic liver injury, hepatic stellate cells (HSCs) transdifferentiate into myofibroblast-like cells, which develop contractile properties and contribute to increased resistance to blood flow. We investigated whether this phenotypic activation includes changes in the expression of L-type voltage-operated Ca 2؉ channels (VOCC), which mediate Ca 2؉ influx and regulate cell contraction in vascular cell types. Rat HSCs were studied in the quiescent phenotype and after their activation in vitro (cultured on plastic for 14 days) and in vivo (isolated from rats with CCl 4 -induced cirrhosis). Patch-clamp studies showed Ca 2؉ currents through L-type VOCC in HSCs activated both in vitro and in vivo, whereas no currents were detected in quiescent HSCs. Moreover, binding studies with 3 H-isradipine, a specific L-type VOCC antagonist, showed a large number of binding sites in activated HSCs, while no specific binding was found in quiescent HSCs. In chronic liver diseases, hepatic stellate cells (HSCs) transdifferentiate from a quiescent phenotype into a myofibroblastlike phenotype, a process also named "activation." 1,2 The most relevant consequence of this phenotypic activation is the increased secretion of components of the extracellular matrix, a key feature in liver fibrogenesis. 3 In addition, recent data indicate that another important consequence of this process is the acquisition of contractile properties. 4 Due to their strategic anatomical location around hepatic sinusoids, tonic contraction of activated HSCs in response to agonists may increase sinusoidal resistance to blood flow and thus play an important role in the pathogenesis of portal hypertension in advanced chronic liver diseases. 5,6 In the last decade, much attention has been focused on the molecular mechanisms responsible for the increased collagen synthesis that display HSCs following phenotypic activation. 7 In clear contrast with these advances, the mechanisms by which the phenotypic activation of HSCs results in increased cell contractility remain largely unknown. Studies using in vitro and in vivo models of HSC activation have constantly shown that activated HSCs express high amounts of ␣-smooth muscle actin and myosin, cytosolic proteins essential for cell contractility, which are absent in quiescent HSCs. 8,9 Moreover, recent data indicate that in vitro activation of HSCs results in increased sensitivity to vasoconstrictor and depolarizing substances when assessed in terms of Ca 2ϩ mobilization. 10,11 However, the mechanisms underlying this increased Ca 2ϩ response are unknown. In human activated HSCs, an agonist-induced increase in intracellular Ca 2ϩ concentration ([Ca 2ϩ ] i ) is largely mediated by the opening of L-type voltage-operated Ca 2ϩ channels (VOCC), 12,13 which are known to regulate Ca 2ϩ entry and thereby cell contraction in other vascular cell types. 14 We hypothesized that the process of activation of HSCs is associated with changes in the expression of L-type VOCC that mediate Ca 2ϩ mobilization and cell contraction. ...