Type I collagen is a heterotrimeric extracellular matrix protein consisting of two ␣1(I) chains and one ␣2(I) chain. During liver fibrosis, activated hepatic stellate cells (HSCs) are the major source of the type I collagen that accumulates in the damaged tissue. Expression of ␣1(I) and ␣2(I) collagen mRNA is increased 60-fold compared with quiescent stellate cells and is due predominantly to post-transcriptional message regulation. Specifically, a stem-loop structure in the 5-untranslated region of ␣1(I) collagen mRNA may regulate mRNA expression in activated HSCs through its interaction with stem-loop binding proteins. The stem-loop may also be necessary for efficient production and folding of the type I collagen heterotrimer. To assess the role of the stem-loop in type I collagen expression in vivo, we generated a knock-in mouse harboring a mutation that abolished the stem-loop structure. Heterozygous and homozygous knock-in mice exhibited a normal phenotype. However, steadystate levels of ␣1(I) collagen mRNA decreased significantly in homozygous mutant MEFs as well as HSCs; intracellular and secreted type I collagen protein levels also decreased. Homozygous mutant mice developed less liver fibrosis. These results confirm an important role of the 5 stem-loop in regulating type I collagen mRNA and protein expression and provide a mouse model for further study of collagen-associated diseases.The collagen family is a group of extracellular matrix proteins involved in a variety of biological processes, including providing structural support to connective tissue and forming the basement membrane of organs (1, 2). Type I collagen is a heterotrimeric protein comprised of two ␣1(I) collagen chains and one ␣2(I) collagen chain, and although located on different chromosomes, these genes are coordinately regulated in a developmental, tissue-specific, and inducible manner (3, 4). The three peptide chains form a triple-helical structure, with several post-translational modifications resulting in multiple inter-and intrachain interactions, providing the protein with increased stability (5, 6). Increased expression and deposition of type I collagen are the most dramatic aspects of liver fibrosis, although expression of other collagens, including type III, is also increased (4). Activated hepatic stellate cells (HSCs) 2 are the major source of type I collagen in the fibrotic liver (7). Expression of type I collagen is very low in quiescent HSCs, which act as a storage site of vitamin A and regulate blood flow through the hepatic sinusoid. However, following a fibrogenic stimulus, HSCs undergo an activation process, characterized by a loss of the vitamin A stores; increased cellular proliferation, migration, and contractility; and increased synthesis of both ␣1(I) and ␣2(I) collagen mRNA and type I collagen protein (8).Type I collagen biosynthesis is a complex process that is regulated at both the transcriptional and post-transcriptional levels. Many of these regulatory processes differ in the quiescent versus activated HSC...