“…Activated HSCs express ␣-SMA, vimentin, or fibronectin (Friedman, 1993;Knittel et al, 1999a). Several lines of evidence demonstrate that HSCs are activated by several cytokines or growth factors, including TNF-␣ and TGF- (Armendariz-Borunda et al, 1992;Czaja et al, 1989;Hellerbrand et al, 1996Hellerbrand et al, , 1998Knittel et al, 1996Knittel et al, , 1997Knittel et al, , 1999bSaile et al, 1999). Although TNF-␣ has also been described to down-regulate the expression of the Type I collagen genes in human fibroblasts and rat HSCs in vitro by directly antagonizing fibrogenic actions of TGF- at the transcriptional level (ArmendarizBorunda et al, 1992;Iraburu et al, 2000;Solis-Herruzo et al, 1988), the current observations suggest that TNF-␣-mediated and/or TNFRp55-mediated signals may contribute to the activation of HSC and eventually the promotion of fibrotic changes in the liver.…”