Liver fibrosis (LF) is a trauma repair process carried out by the liver
in response to various acute and chronic liver injuries, featured by
excessive proliferation as well as abnormal dismissal of extracellular
matrix as the main pathological features, and its continuous development
will deteriorate into cirrhosis, liver cancer as well as other
illnesses. The occurrence of LF is closely related to Hepatic stellate
cells (HSCs) stimulation, and intervention in HSCs proliferation is
expected to reverse LF. Plant-based small molecule drugs have anti-LF
effects, and their mechanisms of action are related to
anti-inflammation, anti-oxidative stress, as well as inhibition of
abnormal accumulation of extracellular matrix. Consequently, new agents
for HSCs will be required to furnish a possible curative response.
Small-molecule natural products might be attractive for LF therapy. That
is because they not only have the effect against HSCs, but also have
excellent qualities such as low toxic side effects and easy availability
from the perspective of safety and cost. In this review, we provide an
updated review of the signal transduction pathways involved in HSCs and
small-molecule natural products targeting HSCs reported in the past 3
years at home and abroad, with the aim of providing new ideas for the
development of plant-based small molecule drugs targeting HSCs to
reverse LF.