“…Expression of CTGF in HSCs is up-regulated by numerous profibrotic factors, including TGF- (4,18,19), endothelin-1 (20), PDGF-BB, acetaldehyde (21), ethanol (22), and the Th2 cytokine IL-13 (23,24), with TGF- being the most important trigger as elevated TGF- levels are observed in almost all fibrotic liver diseases, irrespective of etiology. Although in vitro experiments have shown that TGF- plays only a minor role in CTGF production in quiescent HSCs (20,23,24), activated HSCs as well as established HSC cell lines secrete high levels of CTGF in response to TGF- treatment (22,23).…”