The concentrations of laminin, a high molecular weight non-collagenous glycoprotein of basement membranes, and of the N-terminal propeptide of type III procollagen were determined in the senim of the liver outflow vascular region (hepatic vein) and of a peripheral vein (cubital vein) in patients with chronic liver diseases (fibrosis, cirrhosis, unspecified histology; n = 173), in order to determine their secretion rates from the injured livers. The mean levels of laminin (1.84 kU/1) and of procollagen peptide (28.0 g/l) in hepatic vein were significantly higher (about 9.5% at p < 0.02, and 37% at p < 0.001, respectively) than those in the periphery (1.68 kU/1 and 20.4 g/l, respectively). In chronic liver diseases, however, laminin and procollagen peptide concentrations in the hepatic vein were lower than or equal to those in the cubital vein in 18% and 27% of patients, respectively. The highest regional differences of the concentrations were noted in cirrhotic sübjects. The seruin levels of laminin (r s 0.93) and of procollagen peptide (r s 0.73) in hepatic and in cubital vein are highly positively correlated (p < 0.001), but the levels of procollagen peptide in hepatic vein are only weakly but still significantly statistically related with those of laminin (r s 0.446, p < 0.001). Similarly, the hepatic-cubital venous concentration differences of both proteins are weakly (r s 0.312) but significantly (p < 0.001) correlated. On the basis of several assumptions we estimated secretion rates from the livers of 120 U · min" 1 för laminin, and 5.7 g · min" 1 for procollagen peptide. These data support the view that the chronically injured human liver is highly active in producing serum laminin and procollagen peptide, which are measured in elevated concentrations in the senim of liver fibrotic and cirrhotic sübjects. The resülts point to a high turnoVer of these connective tissue-derived proteins in the circulation.is accomplished by a stimulated production in various Fibrosis, a inain histological featüre of liver eirrhosis, parenchymal and non-parenchymal types of liver is characterized biochemically by several fold in-cells, but the mechanisms of enhanced synthesis are creases of the ainounts and changes of the molecular only pporly understood (2). Along with the developcomposition of various types of eollagens ( , III, ment of liver fibrosis, the concentrations of some IV, V, VI), noncollagenous (structural) glycoproteins connective tissue-derived proteins or their cleavage (fibrpnectin, laminin), proteoglycans (heparan sul-products increase in serum, an observation which has phate, chondroitiü sulphate, dennatan sulphate), and been exploited for clinical chemical diagnosis and glycosaminoglycans (hyaluronic acid) iti the extracel-follow-up of fibrogenesis (3, 4). Among these paralular space of the liver tissue (1). Their accumulation .meters, the determination of the concentration of the