Sestrin 3 (Sesn3) belongs to the threeâmember sestrin protein family. Sestrins have been implicated in antioxidative stress, adenosine monophosphateâactivated protein kinase and mammalian target of rapamycin signal transduction, and metabolic homeostasis. However, the role of Sesn3 in the development of nonalcoholic steatohepatitis (NASH) has not been previously studied. In this work, we generated Sesn3 wholeâbody knockout and liverâspecific transgenic mice to investigate the hepatic function of Sesn3 in dietâinduced NASH. With only 4 weeks of dietary treatment, Sesn3 knockout mice developed severe NASH phenotype as characterized by hepatic steatosis, inflammation, and fibrosis. Strikingly, after 8âweek feeding with a NASHâinducing diet, Sesn3 transgenic mice were largely protected against NASH development. Transcriptomic analysis revealed that multiple extracellular matrixârelated processes were upâregulated, including transforming growth factor ÎČ (TGFâÎČ) signaling and collagen production. Further biochemical and cell biological analyses have illustrated a critical control of the TGFâÎČâmothers against decapentaplegic homolog (Smad) pathway by Sesn3 at the TGFâÎČ receptor and Smad3 levels. First, Sesn3 inhibits the TGFâÎČ receptor through an interaction with Smad7; second, Sesn3 directly inhibits the Smad3 function through proteinâprotein interaction and cytosolic retention. Conclusion: Sesn3 is a critical regulator of the extracellular matrix and hepatic fibrosis by suppression of TGFâÎČâSmad3 signaling.