Little is known about the modulation of the extracellular matrix (ECM) during liver regeneration. We studied the temporospatial expression of procollagens and of matrix metalloproteinases (MMPs) and their physiological antagonists, the tissue inhibitors of metalloproteinases (TIMPs) after two-thirds partial hepatectomy (PH) by Northern blot analysis and in situ hybridization. The entry of hepatocytes into the S-phase at 24 hours after PH was accompanied by a peak (sixfold induction) of hepatic TIMP-1 RNA levels that steadily declined thereafter to reach normal levels 144 hours after PH. Moderate MMP-2 and TIMP-2 RNA levels remained constant up to 144 hours after PH, and MMP-1 and -13 RNA were always undetectable. In situ hybridization showed a dramatic upregulation of TIMP-1 RNA transcripts in mesenchymal cells of portal, perisinusoidal and, to a lesser extent, pericentral areas. In contrast, scattered hepatocytes represented only a minor fraction (below 10%) of TIMP-1 RNA positive cells. When hepatocytes stopped DNA synthesis at 72 hours after PH, an upregulation of procollagen âŁ1(I) and âŁ2(III) transcripts was observed paralleled by threefold increased PIIINP levels in the sera. Our data reveal a tightly regulated program of de novo matrix synthesis after PH. Whereas interstitial procollagens appear to participate in the induction and maintenance of the quiescent hepatocyte phenotype, the early and localized expression of TIMP-1 indicates a role unrelated to its function as a general MMP-antagonist, e.g., as a growth promoting agent for hepatocytes. (HEPATOL-OGY 1999;30:1159-1166.)The liver can restore tissue loss by regeneration. This capacity is of physiological relevance in numerous liver diseases such as viral and alcoholic hepatitis, metabolic disorders, or after liver surgery. One of the best-studied animal models of liver regeneration is two-thirds partial hepatectomy (PH), which was originally described by Higgins and Anderson. 1 In this model hepatocytes enter the cell cycle in a controlled process. DNA-synthesis starts 12 to 16 hours after hepatectomy and peaks at 24 to 48 hours. The onset of mitosis follows 6 to 8 hours later reaching its maximum 48 hours after surgery. Three days after PH, the original organ-mass is almost restored. 2,3 However, at this stage of liver regeneration hepatic histology differs substantially from normal. Hepatocytes are grouped into nonvascularized clusters of 12 to 15 cells, and the amount of extracellular matrix is clearly reduced as a consequence of hepatocyte proliferation without concomitant ECM-synthesis. 4 After this time point, hepatocyte proliferation decreases and stellate cells migrate into the clusters. At the same time, new vascular branches are formed. Finally, normal liver histology is reestablished 8 to 10 days after surgery.During liver regeneration, the synthesis of extracellular matrix (ECM) might play an important role in re-establishing the quiescent and differentiated phenotype of hepatocytes. Several in vitro studies showed that the extracellular ...