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ECM1 produced by hepatic stellate cells serves as gate keeper of liver homeostasis in hepatic fibrosis - PubMed

3 hours ago
  • #ECM1
  • #liver fibrosis
  • #hepatic stellate cells
  • Hepatic stellate cells (HSCs) have dual roles in liver fibrosis and homeostasis, depending on the disease context.
  • In metabolic dysfunction-associated steatohepatitis (MASH), HSCs maintain liver homeostasis, while in CCl4-driven injury, they promote fibrosis.
  • HSC depletion in MASH exacerbates disease, increases myofibroblasts from portal fibroblasts, and impairs hepatocyte function.
  • In CCl4-induced fibrosis, HSC depletion reduces fibrosis without affecting liver regeneration or metabolic zonation.
  • Extracellular matrix protein 1 (ECM1) is identified as a key regulator of HSC quiescence and fibrosis resolution.
  • ECM1 overexpression in HSCs suppresses CCl4-induced fibrosis, and its expression inversely correlates with fibrosis stage in human liver diseases.
  • General HSC ablation may be harmful as antifibrotic therapy, highlighting the need for context-specific approaches.