Background:The mechanism underlying HCV-induced OPN remains elusive. Results: HCV-induced Ca 2ϩ signaling, oxidative stress, and activation of AP-1 and Sp1 play a critical role in OPN activation. Conclusion: OPN plays important roles in EMT and cell migration induced by HCV through the activation of Akt, GSK-3, and -catenin. Significance: Our findings provide a novel implication of OPN in HCV-induced HCC.