IntroductionHepatic stellate cells reside within the perisinusoidal space of Disse beneath the endothelial barrier and undergo a gradual transition from a quiescent, vitamin A-storing phenotype to an activated myofibroblast-like phenotype after liver injury. [1][2][3][4][5] These activated stellate cells synthesize large amounts of extracellular matrix proteins, such as collagens I, III, IV, V, and VI, fibronectin, laminin, and proteoglycans, during liver fibrogenesis. [6][7][8] Hepatic stellate cells have long cytoplasmic processes that run parallel to the sinusoidal endothelial wall, make contact with numerous hepatocytes, and function as liver-specific pericytes. 4,9,10 As hepatic stellate cells contract and relax in response to various vasoactive mediators, they may play a role in the regulation of sinusoidal tone and blood flow in normal liver. 10,11 Accordingly, hepatic stellate cells are associated with liver fibrosis and portal hypertension. However, the exact nature and origin of hepatic stellate cells have not been fully elucidated, despite the pathophysiologic implications.Hepatic stellate cells express mesenchymal markers, such as vimentin, desmin, and ␣-smooth muscle actin (␣-SMA), or neural/ neuroectodermal markers, such as glial fibrillary acidic protein (GFAP), neural cell adhesion molecule, and synaptophysin. 2,5,[12][13][14][15][16] Based on these characteristic phenotypes, the embryonic origin of hepatic stellate cells is thought to be the septum transversum mesenchyme or neural crest. 2,17,18 Cassiman et al 19 reported that hepatic stellate cells do not descend from the neural crest in transgenic mice expressing yellow fluorescent protein in all neural crest cells and their derivatives, and they may derive from the septum transversum mesenchyme, endoderm, or the mesothelial liver capsule. On the other hand, the origin of hepatic stellate cells in the adult liver has remained obscure.Recently, some investigators have demonstrated that crude bone marrow (BM) cells can populate the hepatic stellate cells of lethally irradiated mice. 20,21 Because adult BM contains both hematopoietic stem cells and mesenchymal stem cells, it is unclear which type of stem cell truly contributes to hepatic stellate cells. Previous reports revealed that glomerular mesangial cells in kidney and perivascular pericyte-like cells in brain are derived from hematopoietic stem cells in mice that received single hematopoietic stem-cell transplants. 22,23 Interestingly, both cell types are considered to belong to the myofibroblast family. More recently, it has also been reported that fibroblasts and myofibroblasts in many organs and tissues originate from hematopoietic stem cells. 24 From the observation that myofibroblasts are of hematopoietic stem-cell origin and the notion that the quiescent hepatic stellate cells switch to activated myofibroblast-like cells in association with inflammation, we hypothesized that hepatic stellate cells may also be derived from hematopoietic stem cells.To test our hypothesis, we generated c...