“…HSCs play a key role in maintaining flow‐mediated sinusoidal tone and stiffness by activation of the RhoA‐ROCK pathway, MLC phosphorylation, and stress fiber contraction. [ 89,366,368 ] Vascular dysfunction arising out of portal hypertension, inflammation or alcoholic damage causes defenestration (or capillarization) of LSECs, deposition of laminin and fibronectin, activation of HSCs toward a proliferative, procontractile phenotype, reduced NO production, increased ROS generation, and abnormal sensitivity to vasomodulation, thereby hindering oxygenation of hepatocytes. [ 366,367,369 ] This eventually leads to necroptosis of hepatocytes and chronic liver disease (cirrhosis).…”