“…[14][15][16] Endotoxin, in conjunction with interferon-␥, TNF-␣, and IL-1, also stimulates the synthesis of a multifunctional mediator NO in Kupffer cells 17 and hepatocytes. 18 Work from several laboratories, including ours, has demonstrated that endotoxin stimulates synthesis of NO via induction of inducible NO synthase (iNOS), 10,[19][20][21][22] and of TNF-␣ and IL-6 21,22 in both quiescent (normal liver) and activated (fibrotic liver) HSCs. TNF-␣ and IL-6, as well as increased NO (directly or via a potent free radical peroxinitrite), can exert a variety of effects on the hepatic system.…”