Activated hepatic stellate cells (HSCs) have a central role as the main extracellular matrix (ECM) protein-producing cell during hepatic fibrogenesis. 1 Hepatic injury induces the HSCs to undergo a transdifferentiation or activation process, 1 which is characterized by loss of their intracellular vitamin A stores, 2 increase in proliferation, 3 changes in cellular morphology to a more myofibroblast-like cell type with expression of smooth muscle ␣-actin (␣-SMA), 4 and an increase in the production of ECM proteins, including type I collagen. 5 In addition, cultured HSCs express all 3 transforming growth factor  (TGF-) isoforms 6,7 and TGF- receptor types I, II, and III on the cell surface. 8 Treatment of HSCs in early culture with TGF-1 stimulates collagen type I messenger RNA (mRNA) expression 9,10 and protein synthesis, 10,11 inhibits HSC proliferation, 11-13 decreases the expression of matrix metalloproteinases, and increases the expression of tissue inhibitors of matrix metalloproteinases. 14 No change was observed in the level of ␣-SMA in TGF-1-treated HSCs. 15 Excessive TGF- is associated with tissue damage caused by scarring in many diseases. 16 Clinical studies have revealed a close correlation between increased TGF-1 gene expression and the high expression of collagen type I mRNA in the liver tissue of patients with cirrhosis 17,18 and in experimental rat models of cirrhosis. 19,20 Furthermore, mRNA expression of TGF-1, TGF-2, and TGF-3 is increased in HSCs during fibrosis induced by bile duct ligation in rats. 21 Studies from transgenic mice support the etiologic and fibrogenic role for TGF- in the development of liver fibrosis. Transgenic mice overexpressing mature TGF-1 under control of hepatocyte-specific promoters develop hepatic fibrosis with increased interstitial deposition of type I collagen. 22,23 Liver histology of an inducible transgenic mouse model overexpressing the active form of TGF-1 showed up-regulation of hepatic collagen type I and III mRNA and activation of HSCs. 24 TGF- signals through its type I and type II receptors, which have serine/threonine kinase activity. The ligand binds to the constitutively active type II receptor, which then recruits and transphosphorylates type I receptor. 25 The activated type I receptor transiently associates with and phosphorylates Smad2 26 and Smad3, which then form heteromeric complexes with Smad4. [27][28][29] These complexes translocate to the nucleus, where the proteins function as transcriptional activators through their interaction with DNA-binding proteins. 30,31 Two inhibitory Smad proteins, Smad6 and Smad7, block Smad-mediated signaling in cells. [32][33][34] To date, Smad proteins are the only TGF- receptor substrates with a demonstrated ability to propagate signals. 35 Several other signaling molecules and pathways are also activated by TGF-, including TGF--activated kinase 1 (TAK1) 36 and the mito-