Liver fibrosis, the accumulation of extracellular matrix proteins caused by chronic liver damage, results from the activation of hepatic stellate cells. In a new study, Arriazu et al. explore in detail the mechanisms by which the multifunctional protein osteopontin drives hepatic fibrosis, and show that interaction with HMGB1 mediates the fibrogenic response.
The authors identified RAGE as the key mediator of HMGB1 effects on HSCs by using lentiviral expression vectors to achieve small hairpin expression knockdown of either TLR2, TLR4 and TLR9 or RAGE, and then showed that only knockdown of RAGE decreased HMGB1-induced collagen expression.