Liver fibrosis represents a health problem with significant morbidity and mortality that affects 100 million people worldwide.
It is a final pathway to several chronic liver diseases and is characterized by excess collagen and accumulation of extracellular matrix in
response to chronic hepatocellular damage. Clinical and experimental data suggest that oxidative stress (OS) mediates the progression of
fibrosis, and that OS-related molecules may act as mediators of molecular and cellular events implicated in liver fibrosis. The generation
of reactive oxygen species (ROS) plays an important role in producing liver damage and initiating hepatic fibrogenesis. OS disrupts
lipids, proteins and DNA, induces necrosis and apoptosis of hepatocytes and amplifies the inflammatory response. ROS also stimulate the
production of profibrogenic mediators from Kupffer cells and circulating inflammatory cells and directly activate hepatic stellate cells,
resulting in the initiation of fibrosis. Advances in understanding the mechanisms involved in fibrosis have identified new molecular
targets with therapeutic potential for more targeted and personalized control of this disease. This review will highlight recent concepts in
OS, antioxidants and the molecular pathways involved in hepatic fibrosis.
Keywords: Antioxidants, fibrosis, hepatic stellate cells, liver, oxidative stress, reactive oxygen species, nitric oxide, cytokine, cirrhosis,
Rights & PermissionsPrintExport