Traditional Chinese medicine targets on hepatic stellate cells for the treatment of hepatic fibrosis: A mechanistic review

Abstract Liver cirrhosis is a leading cause of death from liver‐related diseases accompanied by a variety of complications; however, hepatic fibrosis, an inevitable stage of cirrhosis, is possible to be reversed and cured. Hepatic stellate cells (HSCs) are the primary cells that secrete extracellular matrix in the liver and play a dominant role in the pathogenesis of hepatic fibrosis. Effective therapeutic approaches for reversing hepatic fibrosis aim at inhibiting the activation of HSCs and inducing their inactivation or death. This review highlights the mechanism by which traditional Chinese medicine (TCM) regulates the activity of HSCs and exerts antifibrotic effects, providing insights and prospects for the treatment of hepatic fibrosis with TCM.