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. 2011 Jul 4;3:69–80. doi: 10.2147/HMER.S9051

Table 2.

Potential antifibrotic agents and mechanism of action82,128,140

Compound Target Mechanism of action
Endothelin antagonist ET-1 Inhibits HSC activation and fibrogenesis
 A receptor antagonist (LU135252)
Angiotensin system inhibitors RAS Blocks profibrogenic effects of angiotensin II
 Captopril, enalapril, perindopril; losartan, irbesartan, telmisartan
PPAR-γ Unknown
 Glitazones (pioglitazone, rosiglitazone, troglitazone)
Anti-TGF-β TGF-β1 Inhibits HSC fibrogenesis, apoptosis
 Anti-integrin αϖβ6 antagonist (EMD405270), TGF-β antisense oligonucleotides, soluble TGF-β decoy receptors
Gliotoxin HSC Induces apoptosis
MMP-inducers Extracellular matrix Increase MMP fibrolytic activity
 Halofuginone
TIMP inhibitor TIMP-1 Enhanced MMP activity
 Neutralizing anti-TIMP-1 antibody
Sulfasalazine NF-κβ Induce HSC apoptosis
SiRNA HSP47 Induces matrix degradation
Immunosuppressants
 Mycophenolate mofetil, rapamycin Inhibits HSC activation
 Angiogenesis inhibitors
 VEGF receptor 1 and 2 antagonists (PTK, sorafenib, vatalanib), anti-integrin αvβ3 (EMD409915)

Abbreviations: PPAR-γ, peroxisome proliferator-activated receptor-gamma; TGF-β, transforming growth factor beta; HSC, hepatic stellate cell/myofibroblast; MMP, matrix metalloproteinase; TIMP, tissue inhibitor of matrix metalloproteinase; HSP47, heat shock protein 47; VEGF, vascular endothelial growth factor; PTK, protein tyrosine kinase; NF, nuclear factor; ET-1, endothelin-1; RAS, renin-angiotensin system.