Abstract
Background. The mechanisms for progression of liver injury towards hepatic fibrosis in chronic hepatitis C (HCV) are unknown. Insulin resistance (IR) is an independent predictor of HCV-related fibrosis. A ductular reaction (DR) occurs during chronic liver injury and represents a potential profibrogenic mechanism by the recruitment of myofibroblasts and by undergoing epithelial–mesenchymal transition (EMT).
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