Review positioning thymosin β4 as a key regulator of hepatic stellate cell (HSC) biology in liver fibrosis. Covers TB4's actin-sequestering function in HSCs, inhibition of HSC transdifferentiation to activated myofibroblasts, and suppression of ECM deposition through multiple signaling pathways. Reviews evidence that both endogenous and exogenous TB4 modulate HSC activation—positioning TB4 as a central therapeutic target for liver fibrosis, the common pathway to cirrhosis regardless of whether the injury is viral, alcoholic, or metabolic in origin.
Kim, J; Jung, Y