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However, the effect of <jats:styled-content style=\"fixed-case\">ALHD<\/jats:styled-content>2 on liver fibrosis remains to be further elucidated. This study aimed to demonstrate whether <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2 regulates carbon tetrachloride (<jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content>l<jats:sub>4<\/jats:sub>)\u2010induced liver fibrosis and to investigate the efficacy of Alda\u20101, a specific activator of <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2, on attenuating liver fibrosis. <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2 expression was increased after chronic <jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content>l<jats:sub>4<\/jats:sub> exposure. <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2 deficiency accentuated <jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content>l<jats:sub>4<\/jats:sub>\u2010induced liver fibrosis in mice, accompanied by increased expression of collagen 1\u03b11, \u03b1\u2010<jats:styled-content style=\"fixed-case\">SMA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">TIMP<\/jats:styled-content>\u20101. Moreover, <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2 knockout triggered more <jats:styled-content style=\"fixed-case\">ROS<\/jats:styled-content> generation, hepatocyte apoptosis and impaired mitophagy after <jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content>l<jats:sub>4<\/jats:sub> treatment. In cultured <jats:styled-content style=\"fixed-case\">HSC<\/jats:styled-content>\u2010T6 cells, <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2 knockdown by transfecting with lentivirus vector increased <jats:styled-content style=\"fixed-case\">ROS<\/jats:styled-content> generation and \u03b1\u2010<jats:styled-content style=\"fixed-case\">SMA<\/jats:styled-content> expression in an in\u00a0vitro hepatocyte fibrosis model using <jats:styled-content style=\"fixed-case\">TGF<\/jats:styled-content>\u2010\u03b21. <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2 overexpression by lentivirus or activation by Alda\u20101 administration partly reversed the effect of <jats:styled-content style=\"fixed-case\">TGF<\/jats:styled-content>\u2010\u03b21, whereas <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2 knockdown totally blocked the protective effect of Alda\u20101. Furthermore, Alda\u20101 administration protected against liver fibrosis in\u00a0vivo, which might be mediated through up\u2010regulation of Nrf2\/<jats:styled-content style=\"fixed-case\">HO<\/jats:styled-content>\u20101 cascade and activation of Parkin\u2010related mitophagy. These findings indicate that <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2 deficiency aggravated <jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content>l<jats:sub>4<\/jats:sub>\u2010induced hepatic fibrosis through <jats:styled-content style=\"fixed-case\">ROS<\/jats:styled-content> overproduction, increased apoptosis and mitochondrial damage, whereas <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2 activation through Alda\u20101 administration alleviated hepatic fibrosis partly through activation of the Nrf2\/<jats:styled-content style=\"fixed-case\">HO<\/jats:styled-content>\u20101 antioxidant pathway and Parkin\u2010related mitophagy, which indicate <jats:styled-content style=\"fixed-case\">ALDH<\/jats:styled-content>2 as a promising anti\u2010fibrotic target and Alda\u20101 as a potential therapeutic agent in treating <jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content>l<jats:sub>4<\/jats:sub>\u2010induced liver fibrosis.<\/jats:p>","DOI":"10.1111\/jcmm.13677","type":"journal-article","created":{"date-parts":[[2018,5,25]],"date-time":"2018-05-25T10:10:16Z","timestamp":1527243016000},"page":"3965-3978","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":59,"title":["Aldehyde dehydrogenase 2 activation ameliorates <scp>CC<\/scp>l<sub>4<\/sub>\u2010induced chronic liver fibrosis in mice by up\u2010regulating Nrf2\/<scp>HO<\/scp>\u20101 antioxidant pathway"],"prefix":"10.1111","volume":"22","author":[{"given":"Xin","family":"Ma","sequence":"first","affiliation":[{"name":"Institute of Biomedical Sciences Fudan University Shanghai China"},{"name":"Department of Cardiology Shanghai Institute of Cardiovascular Diseases Zhongshan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qin","family":"Luo","sequence":"additional","affiliation":[{"name":"Institute of Biomedical Sciences Fudan 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