Liver regeneration after the loss of hepatic tissue is a fundamental p
arameter of liver response to injury. Recognized as a phenomenon from
mythological times, it is now defined as an orchestrated response indu
ced by specific external stimuli and involving sequential changes in g
ene expression, growth factor production, and morphologic structure. M
any growth factors and cytokines, most notably hepatocyte growth facto
r, epidermal growth factor, transforming growth factor-alpha, interleu
kin-6, tumor necrosis factor-alpha, insulin, and norepinephrine, appea
r to play important roles in this process. This review attempts to int
egrate the findings of the last three decades and looks toward clues a
s to the nature of the causes that trigger this fascinating organ and
cellular response.