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Damaged TECs also accelerate fibrosis by releasing extracellular vesicles and exosomes containing factors including monocyte chemoattractant protein 1 (MCP-1), TGF-1, miR-23a, Shh ligand, osteopontin (OPN) and tumor necrosis factor-alpha (TNF-)-induced protein 8 (TNFAIP8) mRNA which further fuel macrophages and fibroblasts activation and proliferation [14]

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6k) might be associated with the observed ETC insensitivity to FCCP treatment (Fig