Abstract-The most known risk factor for nonalcoholic fatty liver disease (NAFLD) is the metabolic syndrome. In this study, we characterized changes in liver pathology, hepatic lipid composition, and hepatic iron concentration (HIC) occurring in rats given fructose-enriched diet (FED), with and without therapeutic maneuvers to reduce blood pressure and plasma triglycerides. Rats were given FED or standard rat chow for 5 weeks. Rats on FED were divided into 4 groups: receiving amlodipine (15 mg/kg per day), captopril (90 mg/kg per day), bezafibrate (10 mg/kg per day) in the last 2 weeks, or a control group that received FED only. FED rats had hepatic macrovesicular and microvesicular fat deposits develop, with increase in hepatic triglycerides (ϩ198%) and hepatic cholesterol (ϩ89%), but a decrease in hepatic phospholipids (Ϫ36%), hypertriglyceridemia (ϩ223%), and hypertension (ϩ15%), without increase in HIC. Amlodipine reduced blood pressure (Ϫ18%), plasma triglycerides (Ϫ12%), but there was no change in hepatic triglycerides and phospholipids concentrations. Captopril reduced blood pressure (Ϫ24%), plasma triglycerides (Ϫ36%), hepatic triglycerides (Ϫ51%), and hepatic macrovesicular fat (Ϫ51%), but increased HIC (ϩ23%), with a borderline increase in hepatic fibrosis. Bezafibrate reduced plasma triglycerides (Ϫ49%), hepatic triglycerides (Ϫ78%), hepatic macrovesicular fat (Ϫ90%), and blood pressure (Ϫ11%