“…Because of this, MAFLD patients often present with pro-atherogenic lipid profiles (e.g., low HDL-C and elevated LDL-C, TG, and apolipoprotein B) ( 11 , 19 , 22 , 24 ). Humans have a compensatory mechanism to reduce hepatic fat content through the activity of cholesterol ester transfer protein (CETP), which exchanges TG and cholesterol esters between VLDL, HDL, and LDL cholesterol ( 25 – 27 ). However, this mechanism often results in abnormally high HDL cholesterol metabolism and leads to undesirable alterations in lipid profiles in patients.…”