“…Lipid-induced activation of mixed lineage kinase 3 (MLK3) and c-Jun N-terminal kinase (JNK) (24,32), and the ER stress response (36,37) are key cellular pathways that mediate proapoptotic signaling initiated by toxic saturated free fatty acids and in the steatotic liver (38). Sphingolipids, too, are elevated in NASH (25), and C16:0 ceramide has recently been linked to the pathophysiology of NASH (39); therefore, we discuss these pathways and concepts below.…”