“…In humans, it has been reported that PEMT activity is increased by estrogen, and therefore females may be resistant to choline deprivation (Leermakers et al, 2015). Sex-specific differences have been well characterized in both HCC (Natri et al, 2019; Takemoto et al, 2005) and MASLD, MASH, and HCC risk (Lonardo et al, 2019), as well as in mouse primary hepatocytes (Hochmuth et al, 2021), obese mice (Savva et al, 2022), rats (Lomas-Soria et al, 2018), and the zebrafish liver transcriptome (Zheng et al, 2013). At least some of the increased susceptibility to hepatocarcinogenesis in males is due to the effects of estrogen, which inhibits pro-tumorigenic IL-6 production (Naugler et al, 2007).…”