“…Plasma Cer levels were increased during lipid infusion in humans and rats as well as in obese, insulin-resistant mice (142,176,180). Balanced diet deficiency in both methionine (MD) and choline (CD) are the common models of steatosis, mitochondrial dysfunction, hepatocellular injury, oxidative stress, inflammation, and fibrosis (113,143,117). The MD diet is associated with weight loss, hepatocellular injury, oxidative stress, inflammation, and fibrosis, whereas CD results in steatosis (29,31,73).…”