GPT and metabolic dysfunction-associated steatotic liver disease: Several studies mostly in animal models introduced diet as a potent modifier of NAFLD-related genes expression [10]; for example enhanced ω-6/ω-3 poly unsaturated fatty acids (PUFAs) ratio interacts with PNPLA3 rs738409 gene in the GG homozygote and enhances ALT concentrations and hepatic fat accumulation in human [21].