ACTA1 and metabolic syndrome: Biopsies from patients with MetS showed higher NAS (p = 0.000), lobular inflammation (p = 0.007), hepatocellular ballooning (p = 0.002), fibrosis score (p = 0.001), DR (p = 0.007), EpCAM+ hepatocytes (p = 0.011), αSMA+ portal/septal MFs (p = 0.045), and portal S100A9+ macrophages (p = 0.020) when compared with patients without MetS (Table 4).