CYP7A1 and metabolic dysfunction-associated steatohepatitis: In contrast, CYP7A1 mRNA expression increased in Western diet rats, indicating that the synthesis of bile acids is generally increased in these rats, as also observed in obese subjects and in NAFLD/NASH patients [50], further suggesting that the reduction of CA is due to CYP8B1 downregulation, since CYP7A1 catalyzes the first and common step of primary BA synthesis.