Moreover, in adults, high levels of circulating miR-122 have also been associated with increased concentrations of alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma-glutamyl transferase (GGT), triglycerides, and lower HDL-cholesterol levels, as well as with hepatic steatosis and the degree and progression of NAFLD [31,32,33,34]. Here, GPT is linked to metabolic dysfunction-associated steatotic liver disease.