Lastly, a study showed that SphK1 expression increased in hepatic steatosis and that SphK1 KO mice were protected against hepatic steatosis induced by HFD [56], which supports the idea that endogenous S1P/SphK1 axis could be a major promoter of lipid accumulation in liver (steatosis) [61]. This evidence concerns the gene MBTPS1 and Hepatic steatosis.