A strong relationship was observed between increased urinary Cd and increased serum levels of hepatic enzymes AST, ALT, and GGT, and exposure to Cd is associated with the development of hepatic nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), and neuroinflammation in humans [53]. Here, GPT is linked to metabolic dysfunction-associated steatohepatitis.