The inverse relationship was noticed between hepatic fibrosis and the quantity of circulating NKG2D iNK cells. In NAFLD cases total CD3+, CD8+ T cells, CD56dim NK cells, and MAIT cells were low with high levels of CD4+ T cells and Th2 cells. The intrahepatic total T-cells, total CD8+ T-cells, Vd2+γδ T-cells, and CD56 bright NK cells were low with high Vδ2-γδ T-cells and CD56 dim NK cells when compared to controls. This evidence concerns the gene NCAM1 and metabolic dysfunction-associated steatotic liver disease.