TNF and metabolic dysfunction-associated steatotic liver disease: It is assumed that some common genes involved in the synthesis of androgens (CYP17, CYP11A, and SHBG gene), cytokines (IL-6, TNF-α, TNFR2) [12], and IR (insulin, INS-R) are responsible for the same disturbances in both PCOS and NAFLD [10,12].