BTG3 and metabolic dysfunction-associated steatotic liver disease: Few studies in adults have revealed an association between autoantibody positivity and fibrosis severity, necroinflammation, and ANA positivity [29,48] Adams et al. found that positive autoantibodies were associated with a more severe course of NAFLD expressed by higher fibrosis stage, higher inflammatory grade, and hypergammaglobulinemia [29].