We observed that RFX5 and ILF3, an important transcriptional factor mainly expressed in the liver, upregulated from mild to advanced NASH, regulates the expression of genes involved in antigen processing and presentation of exogenous peptide antigen via MHC class II, including HLA-DQB2, HLA-DOA, HLA-DMA, HLA-DQA1, HLA-DMB, HLA-DPB1, HLA-DPA1 and HLA-DRA. This evidence concerns the gene HLA-DRA and metabolic dysfunction-associated steatohepatitis.