Ceramides; Dihydroceramides; Free fatty acids; Insulin resistance; Non-alcoholic fatty liver disease; Non-alcoholic steatohepatitis; PNPLA3; Patatin-like phospholipase domain containing protein 3

Hepatic ceramides dissociate steatosis and insulin resistance in patients with non-alcoholic fatty liver disease

BACKGROUND & AIMS: Recent data in mice have identified de novo ceramide synthesis as the key mediator of hepatic insulin resistance (IR) that in humans characterizes increases in liver fat due to IR ('Metabolic NAFLD' but not that due to the I148M …