Effects of DJB on hepatic steatosis in HFD-fed rats. (A) Experimental design: Male SD rats were fed with a 60% HFD to induce liver injury. At 8 weeks after HFD feeding, the rats were subjected to either DJB or sham operation. HFD was resumed 1 week after the surgery for 3 more weeks. The effect of DJB on hepatic steatosis was evaluated at 4 weeks after surgery. (B) Representative photomicrographs of liver histology from an HFD-fed DJB-operated rat (HFD-DJB) and an HFD-fed sham-operated rat (HFD-Sham). Original magnification, x200. (C) the percentage of steatotic hepatocytes in HFD-DJB and HFD-Sham rats. Original magnification, x200. (D) Representative photomicrographs of Oil Red O staining from a HFD-DJB rat and a HFD-Sham rat. Original magnification, x200. (E) Representative images of electron microscopy from a HFD-DJB rat and a HFD-Sham rat. (F) Liver triglyceride content in HFD-DJB and HFD-Sham rats. Hepatic mRNA expression of ACC1 (G), SCD1 (H), TGF‐β (I), MCP-1 (J), ICAM1 (K), TNF-α (L), and IL-10 (M) in HFD-DJB and HFD-Sham rats. Results are expressed as mean ± SE (HFD-Sham, n=5; HFD-DJB, n=6) and compared by Student’s t-test; *P<0.05 versus the HFD-Sham group. DJB, Duodenal-jejunal bypass surgery; HFD, High fat diet; NAS, NAFLD activity score; TG, triglycerides; ACC1, Acetyl-CoA carboxylase-1; SCD1, Stearoyl-CoA desaturase-1; TGF‐β, Transforming growth factor beta; MCP-1, Monocyte chemotactic protein 1; ICAM1, Intercellular adhesion molecule 1; TNF-α, Tumor necrosis factor alpha; IL-10, Interleukin-10.