Since CYP2E1 takes center stage in these studies we use a toxin model of NASH which uses a ligand and a substrate of CYP2E1 for inducing NASH. Subsequently we use a methyl choline deficient diet induced rodent NASH model where CYP2E1 role in its progression has been shown. To show the role of

oxidative stress induced by CYP2E1 in M1 polarization, we use mice deficient in CYP2E1 and by administration of an inhibitor (diallyl sulfide) in vivo, specific for CYP2E1. Results show that CYP2E1 causes M1 polarizarion bias, that include a significant increase in IL-1 β, IL-12 and TNF-α in both models of NASH while CYP2E1 null mice prevent it. The initial M1 polarization phase was followed by a slow but progressive increase in M2 markers (IL-4, IL-13, IL-10). Administration of GDCl3, a Lenvatinib macrophage toxin attenuated both the initial M1 response and subsequent M2 response showing the observed increase in cytokine MI-503 levels is primarily from macrophages. NO donor administration in vivo, during the entire study in both models of NASH inhibit expression (mRNA and protein) and activity of CYP2E1 with concomitant decrease in oxidative stress

(lipid peroxidation and tyrosyl radical formation), M1 polarization and NASH progression (α-SMA, Col-1-α-1, Picrosirius red staining and histopathology). The results obtained clearly show the role of CYP2E1 in M1 polarization and inhibition of its activity by NO donor (DETA NONOate). The subsequent attenuation of NASH progression by the NO donor via CYP2E1 inhibition can be a promising

therapeutic strategy in NASH. Disclosures: Anna Mae Diehl – Consulting: Roche; Grant/Research Support: Gilead, Genfit The following people have nothing to disclose: Ratanesh K. Seth, Suvarthi Das, Sahar Pourhoseini, Diptadip Dattaroy, Stephen Baricitinib Igwe, Julie Basu Ray, Gregory A. Michelotti, Saurabh Chatterjee Background and aims: Besides a general over-nutrition changes in gut microbiota and intestinal barrier function but also an increased fasting blood ethanol level suggested to stem from an increased endogenous synthesis in the gut are also regarded as being critical in the development of non-alcoholic fatty liver disease (NAFLD). However, to date the involved mechanisms of the latter are not fully understood. The aim of the present study was to further delineate the mechanisms involved in the elevated blood ethanol levels found in patients with NAFLD. Methods: Ethanol plasma levels, nutritional intake, markers of insulin resistance, prevalence of small intestinal overgrowth (SIBO) and general health status were assessed in 20 children displaying early signs of NAFLD and 29 healthy children (aged 5-8 years).