Paraffin-embedded sections of the liver and white adipose tissue (4 μm) were processed by haematoxylin and eosin for histological evaluation, as described previously41 (link),42 (link). Diagnostic classification of NAFLD was performed by applying a semiquantitative scoring system that grouped histological features into broad categories (steatosis, hepatocellular injury, portal inflammation, fibrosis and miscellaneous features)43 (link). The white adipose tissue sections were observed with an optical microscope (Microscope Axioscope 5/7 KMAT, Carl Zeiss, Milan, Italy) connected to a digital camera (Microscopy Camera Axiocam 208 color, Carl Zeiss, Milan, Italy) for evaluation.
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