Upregulation of microRNA-21 has previously been reported in the liver of patients with NASH. A new study now examined its role in the development of the disease. Liver microRNA-21 expression was suppressed in different mouse models of NASH, using a knockout strain and the antagonist antagomir-21. MicroRNA-21 inhibition or suppression successfully reduced liver injury, inflammation and fibrosis, by restoring PPARα expression, a known microRNA-21 target, which is decreased in the liver of mice with NASH.