Metabolic-associated fatty liver disease (MAFLD) is a condition that encompasses a range of liver disorders, from steatosis to fibrosis. In a recent study, researchers investigated the role of phosphoenolpyruvate carboxykinase 1 (PCK1) in MAFLD progression in vivo. This work found that deficiency of the gluconeogenic enzyme PCK1 promoted the development of MAFLD through activation of the PI3K/AKT/PDGF axis.