Rats given fructose-enriched diet develop many characteristics of the human metabolic syndrome and non-alcoholic fatty liver disease. In this study, we characterized the hepatic effects of rosiglitazone in fructose-enriched diet rats. Rats were randomly divided into three groups. One group was maintained on standard rat chow diet for 6 weeks, whereas the other two groups were given fructose-enriched diet for 6 weeks. Four weeks after the initiation of fructose-enriched diet, one of the fructose-enriched diet groups was also given rosiglitazone (10 mg ⁄ kg ⁄ day) for an additional 2 weeks. Rosiglitazone administration to the fructose-enriched diet rats was associated with decreases in the following parameters: blood pressure ()17%), plasma triglycerides ()62%), hepatic total lipids ()19%), hepatic triglycerides ()61%), hepatic malondialdehyde ()88%), glutathione reductase activity ()84%). An increase in adiponectin plasma levels (+329%), hepatic phospholipids (+46%), hepatic a-tocopherol concentrations (+24%) and hepatic paraoxonase activity (+68%) was observed. Rosiglitazone caused a decrease in hepatic macrovesicular steatosis score but no change in hepatic fibrosis. Administration of rosiglitazone, to rats with the metabolic syndrome has limited hepatic favourable effects: it improves hepatic lipid metabolism, decreases macrovesicular steatosis and improves some of the hepatic oxidative-anti-oxidative milieu but has no effect on hepatic fibrosis.Non-alcoholic fatty liver disease and non-alcoholic steatohepatitis are increasingly recognized causes of liver diseases and liver-related mortality [1,2].The best known risk factor for non-alcoholic fatty liver disease is the presence of the metabolic syndrome that includes insulin resistance, diabetes mellitus type 2, visceral (central) obesity, overall obesity, hyperlipidaemia (mainly hypertriglyceridaemia) and hypertension [1,2]. Insulin resistance is thought to be the core of the metabolic syndrome and connects all its components [2,3]. Recent evidence suggests that the severity of hepatic histology in non-alcoholic fatty liver disease patients is closely associated with markers of metabolic syndrome [4]. Administration of thiazolidinedione drugs like rosiglitazone, which are a family of peroxisome proliferator-activated receptor gamma (PPARc) agonists, reduces plasma glucose levels, improves pancreatic islet b-cell function, improves insulin sensitivity and increases adiponectin plasma level [5]. Rosiglitazone may be used for the treatment of type 2 diabetes mellitus [5]. It increases insulin sensitivity in diabetic subjects but also in patients with non-alcoholic steatohepatitis, irrespective of whether they were normo or hyperglycaemic [6,7]. Moreover, administration of rosiglitazone or pioglitazone, another thiazolidinedione, to human subjects and certain strains of rats with non-alcoholic steatohepatitis was reported to cause significant improvement in hepatic histology especially reduction of hepatic steatosis. Only few of the studies reported regr...