Development of a diagnostic model for MASLD and identification of daidzein as the potential drug using bioinformatics

Tao Wang1, Hao Zhang2, Kaixia Wang1

  • 1Department of Infectious Diseases, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.

Frontiers in Immunology
|November 7, 2025
PubMed
Abstract

Insights

Metabolic dysfunction-associated steatotic liver disease (MASLD) is a growing global concern. This study identifies a 17-gene signature for MASLD prediction and suggests daidzein as a potential therapeutic agent by targeting the ENO3/PPAR pathway.

Area of Science:

  • Hepatology
  • Genomics
  • Pharmacology

Background:

  • Metabolic dysfunction-associated steatotic liver disease (MASLD) is the leading cause of chronic liver disease worldwide.
  • Current therapeutic strategies for MASLD are limited, necessitating novel approaches.

Purpose of the Study:

  • To develop a predictive model for MASLD using gene expression data.
  • To identify potential therapeutic agents for MASLD.

Main Methods:

  • Differential gene expression analysis and Weighted Gene Co-expression Network Analysis (WGCNA) were used to identify MASLD-associated genes.
  • Machine learning algorithms, including glmBoost and GBM, were employed to build a predictive model.
  • Shapley Additive exPlanations (SHAP) analysis and molecular dynamics simulations were used to evaluate gene significance and drug interactions.
  • In vitro fatty liver models were utilized to assess the therapeutic potential of daidzein.

Main Results:

  • A 17-gene signature was identified as an optimal predictive model for MASLD, demonstrating robust performance.
  • Enolase 3 (ENO3) was highlighted as a key gene associated with MASLD severity by SHAP analysis.
  • Daidzein demonstrated efficacy in improving lipid accumulation in an in vitro MASLD model.

Conclusions:

  • A novel 17-gene predictive model for MASLD was successfully developed.
  • ENO3 is identified as a critical gene in MASLD pathogenesis.
  • Daidzein shows promise as a potential therapeutic agent for MASLD by modulating the ENO3/PPAR signaling pathway.

Related Concept Videos