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ORIGINAL RESEARCH article

Front. Immunol.

Sec. Inflammation

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1698740

This article is part of the Research TopicExploring Cardiovascular and Cerebrovascular Diseases Interaction with Inflammation: Biomarkers, Drug Targets, and Personalized Treatments through Multi-omics Data Integration, Volume IIView all 5 articles

Development of a Diagnostic Model for MASLD and Identification of Daidzein as the potential drug using bioinformatics analysis and experiments

Provisionally accepted
Tao  WangTao Wang1,2Hao  ZhangHao Zhang2Kaixia  WangKaixia Wang2Chunxue  LiuChunxue Liu2Nan  KongNan Kong2Luocheng  ZhouLuocheng Zhou2Lihong  QuLihong Qu2*
  • 1Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China
  • 2Tongji University Dongfang Hospital, Shanghai, China

The final, formatted version of the article will be published soon.

Background Metabolic dysfunction-associated steatotic liver disease (MASLD) is now the predominant chronic liver disease globally, yet effective therapeutic strategies remain elusive. Methods MASLD-related datasets were download from GEO. Subsequently, genes associated with MASLD were found through the intersection of differentially expressed genes and WGCNA. Then, key candidate genes were further screened using 113 machine learning algorithms and their diagnostic value was evaluated using ROC curve analysis across multiple datasets. Genes are then screened by Shapley Additive exPlanations (SHAP) analysis. Molecular docking (MD) and molecular dynamics simulations (MDS) were employed to validate the interaction between Daidzein and Enolase 3 (ENO3). Finally, an in vitro fatty liver cell model was constructed to validate the "Enrichr" platform to identify poteitial drugs for MASLD. Results 62 MASLD-DEGs were finally identified. The optimal predictive model for MASLD was the 17-gene signature (IGFBP1, ENO3, SOCS2, GADD45G, NR4A2, RTP4, RAB26, CRYAA, PPP1R3C,MCAM, IL6, IER3, RTP3, NR4A1, CCL5, FOS, JUNB) selected through combined glmBoost+GBM algorithms, which was demonstrated robust predictive performance. SHAP analysis suggested that ENO3 may be the most prominent genes associated with MASLD severity. More importantly, we measured the effect of daidzein on improving lipid accumulation in vitro model. Conclusion We developed a predictive model for MASLD and identified ENO3 as a key predictive gene. Furthermore, we discovered that daidzein may serve as a potential therapeutic agent for MASLD. Through in vitro studies, we further confirmed that daidzein alleviates lipid deposition and improves MASLD by modulating the ENO3/PPAR signaling pathway.

Keywords: Metabolic dysfunction-associated steatotic liver disease, machine learning, Shap, ENO3, daidzein

Received: 04 Sep 2025; Accepted: 09 Oct 2025.

Copyright: © 2025 Wang, Zhang, Wang, Liu, Kong, Zhou and Qu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Lihong Qu, 1905365@tongji.edu.cn

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