Lipids & metabolic liver disease

Identification of growth differentiation factor 15 as an early predictive biomarker for metabolic dysfunction‐associated steatohepatitis: A nested case–control study of UK Biobank proteomic data

Diabetes Obes MetabPublished Nested case-control study

Authors' conclusion

GDF15 at baseline levels outperformed other individual circulating protein biomarkers for the early prediction of MASH. Our data suggest that GDF15 and the GDF15-based model may be used as easy-to-implement tools to identify patients with high risks of developing MASH at a mean lag time of over 10 years.

Study context

Population
UK Biobank participants with Olink proteomic, anthropometric and biochemical baseline data; MASH cases and age- and sex-matched controls
Comparison
Baseline circulating protein biomarkers for prediction of MASH
Outcome
Predictive accuracy of baseline CDCP1, FABP4, FGF21, GDF15, IL-6 and THBS2 for subsequent MASH diagnosis
Follow-up
Mean lag time of over 10 years
Methodological detailsage- and sex-matched controls, UK Biobank proteomic data, prospective analysis of baseline biomarkers
  • Age- and sex-matched controls
  • UK Biobank proteomic data
  • Prospective analysis of baseline biomarkers

Main finding

As reported in the abstract

Prediction of MASH occurrence by baseline GDF15 · 5 and 10 years

GDF15 AUC at 5 years (best performing biomarker)

0.90

GDF15 AUC at 10 years

0.86

Observational data: associations, not effects.

Further findings

Four-biomarker model (GDF15, FGF21, IL-6, THBS2) · 5 and 10 years

AUC at both 5 and 10 years
0.88

Protein-clinical model (4 biomarkers plus BMI, ALT, TC) · 5 and 10 years

AUC at 5 years
0.92
AUC at 10 years
0.89

Original publication

Identification of growth differentiation factor 15 as an early predictive biomarker for metabolic dysfunction‐associated steatohepatitis: A nested case–control study of UK Biobank proteomic data. Diabetes Obes Metab. Published 5 February 2025. doi:10.1111/dom.16233

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