Machine learning and multi-omics in precision medicine for ME/CFS

J Transl Med. 2025 Jan 14;23(1):68. doi: 10.1186/s12967-024-05915-z.

Abstract

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex and multifaceted disorder that defies simplistic characterisation. Traditional approaches to diagnosing and treating ME/CFS have often fallen short due to the condition's heterogeneity and the lack of validated biomarkers. The growing field of precision medicine offers a promising approach which focuses on the genetic and molecular underpinnings of individual patients. In this review, we explore how machine learning and multi-omics (genomics, transcriptomics, proteomics, and metabolomics) can transform precision medicine in ME/CFS research and healthcare. We provide an overview on machine learning concepts for analysing large-scale biological data, highlight key advancements in multi-omics biomarker discovery, data quality and integration strategies, while reflecting on ME/CFS case study examples. We also highlight several priorities, including the critical need for applying robust computational tools and collaborative data-sharing initiatives in the endeavour to unravel the biological intricacies of ME/CFS.

Keywords: Artificial intelligence; Biomarkers; Data integration; Heterogeneous illness; ME/CFS; Machine learning; Multi-omics; Precision medicine.

Publication types

  • Review

MeSH terms

  • Biomarkers / metabolism
  • Fatigue Syndrome, Chronic* / genetics
  • Fatigue Syndrome, Chronic* / metabolism
  • Fatigue Syndrome, Chronic* / therapy
  • Genomics*
  • Humans
  • Machine Learning*
  • Metabolomics
  • Multiomics
  • Precision Medicine*
  • Proteomics

Substances

  • Biomarkers