High-Risk Transcriptome Molecular Prediction Study of MASH-Associated Colorectal Polyps

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-70
SponsorShanghai East Hospital

About this trial

The goal of this observational study is to learn about the molecular characteristics of colorectal polyps in patients with metabolic dysfunction-associated steatohepatitis (MASH) compared to individuals without fatty liver, and to identify potential transcriptomic biomarkers for high-risk polyps. The main questions it aims to answer are: What are the key gene expression differences in adenomatous polyps between MASH patients and non-fatty liver individuals? Can specific high-risk transcriptional molecules in plasma and polyp tissue serve as biomarkers for MASH-related colorectal polyps? Participants already scheduled for colonoscopic polypectomy as part of their routine care will provide a small portion of their polyp tissue, residual plasma from standard blood tests, and allow use of their stored pathological slides for research; they will also be followed up every six months.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of MAFLD conforms to the "Guidelines for the Prevention and Treatment of Non-alcoholic Fatty Liver Disease" (2018 Edition);

Male or female patients aged 18-70 years;

Signed informed consent form and explanation of the specific study protocol.

Disqualifiers

Chronic liver disease due to other etiologies (alcoholic, viral, autoimmune, drug-induced, etc.), decompensated cirrhosis, primary liver cancer;

Underlying diseases of other vital organs (heart, kidney, lung, etc.) and bleeding disorders;

Individuals lacking legal capacity or with poor insight.

Trial population

Recruit inpatients scheduled for colonoscopic polypectomy, with polyp sizes of 1\~2cm.

Trial design

Design model

Case-control

Time perspective

Retrospective

Treatments tested in this trial

Not listed

Trial groups

100 Participants
are grouped into 2 trial groups
Group A: control group
Group B: MASH group

Trial outcomes

Primary outcomes

1

Expression Levels of High-Risk Transcriptional Molecules in Colorectal Polyp Tissues

Single-cell RNA sequencing (scRNA-seq) technology will be used to perform transcriptomic analysis on colorectal polyp tissues from enrolled patients (6 cases) to screen for differentially expressed genes associated with MASH. Subsequently, real-time quantitative polymerase chain reaction (RT-qPCR) will be used to validate the expression levels of candidate genes in polyp tissues from all patients in the cohort.

Time frame
Day1

Secondary outcomes

Other outcomes

Sponsors and contacts

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