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A Retrospective Clinical Study of NRF2 Regulation in the Progression from Non-Alcoholic Fatty Liver Disease to Hepatocellular Carcinoma

A Retrospective Clinical Study of NRF2 Regulation in the Progression from Non-Alcoholic Fatty Liver Disease to Hepatocellular Carcinoma

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2600126916
Enrollment
Unknown
Registered
2026-06-18
Start date
2026-06-20
Completion date
Unknown
Last updated
2026-06-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

This study involves metabolic dysfunction-associated steatohepatitis (MASH), liver fibrosis, liver cirrhosis, and MASH-related hepatocellular carcinoma

Interventions

Precancerous lesion and inflammatory bowel disease group:NA
Chronic liver disease group:NA
Hepatocellular carcinoma group:NA
Mesenteric cancer group:NA
Colorectal cancer group:NA

Sponsors

West China Hospital of Sichuan University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 90 Years

Inclusion criteria

Inclusion criteria: 1.Patients aged 18–90 years who received medical care, surgery, endoscopic biopsy, or pathological examination at West China Hospital, Sichuan University between January 2009 and December 2019. 2.Patients with a clear clinical and/or pathological diagnosis corresponding to the diseases or control conditions involved in this study, including metabolic dysfunction-associated steatohepatitis (MASH), liver fibrosis, liver cirrhosis, hepatocellular carcinoma, colon cancer, rectal cancer, colorectal adenoma, Crohn’s disease, ulcerative colitis, and colorectal cancer-associated mesenteric involvement or metastasis. 3.Availability of formalin-fixed paraffin-embedded tissue blocks or pathological sections suitable for experimental analysis, with sufficient tissue volume for immunohistochemical staining, pathological review, and experimental quality control. For tumor cases, priority will be given to cases with paired adjacent non-tumor tissue, distal non-tumor tissue, or adjacent non-tumor mesenteric tissue. 4.Availability of complete or relatively complete clinicopathological, treatment, and follow-up data, including age, sex, diagnosis, lesion site, pathological type, tumor stage, treatment modality, underlying diseases, postoperative outcomes, survival time, or recurrence status. 5.For patients included in the immunotherapy response analysis, patients must have received systemic therapy based on PD-1/PD-L1 inhibitors and have pretreatment tumor tissue samples available for analysis, as well as evaluable treatment response data.

Exclusion criteria

Exclusion criteria: 1.Patients younger than 18 years or older than 90 years. 2.Patients with unclear clinical or pathological diagnoses, or those who do not meet the disease types or control conditions defined in this study. 3.Tissue samples that do not meet the experimental requirements, including insufficient tissue volume, severe autolysis, excessive necrosis, poor fixation or embedding quality, or unsatisfactory section quality. 4.Patients with severely incomplete clinicopathological, treatment, or follow-up data, making effective grouping, clinical correlation analysis, or prognostic analysis impossible. 5.Patients who received preoperative radiotherapy, chemotherapy, targeted therapy, or immunotherapy that may significantly affect NRF2 expression or pathological assessment; this does not apply to patients included in the immunotherapy response analysis cohort. 6.Samples whose source, permission for use, or ethical requirements do not comply with the regulations of this study.

Design outcomes

Primary

MeasureTime frame
NRF2 expression level and subcellular localization;

Secondary

MeasureTime frame
Association between NRF2 expression and clinicopathological characteristics;Survival outcomes;

Countries

China

Contacts

Public ContactLi Gu

West China Hospital of Sichuan University

ligu@scu.edu.cn+86 28 85422114

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Jun 29, 2026