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Paper

Donor-derived cell-free DNA predicts allograft failure and mortality after lung transplantation

Evidence level: prospective multicentre cohort; abstract-only

A multicentre prospective cohort of 106 lung transplant recipients linking early donor-derived cell-free DNA to later allograft failure, including severe CLAD.

As of . Primary source: Publisher record via DOI.

Summary

This multicentre prospective cohort enrolled 106 lung transplant recipients and measured the percentage of donor-derived cell-free DNA (ddcfDNA) in plasma by shotgun sequencing during the first three months after transplantation. Allograft failure was defined as severe CLAD, retransplantation or death from respiratory failure. According to the abstract, patients in the upper tertile of average ddcfDNA had a 6.6-fold higher risk of allograft failure (95 percent confidence interval 1.6 to 19.9) and lower peak FEV1, and they had more frequent ddcfDNA elevations that were not clinically detectable. The abstract states that the funder was the National Institutes of Health. The outcome combines several events, so the result is not specific to CLAD, and grant numbers were not read.

Details

doi
10.1016/j.ebiom.2018.12.029
pmid
30692045
authors
Agbor-Enoh S, Wang Y, Tunc I, et al.
journal
EBioMedicine
year
2019
volume
40
pages
541-553

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Information resource only. Not medical advice. Not a substitute for the care of the patient's transplant team.