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Paper

Circulating exosomes with lung self-antigens as a biomarker for chronic lung allograft dysfunction: A retrospective analysis

Evidence level: retrospective multicentre biomarker study; abstract-only

A retrospective study reporting that blood exosomes carrying lung self-antigens were raised up to 12 months before a diagnosis of BOS-type chronic rejection.

As of . Primary source: Publisher record via DOI.

Summary

Exosomes are small membrane vesicles released by cells. The study isolated circulating exosomes retrospectively from plasma of lung transplant recipients at diagnosis of BOS and at 6 and 12 months before diagnosis (n = 41), and from stable time-matched controls (n = 30) at two transplant centres, and measured the self-antigens K-alpha 1 tubulin and collagen V. According to the abstract, exosomes from recipients with BOS had higher levels of these self-antigens, including 12 months before diagnosis, with 100 percent specificity and 90 percent sensitivity reported, and a validation study in two further cohorts gave similar findings. The authors conclude that such exosomes could serve as a non-invasive biomarker for recipients at risk of BOS. The findings are retrospective and have not been tested here beyond the abstract.

Details

doi
10.1016/j.healun.2020.07.001
pmid
32713614
authors
Sharma M, Gunasekaran M, Ravichandran R, Fisher CE, Limaye AP, Hu C, McDyer J, Kaza V, Bharat A, Tokman S, Omar A, Arjuna A, Walia R, Bremner RM, Smith MA, Hachem RR, Mohanakumar T
journal
The Journal of Heart and Lung Transplantation
year
2020
volume
39
issue
11
pages
1210-1219

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