Donor-derived, cell-free DNA levels by next-generation targeted sequencing are elevated in allograft rejection after lung transplantation.


Journal

ERJ open research
ISSN: 2312-0541
Titre abrégé: ERJ Open Res
Pays: England
ID NLM: 101671641

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 04 07 2020
accepted: 18 09 2020
entrez: 3 2 2021
pubmed: 4 2 2021
medline: 4 2 2021
Statut: epublish

Résumé

Surveillance after lung transplantation is critical to the detection of acute cellular rejection (ACR) and prevention of chronic lung allograft dysfunction (CLAD). Therefore, we measured donor-derived cell-free DNA (dd-cfDNA) implementing a clinical-grade, next-generation targeted sequencing assay in 107 plasma samples from 38 unique lung transplantation recipients with diagnostic cohorts classified as: (1) biopsy-confirmed or treated ACR, (2) antibody-mediated rejection (AMR), (3) obstructive CLAD, (4) allograft infection (INFXN) and (5) Stable healthy allografts (STABLE). Our principal findings are as follows: (1) dd-cfDNA level was elevated in ACR (median 0.91%; interquartile range (IQR): 0.39-2.07%), CLAD (2.06%; IQR: 0.57-3.67%) and an aggregated cohort of rejection encompassing allograft injury (1.06%; IQR: 0.38-2.51%), compared with the STABLE cohort (0.38%; IQR: 0.23-0.87%) (p=0.02); (2) dd-cfDNA level with AMR was elevated (1.34%; IQR: 0.34-2.40%) compared to STABLE, although it did not reach statistical significance (p=0.07) due to limitations in sample size; (3) there was no difference in dd-cfDNA for allograft INFXN (0.39%; IQR: 0.18-0.67%)

Identifiants

pubmed: 33532456
doi: 10.1183/23120541.00462-2020
pii: 00462-2020
pmc: PMC7836440
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL095686
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL141105
Pays : United States

Informations de copyright

Copyright ©ERS 2021.

Déclaration de conflit d'intérêts

Conflict of interest: K.K. Khush reports grants and personal fees from CareDx, Inc., outside the submitted work. Conflict of interest: I. De Vlaminck has nothing to disclose. Conflict of interest: H. Luikart has nothing to disclose. Conflict of interest: D.J. Ross has nothing to disclose. Conflict of interest: M.R. Nicolls has nothing to disclose.

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Auteurs

Kiran K Khush (KK)

Division of Cardiovascular Medicine, Dept of Medicine, Stanford University, Stanford, CA, USA.

Iwijn De Vlaminck (I)

Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA.

Helen Luikart (H)

Division of Cardiovascular Medicine, Dept of Medicine, Stanford University, Stanford, CA USA.

David J Ross (DJ)

CareDx, Brisbane, CA, USA.

Mark R Nicolls (MR)

Division of Pulmonary and Critical Care Medicine, Dept of Medicine, Stanford University, Stanford, CA, USA.

Classifications MeSH