Donor-derived cell-free DNA in kidney transplantation: evolving concepts and potential limitations.

Huang, Edmund; Jordan, Stanley C · Kidney Int · 2022

editorial · Level V

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Abstract

Bu et al. report that elevated donor-derived cell-free DNA detected on serial measurements performed for both surveillance and assessment of kidney allograft dysfunction was associated with rejection, future de novo donor-specific antibodies, and decline in estimated glomerular filtration rate. Their data suggest that donor-derived cell-free DNA may be a useful indicator of kidney allograft health. In this commentary, we discuss the expanding role of donor-derived cell-free DNA for allograft surveillance and highlight potential limitations.

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