Commentary & Perspectives
Earlier Detection of Organ Rejection
CAP review outlines how donor-derived DNA assays can support earlier, less invasive detection of graft injury
Donor-derived cell-free DNA (dd-cfDNA) testing is revolutionizing the monitoring of solid organ transplants by enabling earlier detection of graft injuries such as acute rejection. Following transplantation, fragments of donor DNA can be quantified in a recipient's bloodstream, with low levels indicating stable graft health. The review highlights two main detection methods: next-generation sequencing and droplet digital PCR, with applications particularly in kidney and heart transplants. This testing enhances clinical decision-making by potentially reducing unnecessary biopsies and improving personalized care.
1. dd-cfDNA testing enables early detection of graft injury. 2. Low levels of dd-cfDNA indicate stable graft health. 3. Two detection methods: next-gen sequencing and droplet digital PCR. 4. Clinical applications are strongest in kidney and heart transplants. 5. Rising dd-cfDNA levels may signal acute rejection. 6. Testing can reduce unnecessary biopsies. 7. Emerging applications in liver and lung transplants. 8. Molecular monitoring may reshape transplant diagnostics.