Commentary & Perspectives

Earlier Detection of Organ Rejection

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  • February 27, 2026

  • 2 min

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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.

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