Sigdel Tara K, Sarwal Minnie M
California Pacific Medical Center- Research Institute, San Francisco, California, USA.
Clin Transpl. 2012:201-5.
Organ transplantation is the treatment of choice for patients with end-stage organ failure. The donor organ in the recipient body experiences several immune and non-immune related insults. Improved immunosuppressive drugs and surgical techniques and procedures have helped in the short-term outcome in terms of graft survival. However, in the absence of effective and specific methods of monitoring the transplanted organ, the long-term outcome is still far from satisfactory. Currently available methods are far from optimal as they are either not specific or are invasive. This reality has inspired several groups to look for more effective and semi- or noninvasive methods of diagnosis of transplant injury. Cell-free deoxyribonucleic acid (cfDNA) has been considered a diagnostic biomarker for different health issues including transplant injury. In this review, we have summarized the current status of the utility of cfDNA measurement in the blood and biofluids of solid organ transplant patients as a non-invasive biomarker of allograft injury.
器官移植是终末期器官衰竭患者的首选治疗方法。供体器官在受体体内会经历多种免疫和非免疫相关的损伤。改进后的免疫抑制药物以及手术技术和操作有助于提高移植器官短期存活的效果。然而,由于缺乏有效且特异的移植器官监测方法,长期效果仍不尽人意。目前可用的方法远非最佳,因为它们要么不特异,要么具有侵入性。这一现实促使多个研究团队去寻找更有效且半侵入性或非侵入性的移植损伤诊断方法。游离脱氧核糖核酸(cfDNA)已被视为包括移植损伤在内的不同健康问题的诊断生物标志物。在本综述中,我们总结了测量实体器官移植患者血液和生物流体中cfDNA作为同种异体移植损伤非侵入性生物标志物的应用现状。