Evidence map›Paper›PMID 36614837›Full record

ArticleJournal of clinical medicine2022

Donor-Specific Cell-Free DNA qPCR Quantification as a Noninvasive Accurate Biomarker for Early Rejection Detection in Liver Transplantation.

Noelia García-Fernández, Hada C Macher, Gonzalo Suárez-Artacho, Miguel Ángel Gómez-Bravo, Patrocinio Molinero, Juan Miguel Guerrero, Manuel Porras-López, Amalia Rubio

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

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  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Noelia García-FernándezDepartment of Clinical Biochemistry, Instituto de Investigaciones Biomédicas de Sevilla, IBIS (University of Seville, HUVR, Junta de Andalucía, CSIC), 41013 Seville, Spain.
Hada C MacherDepartment of Clinical Biochemistry, Instituto de Investigaciones Biomédicas de Sevilla, IBIS (University of Seville, HUVR, Junta de Andalucía, CSIC), 41013 Seville, Spain.
Gonzalo Suárez-ArtachoHepatobiliary and Liver Transplantation Unit, Virgen del Rocío University Hospital, 41013 Seville, Spain.
Miguel Ángel Gómez-BravoHepatobiliary and Liver Transplantation Unit, Virgen del Rocío University Hospital, 41013 Seville, Spain.
Patrocinio MolineroDepartment of Medical Biochemistry and Molecular Biology and Immunology, Instituto de Investigaciones Biomédicas de Sevilla, IBIS (University of Seville, HUVR, Junta de Andalucía, CSIC), 41013 Seville, Spain.
Juan Miguel GuerreroDepartment of Clinical Biochemistry, Instituto de Investigaciones Biomédicas de Sevilla, IBIS (University of Seville, HUVR, Junta de Andalucía, CSIC), 41013 Seville, Spain.
Manuel Porras-LópezIntensive Care Unit, Virgen del Rocio University Hospital, 41013 Seville, Spain.
Amalia RubioDepartment of Medical Biochemistry and Molecular Biology and Immunology, Instituto de Investigaciones Biomédicas de Sevilla, IBIS (University of Seville, HUVR, Junta de Andalucía, CSIC), 41013 Seville, Spain.ORCID 0000-0002-5905-0534
Instituto de Biomedicina de Sevilla · ESHospital Universitario Virgen del Rocío · ES

Funding

Consejería de Salud y Familias PI0047/2014
6 · The paper itself

Abstract

(1) Background: Graft-cell-free DNA (cfDNA) in the circulation of liver transplant recipients has been proposed as a noninvasive biomarker of organ rejection. The aim of this study was to detect donor-specific cfDNA (ds-cfDNA) in the recipient's serum after either liver damage or rejection using a qPCR-based method. (2) Methods: We proposed a qPCR method based on the amplification of 10 specific insertion-deletion (InDel) polymorphisms to detect donor-specific circulating DNA diluted in the recipient cfDNA. ds-cfDNA from 67 patients was evaluated during the first month post-transplantation. (3) Results: Graft rejection in the first month post-transplantation was reported in 13 patients. Patients without liver complications showed a transitory increase in ds-cfDNA levels at transplantation. Patients with rejection showed significant differences in ds-cfDNA increase over basal levels at both the rejection time point and several days before rejection. Receiver operator characteristic (ROC) analysis showed that ds-cfDNA levels discriminated rejection, with an AUC of 0.96. Maximizing both sensitivity and specificity, a threshold cutoff of 8.6% provided an estimated positive and negative predictive value of 99% and 60%, respectively. (4) Conclusions: These results suggest that ds-cfDNA may be a useful marker of graft integrity in liver transplant patients to screen for rejection and liver damage.

Indexed as

donor-specific cfDNAgraft rejectionliver transplantationnoninvasive biomarker

Identifiers

PMID36614837
PMCPMC9821236
OpenAlexW4313468846

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.