Evidence map›Paper›PMID 40384735›Full record

ReviewMethodist DeBakey cardiovascular journal2025

Rejection Surveillance: Integrating Cell-Free DNA and Gene Expression Panels to Decrease Invasiveness in Routine Monitoring of Heart Transplant Recipients.

Hatem Alansari, Janardhana R Gorthi

Abstract readReview
In one paragraph

Review in Methodist DeBakey cardiovascular journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

2 authors.

Hatem AlansariHouston Methodist DeBakey Heart & Vascular Center, Houston Methodist, Houston, TX, US.ORCID https://orcid.org/0009-0006-1831-0447
Janardhana R GorthiHouston Methodist DeBakey Heart & Vascular Center, Houston Methodist, Houston, TX, US.ORCID https://orcid.org/0000-0003-4867-7347

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-transplant rejection surveillance remains a cornerstone of heart transplant care. Although endomyocardial biopsy has long been the gold standard for monitoring rejection, its invasiveness and limitations have driven innovations in noninvasive techniques. Molecular diagnostics, including gene expression profiling (GEP) and donor-derived cell-free DNA (dd-cfDNA), have emerged as promising alternatives with demonstrated utility. GEP excels in identifying immune activation with high negative predictive value, while dd-cfDNA provides insights into allograft injury, with sensitivity up to 81% and specificity of 85%. Complementary cardiac imaging such as echocardiography and cardiac magnetic resonance enhance graft assessment by providing structural and functional data. Together, these investigations offer a multimodal approach to rejection surveillance, reducing the frequency of endomyocardial biopsy and improving overall care for transplant recipients.

Indexed as

Cell-Free Nucleic AcidsGene Expression ProfilingGraft RejectionGraft SurvivalHeart TransplantationTranscriptomeBiomarkersGenetic MarkersHumansPredictive Value of TestsRisk FactorsTreatment OutcomeBiomarkersCell-Free Nucleic AcidsGenetic Markersheart transplantationnoninvasive surveillance post heart transplantpost-transplant rejection

Identifiers

PMID40384735
PMCPMC12082472

What OpenQuestion holds

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Registered trials

None linked

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.