Evidence map›Paper›PMID 42338051›Full record

ArticleClinical transplantation2026

Reduction in Donor-Derived Cell-Free DNA After Rejection Treatment is Associated With Improved Long Term Allograft Function.

Lauren Schumacher, Olivia Philippart, Jesica Yau, Fawad Shuaib, Sravanthi Paluri, Ana Lia Castellanos, Aric Schadler, Hasan Fattah

Abstract read
In one paragraph

Article in Clinical transplantation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Lauren SchumacherDepartment of Pharmacy, University of Kentucky Healthcare, Lexington, Kentucky, USA.ORCID https://orcid.org/0000-0002-0526-2865
Olivia PhilippartDepartment of Pharmacy, University of Kentucky Healthcare, Lexington, Kentucky, USA.ORCID https://orcid.org/0009-0006-4423-9971
Jesica YauCareDx, Brisbane, California, USA.ORCID https://orcid.org/0000-0001-7891-6113
Fawad ShuaibDivision of Transplant, Department of Nephrology, University of Kentucky Healthcare, Lexington, Kentucky, USA.
Sravanthi PaluriDivision of Transplant, Department of Nephrology, University of Kentucky Healthcare, Lexington, Kentucky, USA.
Ana Lia CastellanosDivision of Transplant, Department of Nephrology, University of Kentucky Healthcare, Lexington, Kentucky, USA.
Aric SchadlerCollege of Pharmacy, University of Kentucky, Lexington, Kentucky, USA.ORCID https://orcid.org/0000-0001-8814-5834
Hasan FattahDivision of Transplant, Department of Nephrology, University of Kentucky Healthcare, Lexington, Kentucky, USA.

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
NIH National Center for Advancing Translational Sciences UL1TR001998
6 · The paper itself

Abstract

Donor derived cell-free DNA (dd-cfDNA) has become a useful biomarker for monitoring of kidney transplant rejection, however utilization after rejection is not well established. We conducted a retrospective cohort study of 64 kidney transplant recipients (KTRs) with biopsy-proven rejection and concomitant dd-cfDNA monitoring. The primary outcome was to examine the relationship between changes in dd-cfDNA and allograft function after rejection. Secondary outcomes included the effect of a ≥61% dd-cfDNA reduction on eGFR and proteinuria, and impact of persistently elevated dd-cfDNA. The percent change in dd-cfDNA from rejection to 6 months post-rejection and 1-year post-rejection was negatively correlated with eGFR change at 1, 2, and 3 years. No correlation was seen with dd-cfDNA values at 1 month. KTRs with at least 61% decrease in dd-cfDNA from rejection to 1-year post-rejection showed improvement in eGFR at 1, 2, and 3 years. KTRs with persistently elevated dd-cfDNA showed significantly worse change in eGFR to all time points compared to those without. Incidence of proteinuria at 1, 2, and 3 years trended lower in KTRs with ≥61% decrease in dd-cfDNA. dd-cfDNA was negatively correlated with eGFR, primarily at 6-12 months post-rejection. In conclusion, persistently elevated dd-cfDNA correlates with worse longitudinal changes in eGFR through 3 years post-rejection.

Indexed as

BiomarkersCell-Free Nucleic AcidsGraft RejectionKidney Failure, ChronicKidney TransplantationPostoperative ComplicationsTissue DonorsAdultAllograftsFemaleFollow-Up StudiesGlomerular Filtration RateGraft SurvivalHumansKidney Function TestsMaleBiomarkersCell-Free Nucleic Acidsbiomarkerbiopsydonor‐derived cell‐free DNAgraft rejectionkidney transplantationrejection

Identifiers

PMID42338051
PMCPMC13291343

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.