Urine CXCL10 as a biomarker in kidney transplantation.

IF 1.8 4区 医学 Q3 TRANSPLANTATION Current Opinion in Organ Transplantation Pub Date : 2024-04-01 Epub Date: 2024-01-19 DOI:10.1097/MOT.0000000000001135
Patricia Hirt-Minkowski, Stefan Schaub
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Abstract

Purpose of review: Urine CXCL10 is a promising biomarker for posttransplant renal allograft monitoring but is currently not widely used for clinical management.

Recent findings: Large retrospective studies and data from a prospective randomized trial as well as a prospective cohort study demonstrate that low urine CXCL10 levels are associated with a low risk of rejection and can exclude BK polyomavirus replication with high certainty. Urine CXCL10 can either be used as part of a multiparameter based risk assessment tool, or as an individual biomarker taking relevant confounders into account. A novel Luminex-based CXCL10 assay has been validated in a multicenter study, and proved to be robust, reproducible, and accurate.

Summary: Urine CXCL10 is a well characterized inflammation biomarker, which can be used to guide performance of surveillance biopsies. Wide implementation into clinical practice depends on the availability of inexpensive, thoroughly validated assays with approval from regulatory authorities.

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尿液中的 CXCL10 作为肾移植的生物标记物。
综述目的:尿液CXCL10是一种很有前景的肾移植后监测生物标志物,但目前尚未广泛应用于临床管理:大型回顾性研究和一项前瞻性随机试验以及一项前瞻性队列研究的数据表明,尿液 CXCL10 水平低与排斥反应风险低有关,并可高度确定地排除 BK 多瘤病毒复制。尿液 CXCL10 既可作为基于多参数的风险评估工具的一部分,也可作为考虑到相关混杂因素的单个生物标记物。基于 Luminex 的新型 CXCL10 检测方法已在一项多中心研究中得到验证,并被证明具有稳健性、可重复性和准确性。能否在临床实践中广泛应用取决于是否有价格低廉、经过全面验证并获得监管机构批准的检测方法。
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来源期刊
CiteScore
4.10
自引率
4.50%
发文量
124
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Organ Transplantation is an indispensable resource featuring key, up-to-date and important advances in the field from around the world. Led by renowned guest editors for each section, every bimonthly issue of Current Opinion in Organ Transplantation delivers a fresh insight into topics such as stem cell transplantation, immunosuppression, tolerance induction and organ preservation and procurement. With 18 sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, surgeons and other healthcare professionals alike.
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