The role of metagenomic next-generation sequencing in diagnosing and managing post-kidney transplantation infections

Kidney transplantation (KT) is a life-saving treatment for patients with end-stage renal disease, but post-transplant infections remain one of the most significant challenges. These infections, caused by a variety of pathogens, can lead to prolonged hospitalization, graft dysfunction, and even morta...

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Main Authors: Hao Wu, Hongliang Cao, Xin Gao, Chengdong Shi, Lei Wang, Baoshan Gao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cellular and Infection Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2024.1473068/full
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author Hao Wu
Hongliang Cao
Xin Gao
Chengdong Shi
Lei Wang
Baoshan Gao
author_facet Hao Wu
Hongliang Cao
Xin Gao
Chengdong Shi
Lei Wang
Baoshan Gao
author_sort Hao Wu
collection DOAJ
description Kidney transplantation (KT) is a life-saving treatment for patients with end-stage renal disease, but post-transplant infections remain one of the most significant challenges. These infections, caused by a variety of pathogens, can lead to prolonged hospitalization, graft dysfunction, and even mortality, particularly in immunocompromised patients. Traditional diagnostic methods often fail to identify the causative organisms in a timely manner, leading to delays in treatment and poorer patient outcomes. This review explores the application of metagenomic next-generation sequencing (mNGS) in the diagnosis of post-KT infections. mNGS allows for the rapid, comprehensive detection of a wide range of pathogens, including bacteria, viruses, fungi, and parasites, without the need for culture-based techniques. We discuss the advantages of mNGS in early and accurate pathogen identification, its role in improving patient management, and the potential challenges in its clinical implementation. Additionally, we consider the future prospects of mNGS in overcoming current diagnostic limitations and its potential for guiding targeted therapies, particularly in detecting antimicrobial resistance and emerging pathogens. This review emphasizes the promise of mNGS as an essential tool in improving the diagnosis and treatment of infections in KT recipients.
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series Frontiers in Cellular and Infection Microbiology
spelling doaj-art-09dbd466643149af9787656a659bfc8c2025-01-07T06:50:34ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882025-01-011410.3389/fcimb.2024.14730681473068The role of metagenomic next-generation sequencing in diagnosing and managing post-kidney transplantation infectionsHao WuHongliang CaoXin GaoChengdong ShiLei WangBaoshan GaoKidney transplantation (KT) is a life-saving treatment for patients with end-stage renal disease, but post-transplant infections remain one of the most significant challenges. These infections, caused by a variety of pathogens, can lead to prolonged hospitalization, graft dysfunction, and even mortality, particularly in immunocompromised patients. Traditional diagnostic methods often fail to identify the causative organisms in a timely manner, leading to delays in treatment and poorer patient outcomes. This review explores the application of metagenomic next-generation sequencing (mNGS) in the diagnosis of post-KT infections. mNGS allows for the rapid, comprehensive detection of a wide range of pathogens, including bacteria, viruses, fungi, and parasites, without the need for culture-based techniques. We discuss the advantages of mNGS in early and accurate pathogen identification, its role in improving patient management, and the potential challenges in its clinical implementation. Additionally, we consider the future prospects of mNGS in overcoming current diagnostic limitations and its potential for guiding targeted therapies, particularly in detecting antimicrobial resistance and emerging pathogens. This review emphasizes the promise of mNGS as an essential tool in improving the diagnosis and treatment of infections in KT recipients.https://www.frontiersin.org/articles/10.3389/fcimb.2024.1473068/fullkidney transplantationmetagenomic next-generation sequencinginfectionpathogensdiagnosis
spellingShingle Hao Wu
Hongliang Cao
Xin Gao
Chengdong Shi
Lei Wang
Baoshan Gao
The role of metagenomic next-generation sequencing in diagnosing and managing post-kidney transplantation infections
Frontiers in Cellular and Infection Microbiology
kidney transplantation
metagenomic next-generation sequencing
infection
pathogens
diagnosis
title The role of metagenomic next-generation sequencing in diagnosing and managing post-kidney transplantation infections
title_full The role of metagenomic next-generation sequencing in diagnosing and managing post-kidney transplantation infections
title_fullStr The role of metagenomic next-generation sequencing in diagnosing and managing post-kidney transplantation infections
title_full_unstemmed The role of metagenomic next-generation sequencing in diagnosing and managing post-kidney transplantation infections
title_short The role of metagenomic next-generation sequencing in diagnosing and managing post-kidney transplantation infections
title_sort role of metagenomic next generation sequencing in diagnosing and managing post kidney transplantation infections
topic kidney transplantation
metagenomic next-generation sequencing
infection
pathogens
diagnosis
url https://www.frontiersin.org/articles/10.3389/fcimb.2024.1473068/full
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