Molecular diagnostics of cardiac allograft rejection: development pathways and future clinical prospects

Recent advances in molecular diagnostics have opened new avenues for integrating genetic and epigenetic bio- markers into clinical practice. Areas such as gene expression profiling, extracellular DNA quantification, and microRNA expression analysis have seen significant development in recent years....

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Main Authors: D D. Velikiy, S. O. Sharapchenko, A. O. Shevchenko, O. P. Shevchenko
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2025-07-01
Series:Вестник трансплантологии и искусственных органов
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Online Access:https://journal.transpl.ru/vtio/article/view/1954
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author D D. Velikiy
S. O. Sharapchenko
A. O. Shevchenko
O. P. Shevchenko
author_facet D D. Velikiy
S. O. Sharapchenko
A. O. Shevchenko
O. P. Shevchenko
author_sort D D. Velikiy
collection DOAJ
description Recent advances in molecular diagnostics have opened new avenues for integrating genetic and epigenetic bio- markers into clinical practice. Areas such as gene expression profiling, extracellular DNA quantification, and microRNA expression analysis have seen significant development in recent years. The diagnostic value of mo- lecular genetic biomarkers has been demonstrated across a range of pathological conditions. Emerging clinical data now support the use of molecular diagnostics to detect post-transplant complications in recipients of solid organ transplants. In heart transplant recipients, a comprehensive assessment that includes molecular genetics, epigenetic, and clinical parameters is essential for personalized selection of immunosuppressive therapy and for prevention of graft dysfunction and vasculopathy. This review highlights the current state of molecular diagnostics in cardiac allograft rejection and explores its potential for clinical application.
format Article
id doaj-art-9d75bf0b29754e5faf12ebf7a8d10a2f
institution DOAJ
issn 1995-1191
language Russian
publishDate 2025-07-01
publisher Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
record_format Article
series Вестник трансплантологии и искусственных органов
spelling doaj-art-9d75bf0b29754e5faf12ebf7a8d10a2f2025-08-20T03:01:39ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912025-07-0127217117810.15825/1995-1191-2025-2-171-1781351Molecular diagnostics of cardiac allograft rejection: development pathways and future clinical prospectsD D. Velikiy0S. O. Sharapchenko1A. O. Shevchenko2O. P. Shevchenko3Shumakov National Medical Research Center of Transplantology and Artificial OrgansShumakov National Medical Research Center of Transplantology and Artificial OrgansShumakov National Medical Research Center of Transplantology and Artificial Organs; Sechenov University, Moscow, Russian Federation Pirogov Russian National Research Medical UniversityShumakov National Medical Research Center of Transplantology and Artificial Organs; Sechenov University, Moscow, Russian FederationRecent advances in molecular diagnostics have opened new avenues for integrating genetic and epigenetic bio- markers into clinical practice. Areas such as gene expression profiling, extracellular DNA quantification, and microRNA expression analysis have seen significant development in recent years. The diagnostic value of mo- lecular genetic biomarkers has been demonstrated across a range of pathological conditions. Emerging clinical data now support the use of molecular diagnostics to detect post-transplant complications in recipients of solid organ transplants. In heart transplant recipients, a comprehensive assessment that includes molecular genetics, epigenetic, and clinical parameters is essential for personalized selection of immunosuppressive therapy and for prevention of graft dysfunction and vasculopathy. This review highlights the current state of molecular diagnostics in cardiac allograft rejection and explores its potential for clinical application.https://journal.transpl.ru/vtio/article/view/1954heart transplantationgene expression profilingextracellular dnamirnagraft rejectionpersonalization
spellingShingle D D. Velikiy
S. O. Sharapchenko
A. O. Shevchenko
O. P. Shevchenko
Molecular diagnostics of cardiac allograft rejection: development pathways and future clinical prospects
Вестник трансплантологии и искусственных органов
heart transplantation
gene expression profiling
extracellular dna
mirna
graft rejection
personalization
title Molecular diagnostics of cardiac allograft rejection: development pathways and future clinical prospects
title_full Molecular diagnostics of cardiac allograft rejection: development pathways and future clinical prospects
title_fullStr Molecular diagnostics of cardiac allograft rejection: development pathways and future clinical prospects
title_full_unstemmed Molecular diagnostics of cardiac allograft rejection: development pathways and future clinical prospects
title_short Molecular diagnostics of cardiac allograft rejection: development pathways and future clinical prospects
title_sort molecular diagnostics of cardiac allograft rejection development pathways and future clinical prospects
topic heart transplantation
gene expression profiling
extracellular dna
mirna
graft rejection
personalization
url https://journal.transpl.ru/vtio/article/view/1954
work_keys_str_mv AT ddvelikiy moleculardiagnosticsofcardiacallograftrejectiondevelopmentpathwaysandfutureclinicalprospects
AT sosharapchenko moleculardiagnosticsofcardiacallograftrejectiondevelopmentpathwaysandfutureclinicalprospects
AT aoshevchenko moleculardiagnosticsofcardiacallograftrejectiondevelopmentpathwaysandfutureclinicalprospects
AT opshevchenko moleculardiagnosticsofcardiacallograftrejectiondevelopmentpathwaysandfutureclinicalprospects