Advances and challenges in the application of donor-derived cell-free DNA for diagnosis and treatment in liver transplantation: a narrative review

Abstract In the field of liver disease treatment, liver transplantation (LT) has become an effective option for end-stage liver disease. However, issues such as immune rejection and graft damage remain important factors influencing the success rate of liver transplantation and patients' quality...

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Main Authors: Yiwu Zhong, Xu Hu, Xiaoping Li, Yinbiao Qiao, Haoyu Li, Shijie Zhou, Shusen Zheng, Jianhui Li
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-025-02911-y
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author Yiwu Zhong
Xu Hu
Xiaoping Li
Yinbiao Qiao
Haoyu Li
Shijie Zhou
Shusen Zheng
Jianhui Li
author_facet Yiwu Zhong
Xu Hu
Xiaoping Li
Yinbiao Qiao
Haoyu Li
Shijie Zhou
Shusen Zheng
Jianhui Li
author_sort Yiwu Zhong
collection DOAJ
description Abstract In the field of liver disease treatment, liver transplantation (LT) has become an effective option for end-stage liver disease. However, issues such as immune rejection and graft damage remain important factors influencing the success rate of liver transplantation and patients' quality of life. In recent years, with the advancement of genetic testing technologies, the study and application of donor-derived cell-free DNA (dd-cfDNA) in LT diagnosis and treatment have gradually gained attention. This review explores the research advancements in dd-cfDNA within liver transplant management, evaluating its potential applications throughout the liver transplantation process, while exploring the challenges faced by current studies and outlining future research directions. As a strategic tool for postoperative monitoring in LT, dd-cfDNA shows promising potential in areas such as immune rejection, graft damage, immunosuppressant adjustment, complication monitoring, and personalized treatment, and is poised to become a reliable biomarker in LT management.
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id doaj-art-e519e86c6f9e4e2696fbba47141febae
institution Kabale University
issn 1471-2482
language English
publishDate 2025-05-01
publisher BMC
record_format Article
series BMC Surgery
spelling doaj-art-e519e86c6f9e4e2696fbba47141febae2025-08-20T03:53:57ZengBMCBMC Surgery1471-24822025-05-0125111110.1186/s12893-025-02911-yAdvances and challenges in the application of donor-derived cell-free DNA for diagnosis and treatment in liver transplantation: a narrative reviewYiwu Zhong0Xu Hu1Xiaoping Li2Yinbiao Qiao3Haoyu Li4Shijie Zhou5Shusen Zheng6Jianhui Li7Zhejiang Chinese Medical UniversityZhejiang Chinese Medical UniversityKey Laboratory of Artificial Organs and Computational Medicine in Zhejiang Province, Shulan International Medical College, Zhejiang Shuren UniversityNHC Key Laboratory of Combined Multi-Organ TransplantationNHC Key Laboratory of Combined Multi-Organ TransplantationNHC Key Laboratory of Combined Multi-Organ TransplantationNHC Key Laboratory of Combined Multi-Organ TransplantationKey Laboratory of Artificial Organs and Computational Medicine in Zhejiang Province, Shulan International Medical College, Zhejiang Shuren UniversityAbstract In the field of liver disease treatment, liver transplantation (LT) has become an effective option for end-stage liver disease. However, issues such as immune rejection and graft damage remain important factors influencing the success rate of liver transplantation and patients' quality of life. In recent years, with the advancement of genetic testing technologies, the study and application of donor-derived cell-free DNA (dd-cfDNA) in LT diagnosis and treatment have gradually gained attention. This review explores the research advancements in dd-cfDNA within liver transplant management, evaluating its potential applications throughout the liver transplantation process, while exploring the challenges faced by current studies and outlining future research directions. As a strategic tool for postoperative monitoring in LT, dd-cfDNA shows promising potential in areas such as immune rejection, graft damage, immunosuppressant adjustment, complication monitoring, and personalized treatment, and is poised to become a reliable biomarker in LT management.https://doi.org/10.1186/s12893-025-02911-yDonor-derived cell-free DNABiomarkersLiver transplantationNon-invasive MonitoringTransplant monitoring
spellingShingle Yiwu Zhong
Xu Hu
Xiaoping Li
Yinbiao Qiao
Haoyu Li
Shijie Zhou
Shusen Zheng
Jianhui Li
Advances and challenges in the application of donor-derived cell-free DNA for diagnosis and treatment in liver transplantation: a narrative review
BMC Surgery
Donor-derived cell-free DNA
Biomarkers
Liver transplantation
Non-invasive Monitoring
Transplant monitoring
title Advances and challenges in the application of donor-derived cell-free DNA for diagnosis and treatment in liver transplantation: a narrative review
title_full Advances and challenges in the application of donor-derived cell-free DNA for diagnosis and treatment in liver transplantation: a narrative review
title_fullStr Advances and challenges in the application of donor-derived cell-free DNA for diagnosis and treatment in liver transplantation: a narrative review
title_full_unstemmed Advances and challenges in the application of donor-derived cell-free DNA for diagnosis and treatment in liver transplantation: a narrative review
title_short Advances and challenges in the application of donor-derived cell-free DNA for diagnosis and treatment in liver transplantation: a narrative review
title_sort advances and challenges in the application of donor derived cell free dna for diagnosis and treatment in liver transplantation a narrative review
topic Donor-derived cell-free DNA
Biomarkers
Liver transplantation
Non-invasive Monitoring
Transplant monitoring
url https://doi.org/10.1186/s12893-025-02911-y
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