Devyser Diagnostics AB: New more sensitive diagnostics protect transplanted kidney

Rejection takes place when the recipient's immune system attacks the transplanted kidney. This is most common during the first few weeks but can also occur at any time after transplantation. The rejection is caused by lymphocytes in the recipient's immune system. To avoid permanent damage to the kidney, it is important to quickly diagnose if rejection and what type is occurring, to be able to introduce the best treatment. The goal is to improve the kidney survival and avoid the need for a new transplant or dialysis. Unfortunately, doctors still lack sufficiently sensitive methods for the early detection of kidney injury after transplantation. 

Sensitive test measures the concentration of DNA 

Several studies have shown that donor-derived cell-free DNA, (dd-cfDNA), can be detected and measured in urine and blood in the recipient of kidney transplants and appear to be signs of damage to the kidney. ^(3,4,5) Studies have also shown that the concentrations of DNA increased significantly in connection with acute rejection, often before clinical diagnosis, and returned to normal level after treatment for rejection. ⁽⁶⁾ 

In a study, conducted in collaboration with Devyser, renal transplant patients have been closely followed and an ultra-sensitive test has been used to measure the concentration of dd-cfDNA in blood.The study showed that the increase of dd-cfDNA in the blood took place before the increase in creatinine, caused by acute rejection, by as much as 5-7 days.The conclusion is that new more sensitive diagnostics are an effective tool for early detection of rejection as well as other damage to the kidney. Through frequent measurement of dd-cfDNA after transplantation, rejection can be detected long before the creatinine content in the blood increases. ⁽⁷⁾The results were presented at the Scientific Conference American Society of Histocompatibility and Immunogenetics, ASHI, in the US earlier this fall. 

References: 

1. Vathsala, A. (2005) "Preventing renal failure. " Annals of the Academy of Medicine, Singapore 34(1): 36-43. 
2. Vathsala, A. (2005) "Preventing renal failure." Annals of the Academy of Medicine, Singapore 34(1): 36-43. 
3. Bloom RD, Bromberg JS, Poggio ED, et al. Cell-free DNA and active rejection in kidney allografts. J Am Soc Nephrol. 2017; 28:2221–2232. 
4. Sigdel TK, Vitalone MJ, Tran TQ, et al. A rapid non-invasive assay for the detection of renal transplant injury. Transplantation. 2013;96: 97–101. 
5. Bromberg JS, Brennan DC, Poggio E, et al. biological variation of donor-derived cell-free DNA in  renal transplant recipients: clinical implications. J Appl Lab Med. 2017; 2:309–321. 
6. Garcia Moreira, V., B. Prieto Garcia, J.M. Baltar Martin, F. Ortega Suarez, and F.V.Alvarez (2009). "Cell-free DNA as a non-invasive acute rejection marker in renal transplantation." Clinical Chemistry 55 (11): 1958 -1966. 
7. Pettersson Linnea, Carlén Sofia, Vezzi Francesco, Haughey Caitlin, Hedrum Anders, Hauzenberger Dan. Detection and monitoring of dd-cfDNA in patients following kidney transplantation. Devyser AB. Poster presentation, ASHI, Oct 2022. 

For more information, please contact: 

Fredrik Alpsten, CEO 
Mail: fredrik.alpsten@devyser.com 
Phone + 46 70 667 31 06 

Theis Kipling, CCO 
Mail: theis.kipling@devyser.com 
Phone +46 73 598 07 76 

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