Cellular Biomarkers of Rejection in Lung Transplant: The Usefulness of Eosinophil and Lymphocyte Counts

There is increasing interest in the development of biomarkers of acute cellular rejection (ACR) and chronic allograft dysfunction (CLAD) in lung transplant recipients. However, few studies have focused on the predictive value of cellular biomarkers usually available in routine clinical practice such...

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Main Authors: Piedad Ussetti, Silvia Aguado, Rosalía Laporta
Format: Article
Language:English
Published: Publicaciones Permanyer 2023-07-01
Series:Barcelona Respiratory Network Reviews
Subjects:
Online Access:https://www.brnreviews.com/frame_esp.php?id=235
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author Piedad Ussetti
Silvia Aguado
Rosalía Laporta
author_facet Piedad Ussetti
Silvia Aguado
Rosalía Laporta
author_sort Piedad Ussetti
collection DOAJ
description There is increasing interest in the development of biomarkers of acute cellular rejection (ACR) and chronic allograft dysfunction (CLAD) in lung transplant recipients. However, few studies have focused on the predictive value of cellular biomarkers usually available in routine clinical practice such as eosinophils (EOS) and lymphocytes. Peripheral blood eosinophilia has been associated with ACR in kidney, heart and liver transplant recipients. There are few studies in relation to EOS counts in lung transplants. In our experience, the increase in EOS in peripheral blood may be a warning sign of rejection that advises to expand the assessment with a bronchoscopy (FBS), transbronchial biopsy (TBB) and bronchoalveolar lavage (BAL). Lymphocytes are essential cells in the development of ACR. The increase in lymphocytes in the BAL fluid (BALF) may be indicative of ACR, especially if it is associated with a simultaneous increase in the EOS count in the peripheral blood.
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spelling doaj.art-43fdaa1025bf445a99b6330d10c7b2ff2023-11-23T16:54:44ZengPublicaciones PermanyerBarcelona Respiratory Network Reviews2462-31722023-07-019310.23866/BRNRev:2023-M0094Cellular Biomarkers of Rejection in Lung Transplant: The Usefulness of Eosinophil and Lymphocyte CountsPiedad Ussetti0Silvia Aguado1Rosalía Laporta2Servicio de Neumología, Hospital Puerta de Hierro, Madrid, SpainServicio de Neumología, Hospital Puerta de Hierro, Madrid, SpainServicio de Neumología, Hospital Puerta de Hierro, Madrid, SpainThere is increasing interest in the development of biomarkers of acute cellular rejection (ACR) and chronic allograft dysfunction (CLAD) in lung transplant recipients. However, few studies have focused on the predictive value of cellular biomarkers usually available in routine clinical practice such as eosinophils (EOS) and lymphocytes. Peripheral blood eosinophilia has been associated with ACR in kidney, heart and liver transplant recipients. There are few studies in relation to EOS counts in lung transplants. In our experience, the increase in EOS in peripheral blood may be a warning sign of rejection that advises to expand the assessment with a bronchoscopy (FBS), transbronchial biopsy (TBB) and bronchoalveolar lavage (BAL). Lymphocytes are essential cells in the development of ACR. The increase in lymphocytes in the BAL fluid (BALF) may be indicative of ACR, especially if it is associated with a simultaneous increase in the EOS count in the peripheral blood. https://www.brnreviews.com/frame_esp.php?id=235Acute rejection. Bronchoalveolar lavage (BAL). Eosinophils. Lymphocytes. Peripheral blood.
spellingShingle Piedad Ussetti
Silvia Aguado
Rosalía Laporta
Cellular Biomarkers of Rejection in Lung Transplant: The Usefulness of Eosinophil and Lymphocyte Counts
Barcelona Respiratory Network Reviews
Acute rejection. Bronchoalveolar lavage (BAL). Eosinophils. Lymphocytes. Peripheral blood.
title Cellular Biomarkers of Rejection in Lung Transplant: The Usefulness of Eosinophil and Lymphocyte Counts
title_full Cellular Biomarkers of Rejection in Lung Transplant: The Usefulness of Eosinophil and Lymphocyte Counts
title_fullStr Cellular Biomarkers of Rejection in Lung Transplant: The Usefulness of Eosinophil and Lymphocyte Counts
title_full_unstemmed Cellular Biomarkers of Rejection in Lung Transplant: The Usefulness of Eosinophil and Lymphocyte Counts
title_short Cellular Biomarkers of Rejection in Lung Transplant: The Usefulness of Eosinophil and Lymphocyte Counts
title_sort cellular biomarkers of rejection in lung transplant the usefulness of eosinophil and lymphocyte counts
topic Acute rejection. Bronchoalveolar lavage (BAL). Eosinophils. Lymphocytes. Peripheral blood.
url https://www.brnreviews.com/frame_esp.php?id=235
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