Lung Transplant Rejection Clinical Trial
Official title:
Clinical Significance of Community-acquired Respiratory Virus Infection and Longitudinal Analysis of the Lung Microbiome in Lung Transplantation
The purpose of this study is to evaluate the clinical significance of community-acquired respiratory virus (CARV) infection in patients with lung transplantation;Explore the lung microbiome dynamics within one year after lung transplantation;Find the relationship between lung microbiome and chronic lung allograft dysfunction(CLAD).
Title:Clinical Significance of Community-acquired Respiratory Virus Infection and
Longitudinal Analysis of the Lung Microbiome in Lung Transplantation.
Background:Infection affects the short-term prognosis of patients with lung transplantation
and chronic lung allograft dysfunction(CLAD) limits their long-term survival.It is important
to provide more theoretical support for early diagnosis and treatment of acute respiratory
tract infection and CLAD in patients with lung transplantation.
Study Objectives:Evaluate the clinical significance of community-acquired respiratory virus
(CARV) infection in patients with lung transplantation;Explore the lung microbiome dynamics
within one year after lung transplantation;Find the relationship between lung microbiome and
CLAD.
Study Design:A prospective and longitudinal study,following up the patients for 3 years.
Sample Size:100 cases. Study methods:CARV detection for respiratory specimens are performed
during acute infection and routine re-testing in patients after lung
transplantation,following up the patients who have positive findings to analyze the
progression rates to lower respiratory tract infection,mortality rate within 90 days and risk
factors associated with progression and death.For HRV/CoVs/HBoV detecting positive patients,
consecutively collect respiratory specimens to quantitate viral load and combine virus
serology to further confirm their pathogenicity on host.Complete a longitudinal 16S ribosomal
RNA and metagenomics survey of the lung microbiome on respiratory samples collected from
routine testing or re-testing(pre-operation,24 hours after the operation,day 3, day 7, week
2, week 3, month 1, month 3, month 6, month 9, month 12 , month 18, month 24, month 30, month
36) to explore the lung microbiome dynamics within one year after lung transplantation and
find the relationship between lung microbiome and CLAD after 3 years
follow-up.Besides,collect the peripheral blood of some patients for transcriptome and/or
whole genome sequencing to screen for the host susceptibility genes.
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