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HEARTBiT: A Breakthrough Transcriptomic Biomarker for Early Detection of Acute Cellular Rejection Post-Heart Transplantation

MedXY Editorial Team•Oct 3, 2026•Cardiology
acute cellular rejectionbiomarkersHeart Transplantationtranscriptomics

Highlight

  • HEARTBiT, a blood-based transcriptomic biomarker, reliably detects moderate-to-severe acute cellular rejection (ACR) after heart transplantation across the first post-operative year.
  • The biomarker maintains high diagnostic accuracy early post-transplant (≤60 days) when rejection risk is greatest, showing an AUC of 0.78 and sensitivity up to 89%.
  • HEARTBiT enables safe reduction of invasive endomyocardial biopsies, sparing over 50% of routine surveillance biopsies without significantly increasing missed rejection cases.
  • Serial tracking of HEARTBiT scores demonstrates prognostic potential by rising weeks before histological biopsy detection of rejection, enabling earlier intervention possibilities.

Study Background

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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

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