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. 2025 Jun 26;211(8):1369–1390. doi: 10.1164/rccm.202506-1352ST

Table 3.

Serum and Plasma Biomarkers Identified in BOS after HCT

Biomarker Association and Cohort Subjects with HCT-BOS (n) References
MMP-9 Increased in HCT-BOS 33 Inamoto et al. (208)
MMP-3 Increased in HCT-BOS and CLAD 88 (12 pooled, 76 confirmation) Liu et al. (209)
BAFF, CD19(+) CD21(low) B cells Increased, new diagnosis 46 Kuzmina et al. (212)
Cathepsin D, EGFR, KIR3DL1, and TNFSF14 Associated with FEV1 improvement in single-arm trial of pirfenidone 22 Matthaiou et al. (111)
CXCL9, CXCL11 Higher in mild/moderate disease in single-arm trial of ruxolitinib and BOS 49 DeFilipp et al. (15)
CC16 Decreased serum levels in HCT-BOS 8 Mattsson et al. (97)
KL-6 Higher serum levels at 1 month post-transplant in BOS compared with non-BOS; pediatric cohort 6 Gassas et al. (213)

Definition of abbreviations: BAFF = B-cell activating factor; CC16 = clara cell secretory protein; CLAD = chronic lung allograft dysfunction; CXCL9 = CXC motif chemokine ligand 9; CXCL11 = CXC motif chemokine ligand 11; EGFR = epidermal growth factor receptor; HCT-BOS = bronchiolitis obliterans syndrome after hematopoietic cell transplant; KIR3DL1 = killer cell immunoglobulin like receptor 3DL1; KL-6 = Krebs Von Den Lungen-6 glycoprotein; MMP = matrix metalloproteinase; TNFSF14 = tumor necrosis factor ligand superfamily member 14.