Chronic
Lung Allograft Dysfunction (CLAD) is characterized by a progressive and irreversible decline in
lung function affecting half of
lung transplant recipients within five years and is the major
cause of death contributing to a low median post-transplant survival. Disclosed herein is an optimized
airway inflammation gene set (AI2) and AI2
score, as well as RSI, RS2, and RS3 subscores, for use in methods of treating or preventing CLAD, methods of treating or preventing
graft failure, methods of treating or preventing
transplant rejection, methods of treating or preventing small
airway fibrosis, methods of treating or preventing
antibody mediated rejection (AMR) and methods of reducing mortality associated with
graft failure. Also disclosed are methods of detecting or diagnosing CLAD and methods of predicting
transplant rejection.