Proteomic analysis investigating kidney transplantation outcomes- a scoping review.

BACKGROUND: Kidney transplantation is the optimal treatment option for most patients with end-stage kidney disease given the significantly lower morbidity and mortality rates compared to remaining on dialysis. Rejection and graft failure remain common in transplant recipients with limited improvement in long-term transplant outcomes despite therapeutic advances. There is an unmet need in the development of non-invasive biomarkers that specifically monitor graft function and predict transplant pathologies that affect outcomes. Despite the potential of proteomic investigatory approaches, up to now, no candidate biomarkers of sufficient sensitivity or specificity have translated into clinical use. The aim of this review was to collate and summarise protein findings and protein pathways implicated in the literature to date, and potentially flag putative biomarkers worth validating in independent patient cohorts. METHODS: This review followed the Joanna Briggs' Institute Methodology for a scoping review. MedlineALL, Embase, Web of Science Core Collection, Scopus and Google Scholar databases were searched from inception until December 2022. Abstract and full text review were undertaken independently by two reviewers. Data was collated using a pre-designed data extraction tool. RESULTS: One hundred one articles met the inclusion criteria. The majority were single-centre retrospective studies of small sample size. Mass spectrometry was the most used technique to evaluate differentially expressed proteins between diagnostic groups and studies identified various candidate biomarkers such as immune or structural proteins. DISCUSSION: Putative immune or structural protein candidate biomarkers have been identified using proteomic techniques in multiple sample types including urine, serum and fluid used to perfuse donor kidneys. The most consistent findings implicated proteins associated with tubular dysfunction and immunological regulatory pathways such as leukocyte trafficking. However, clinical translation and adoption of candidate biomarkers is limited, and these will require comprehensive evaluation in larger prospective, multicentre trials.

Blind lineup administration as a prophylactic against the postidentification feedback effect.

Confidence and other testimony-relevant judgments may be distorted when witnesses are given confirming postidentification feedback, and double-blind procedures-wherein the lineup administrator does not know the identity of the suspect-are a commonly proposed, but untested, remedy for this effect. In the current study, mock witnesses viewed a staged crime video followed by a target-present or target-absent lineup where the administrator was or was not presumed to know the identity of the suspect. After making an identification decision, witnesses were or were not given realistic, but nonidentification-specific, feedback, and then confidence and other judgments were assessed. A significant interaction was found between blind condition and feedback such that feedback inflated confidence and other judgments in presumed nonblind conditions only; feedback had no effect on participants in presumed blind conditions. As predicted by the selective cue integration framework-a theoretical model suggested to explain the interaction between presumed blind administration and feedback-this interaction was significant only for inaccurate participants. These results suggest that blind administration may serve as a prophylactic against the negative effects of postidentification feedback. In addition, the effectiveness of our subtle feedback in influencing judgments suggests that lineup administrators should take care not to provide any feedback to eyewitnesses.

Factors associated with engagement in a police-advocacy home-visit intervention to prevent domestic violence.

This study examines factors related to engagement in the services offered by police officer-advocate teams on the basis of police and clinical records for 301 female victims referred to the Domestic Violence Home Visit Intervention (DVHVI) program. The authors find that the severity of intimate partner violence charges and ethnicity of the victim, advocate, and police officer are all significantly related to engagement in the DVHVI, with Hispanic women served by Hispanic advocate-officer teams more engaged in services than African American or Caucasian women. The data suggest that this intervention model may be particularly beneficial for Hispanic victims of intimate partner violence when implemented by a Spanish-speaking officer-advocate team.