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Saraswat A, Malawaraarachchi N, Stroebel A, Jayasinghe R. Unruptured Left Sinus of Valsalva Aneurysm Compressing the Left Anterior Descending Artery: Case Report. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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27
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Marshall AD, Bailey CG, Champ K, Vellozzi M, O'Young P, Metierre C, Feng Y, Thoeng A, Richards AM, Schmitz U, Biro M, Jayasinghe R, Ding L, Anderson L, Mardis ER, Rasko JEJ. CTCF genetic alterations in endometrial carcinoma are pro-tumorigenic. Oncogene 2017; 36:4100-4110. [PMID: 28319062 PMCID: PMC5519450 DOI: 10.1038/onc.2017.25] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Revised: 12/21/2016] [Accepted: 01/05/2017] [Indexed: 12/14/2022]
Abstract
CTCF is a haploinsufficient tumour suppressor gene with diverse normal functions in genome structure and gene regulation. However the mechanism by which CTCF haploinsufficiency contributes to cancer development is not well understood. CTCF is frequently mutated in endometrial cancer. Here we show that most CTCF mutations effectively result in CTCF haploinsufficiency through nonsense-mediated decay of mutant transcripts, or loss-of-function missense mutation. Conversely, we identified a recurrent CTCF mutation K365T, which alters a DNA binding residue, and acts as a gain-of-function mutation enhancing cell survival. CTCF genetic deletion occurs predominantly in poor prognosis serous subtype tumours, and this genetic deletion is associated with poor overall survival. In addition, we have shown that CTCF haploinsufficiency also occurs in poor prognosis endometrial clear cell carcinomas and has some association with endometrial cancer relapse and metastasis. Using shRNA targeting CTCF to recapitulate CTCF haploinsufficiency, we have identified a novel role for CTCF in the regulation of cellular polarity of endometrial glandular epithelium. Overall, we have identified two novel pro-tumorigenic roles (promoting cell survival and altering cell polarity) for genetic alterations of CTCF in endometrial cancer.
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Dashwood A, Mclaughlin L, O’brolchain G, Chyeteck S, Batra R, Jayasinghe R, Sivakumar P. A Single Centre Experience of Triple and Dual Anti Thrombotic Therapy in Cardiovascular Disease. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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29
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Lwin M, Jayasinghe R, Dashwood A, Hunt S, Manawaar S. A Case of Giant Cell Myocarditis Presenting with Rapidly Progressive Conduction Disease and Heart Failure. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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30
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Vaishnav M, Jayasinghe R. Erysipelothrix Endocarditis: A Case Report and Literature Review. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.629] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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31
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Vaishnav M, Semasinghe Bandaralage S, Jayasinghe R. Epidemiological Analysis of Infective Endocarditis at the Gold Coast Health Service. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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32
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Habibian M, Sweeny A, Batra R, Jayasinghe R, Kapadia V, Gunter H, Milne J, Niranjan S, Rahman A. Time to Angiography for NSTEMI Patients. 72% within 72hours, but We Can Still do Better! Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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33
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Habibian M, Gahan L, Lwin M, Sweeny A, Batra R, Jayasinghe R, Rahman A. A Review of Complication Rates Following Cardiac Implantable Electrophysiological Devices in a Major Hospital Centre. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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34
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Jayasinghe R, Narasimhan S, Tran TH, Paskaranandavadivel A. Rapid rule out of myocardial infarction with the use of copeptin as a biomarker for cardiac injury. Intern Med J 2015; 44:921-4. [PMID: 25201424 DOI: 10.1111/imj.12526] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2014] [Accepted: 05/05/2014] [Indexed: 12/17/2022]
Abstract
Copeptin is a non-specific marker of an endogenous stress response. A dual biomarker marker approach involving the simultaneous use of troponin and copeptin assays may assist early exclusion of acute coronary syndrome in Australian emergency departments. The utility and limitations of this approach are discussed.
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Latona J, Jayasinghe R, Niranjan S. Restrictive cardiomyopathy as a result of endomyocardial fibrosis from hypereosinophilia. Intern Med J 2015; 45:115-7. [DOI: 10.1111/imj.12639] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2014] [Accepted: 06/26/2014] [Indexed: 11/28/2022]
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36
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Hanna J, Erian A, Donoghue H, Jayasinghe R. Cardiac catheterisation laboratory complications in an Australian tertiary hospital. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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37
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Murdoch D, Mason R, Basavaraj A, Tromp D, Markham R, Jayasinghe R. Gender Based Differences in the Clinical Utility of Computed-Tomography Coronary Angiography (CTCA). Heart Lung Circ 2013. [DOI: 10.1016/j.hlc.2013.05.430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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38
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Mason R, Murdoch D, Tromp D, Basavaraj A, Markham R, Jayasinghe R. Real-world Clinical Application of Computed-tomography Coronary Angiography: A Single-centre Audit of 439 Consecutive Cases. Heart Lung Circ 2013. [DOI: 10.1016/j.hlc.2013.05.462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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39
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Jayasinghe R, Weerasooriya S, Kapadia N. Non-invasive investigation of chronic stable angina--a practical overview for medical practitioners. THE MEDICAL JOURNAL OF MALAYSIA 2012; 67:236-240. [PMID: 22822658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
How does one decide on the best non-invasive test to investigate stable coronary ischaemia? This is a very common question faced by many medical practitioners. Chronic stable angina is a common presentation encountered in general practitice. Upon clinical assessment and risk stratification the patient needs to be investigated further to confirm the diagnosis. The first investigational modality involves a non-invasive test. It is important that practitioners possess a practical knowledge of the array of different tests that are available so that the best suited one for each patient can be chosen. This article aims to compare the efficacy and accuracy and the practical utility of the different non-invasive tests for coronary ischaemia and aid the practitioner in making sound decisions in this regard.
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Yudi M, Omera L, McCubbery N, Dick S, Jayasinghe R, Hamilton-Craig I. Suboptimal consideration and management of potential familial hypercholesterolaemia in patients with suspected premature coronary artery disease. Singapore Med J 2012; 53:174-178. [PMID: 22434290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
INTRODUCTION Familial hypercholesterolaemia (FH) is caused by an autosomal dominant mutation of the low density lipoprotein (LDL) receptor gene, resulting in high levels of LDL cholesterol and premature coronary artery disease (P-CAD). Studies have shown low detection rates of FH in patients admitted with P-CAD and suboptimal therapy at discharge. METHODS Males aged ≤ 55 years and females aged ≤ 60 years who were admitted with P-CAD to the Gold Coast Hospital during a 12-month period were included in the study. The demographics, cardiovascular risk factors, examination findings, admission and discharge cardiac medications and provisional diagnoses were recorded. Diagnosis of FH was made according to internationally accepted criteria. RESULTS 210 patients were included in the study; 60% were male and 40% female (mean age 48 and 50 years, respectively). Only 96 (46%) patients' fasting lipid levels were documented (LDL-C 2.75 ± 1.0 mmol/L), and FH was considered in three (1%) cases. According to the Dutch Lipid Network criteria, three (1%) patients had probable FH, 50 (24%) had possible FH and 60 (29%) had unlikely FH. Of the 53 patients with probable or possible FH, 12 (23%) were discharged without statin therapy and 13 (25%) on the maximum recommended statin dose. CONCLUSION Our study has found inadequate documentation and screening for FH and suboptimal therapy in patients admitted with P-CAD. We propose a simple screening tool that can be applied to all patients admitted with suspected P-CAD in order to improve the detection rate of FH and its management.
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Murdoch D, Yudi M, Sweeny A, Trikilis M, Jayasinghe R. Treatment Delay Components for STEMI Patients Undergoing Primary PCI: Four Years of Progress. Heart Lung Circ 2012. [DOI: 10.1016/j.hlc.2012.05.133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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42
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Gaikwad N, Aroney G, Jayasinghe R, Comadira G, Fields J. Out of Hospital Arrests Admitted to the ICU at the Gold Coast Hospital Over 12 Years. Heart Lung Circ 2012. [DOI: 10.1016/j.hlc.2012.05.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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43
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Singbal Y, Trikilis M, Jayasinghe R. A Grading System for Chronic Total Occlusions. Heart Lung Circ 2011. [DOI: 10.1016/j.hlc.2011.05.281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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44
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Yudi M, Jayasinghe R, Jayasinghe S. Efficacy and Safety of Eptifibatide vs Abciximab in ST Elevation Myocardial Infarction. Heart Lung Circ 2011. [DOI: 10.1016/j.hlc.2011.05.309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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45
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Hatton R, Ng K, Hayes P, Bhagwandeen R, Collins N, Jayasinghe R. Percutaneous Device Closure Utilising the Premere Patent Foramen Ovale Occluder. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.1010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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46
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Wright S, Jayasinghe R. Primary Percutaneous Coronary Intervention (PCI) Outcomes in the Elderly. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.1018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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47
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Murdoch D, Jayasinghe R, Buchanan C. A Successful Urban Indigenous Heart Health Screening Clinic. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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48
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McKenzie S, Trikilis M, Rahman A, Batra R, Essack N, Aroney G, Kapadia V, Jayasinghe R. The Frequency and Manner of Presentation of Anomalous Coronary Artery Origin in an Unselected Australian Population Undergoing Coronary Angiography. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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49
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Buchanan C, Manion T, Jayasinghe R. Heart Health Screening Clinics. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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50
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Batra R, Mishra A, Jayasinghe R, Bissessor N, Kapadia V, Rahman A, Aroney G, Sedgwick J. Results in complex multivessel and multilesion percutaneous coronary intervention in patients treated with a combination of drug eluting stents and bare metal stents in real world practice. CARDIOVASCULAR REVASCULARIZATION MEDICINE 2008. [DOI: 10.1016/j.carrev.2008.02.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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