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Qiu X, Brown LG, Conner JL, Nguyen HM, Boufaied N, Abou Alaiwi S, Seo JH, El Zarif T, Bell C, O’Connor E, Hanratty B, Pomerantz M, Freedman ML, Brown M, Haffner MC, Nelson PS, Feng FY, Labbé DP, Long HW, Corey E. Response to supraphysiological testosterone is predicted by a distinct androgen receptor cistrome. JCI Insight 2022; 7:157164. [PMID: 35603787 PMCID: PMC9220831 DOI: 10.1172/jci.insight.157164] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
The androgen receptor (AR) is a master transcription factor that regulates prostate cancer (PC) development and progression. Inhibition of AR signaling by androgen deprivation is the first-line therapy with initial efficacy for advanced and recurrent PC. Paradoxically, supraphysiological levels of testosterone (SPT) also inhibit PC progression. However, as with any therapy, not all patients show a therapeutic benefit, and responses differ widely in magnitude and duration. In this study, we evaluated whether differences in the AR cistrome before treatment can distinguish between SPT-responding (R) and -nonresponding (NR) tumors. We provide the first preclinical evidence to our knowledge that SPT-R tumors exhibit a distinct AR cistrome when compared with SPT-NR tumors, indicating a differential biological role of the AR. We applied an integrated analysis of ChIP-Seq and RNA-Seq to the pretreatment tumors and identified an SPT-R signature that distinguishes R and NR tumors. Because transcriptomes of SPT-treated clinical specimens are not available, we interrogated available castration-resistant PC (CRPC) transcriptomes and showed that the SPT-R signature is associated with improved survival and has the potential to identify patients who would respond to SPT. These findings provide an opportunity to identify the subset of patients with CRPC who would benefit from SPT therapy.
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Affiliation(s)
- Xintao Qiu
- Center for Functional Cancer Epigenetics, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
| | - Lisha G. Brown
- Department of Urology, University of Washington, Seattle, Washington, USA
| | - Jennifer L. Conner
- Department of Urology, University of Washington, Seattle, Washington, USA
| | - Holly M. Nguyen
- Department of Urology, University of Washington, Seattle, Washington, USA
| | - Nadia Boufaied
- Cancer Research Program, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada
| | - Sarah Abou Alaiwi
- Center for Functional Cancer Epigenetics, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
| | - Ji-Heui Seo
- Center for Functional Cancer Epigenetics, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
| | - Talal El Zarif
- Center for Functional Cancer Epigenetics, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
| | - Connor Bell
- Center for Functional Cancer Epigenetics, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
| | - Edward O’Connor
- Center for Functional Cancer Epigenetics, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
| | - Brian Hanratty
- Divisions of Human Biology and Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Mark Pomerantz
- Center for Functional Cancer Epigenetics, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
| | - Matthew L. Freedman
- Center for Functional Cancer Epigenetics, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
| | - Myles Brown
- Center for Functional Cancer Epigenetics, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
| | - Michael C. Haffner
- Divisions of Human Biology and Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Peter S. Nelson
- Divisions of Human Biology and Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Felix Y. Feng
- University of California at San Francisco, San Francisco, California, USA
| | - David P. Labbé
- Cancer Research Program, Research Institute of the McGill University Health Centre, Montréal, Québec, Canada
- Department of Surgery, Division of Urology, McGill University, Montréal, Québec, Canada
| | - Henry W. Long
- Center for Functional Cancer Epigenetics, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA
| | - Eva Corey
- Department of Urology, University of Washington, Seattle, Washington, USA
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Norton S, Condon C, O’Kelly P, Cooney A, O’Connor E, Power R, Forde J, Ferede A, Robertson I, Smyth G, Little D, Mohan P. The Paediatric Renal Transplant Recipient: A retrospective review of the changing trends of transplantation in Ireland. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00201-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Pang K, Campi R, Omar M, Yuan C, Karavitakis M, Manso M, Arteaga S, Nic An Riogh A, O’Connor E, Sakalis V, Sihra N, Tzelves L, Arlandis S, Bo K, Costantini E, Farag F, Groen J, Lapitan M, Nambiar A, Peyronnet B, Phé V, Van Der Vaart C, Harding C. What are the different diagnostic tests for female Bladder Outlet Obstruction (fBOO)? A systematic review from the European Association of Urology non-neurogenic female LUTS Guidelines Panel. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00689-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Nobrega R, O’Connor E, Pakzad M, Hamid R, Ockrim J, Greenwell T. Right iliac fossa or umbilical stoma for a mitrofanoff – which is the best site? Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00745-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Peyronnet B, Omar M, O’Connor E, Tzelves L, Nic An Riogh A, Manso M, Yuan C, Arlandis S, Bo K, Costantini E, Farag F, Groen J, Nambiar A, Phé V, Van Der Vaart H, N’Dow J, Harding C, Lapitan M. Benefits and harms of conservative, pharmacological, and surgical management options for women with bladder outlet obstruction: A systematic review from the European Association of Urology non-neurogenic female LUTS guidelines panel. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00690-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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O’Connor E, Koschel S, Bagguley D, Sathianathen NJ, Cumberbatch MG, Thangasamy IA, Moon D, Murphy DG. Robotic prostatectomy after abandoned open radical prostatectomy—Technical aspects and outcomes. BJUI Compass 2020; 1:174-179. [PMID: 35475212 PMCID: PMC8988844 DOI: 10.1002/bco2.34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 06/21/2020] [Accepted: 07/25/2020] [Indexed: 11/10/2022] Open
Abstract
Objective To describe the technical aspects and outcomes of robotic‐assisted radical prostatectomy (RARP) following abandoned open radical prostatectomy (ORP). Patients and Methods A retrospective review was performed of patients who underwent RARP following abandonment of ORP between 2016 and 2020. RARP was undertaken by two highly experienced robotic surgeons. Analysis of patient and operative characteristics, outcomes, and reasons for abandonment of ORP were described. Results Six patients were included for analysis with a median age of 63.5 years [50.3‐67.5]. The median body mass index (BMI) was 34.7 [27.8‐36.2]. All patients had intermediate‐risk prostate cancer. Small prostate and deep pelvis were given as reasons for abandoning ORP in five cases (83.3%), with four of these also attributing increased BMI as a factor. Extensive mesh from previous bilateral inguinal hernia repair was cited as the reason for abandonment in the remaining patient. One patient had commenced androgen deprivation therapy following abandoned ORP. Extensive retropubic adhesions were noted at the time of RARP in five of six patients, with intraoperative complication of small bladder lacerations encountered in the patient with prior mesh hernia repair. The median time from abandoned ORP to RARP was 128 days [40‐216]. Median operating time was 160 minutes [139‐190] and estimated blood loss was 225 mL [138‐375]. Negative margins were obtained in four of six cases, with further salvage treatment being required in one case at a median follow‐up duration of 10.5 months [6.5‐25.3]. Conclusion Abandonment of ORP is an uncommonly reported event, however, in this small case series, we demonstrate that, in the hands of experienced surgeons, RARP is a safe and technically feasible alternative in such cases. Increased BMI, small prostate size and pelvic anatomical constraints appear to be common catalysts for abandonment of open surgery in this cohort. Identifying these high‐risk patients early and considering referral to robotic centers may be preferred.
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Affiliation(s)
- E. O’Connor
- Division of Cancer SurgeryPeter MacCallum Cancer Centre Melbourne VIC Australia
- Department of Surgery University of MelbourneAustin Hospital Heidelberg VIC Australia
| | - S. Koschel
- Division of Cancer SurgeryPeter MacCallum Cancer Centre Melbourne VIC Australia
| | - D. Bagguley
- EJ Whitten Prostate Cancer Research Centre at Epworth Melbourne VIC Australia
- Department of UrologyNorthern Health Melbourne VIC Australia
| | - N. J. Sathianathen
- Division of Cancer SurgeryPeter MacCallum Cancer Centre Melbourne VIC Australia
| | - M. G. Cumberbatch
- Division of Cancer SurgeryPeter MacCallum Cancer Centre Melbourne VIC Australia
- Department of Academic Urology Royal Hallamshire Hospital Sheffield UK
| | - I. A. Thangasamy
- Division of Cancer SurgeryPeter MacCallum Cancer Centre Melbourne VIC Australia
- Faculty of Medicine University of Queensland Brisbane QLD Australia
| | - D. Moon
- Division of Cancer SurgeryPeter MacCallum Cancer Centre Melbourne VIC Australia
| | - D. G. Murphy
- Division of Cancer SurgeryPeter MacCallum Cancer Centre Melbourne VIC Australia
- Sir Peter MacCallum Department of Oncology University of Melbourne Parkville VIC Australia
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Inder S, O’Connell C, Keane K, Omer S, O’Connor E, Madden A, Smyth L, Flynn R, Thomas A, Manecksha R. Electronic Urology Handover – A Quality improvement project. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35234-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Coleman E, O’Connor E. The role of WhatsApp® in medical education; a scoping review and instructional design model. BMC Med Educ 2019; 19:279. [PMID: 31345202 PMCID: PMC6659203 DOI: 10.1186/s12909-019-1706-8] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Accepted: 07/11/2019] [Indexed: 05/03/2023]
Abstract
BACKGROUND Technological advances have driven huge change in educational practices though concerns exist about a lack of evidence informing this change, in particular with social media-based medical education activities. The purpose of this study was to conduct a scoping review of WhatsApp use in medical education, narratively describing how it has been used and evaluated, and the theoretical considerations in relevant articles. METHODS A modified 5-stage scoping review model was used. We performed 2 searches from February 2009 to February 2019 in EBSCO, SCOPUS, Web of Science, EMBASE, Medline PubMed and Google Scholar) using the term "WhatsApp" in all search fields. A 3-stage process for study selection was performed. Only original articles in English presenting original data about WhatsApp in medical education were included. The Kirkpatrick model of training evaluation was used to describe learning outcomes in included studies. RESULTS Twenty-three articles were selected for review. Three strategies for WhatsApp use were apparent; primarily educational use with a pre-defined curriculum (n = 5), primarily educational use without a curriculum (n = 11), and primarily non-educational use (n = 7). Most of the educational studies used an online moderator and were in a local hospital or university department. Studies not primarily educational were national or international and seldom included an online moderator. All 5 studies with a pre-defined curriculum reported Kirkpatrick level 2 learner knowledge outcomes. A majority of the remaining studies only reported Kirkpatrick level 1 learner attitudes. Seven studies with 647 participants reported an improvement in learners' knowledge following WhatsApp learning, though methodological weaknesses were apparent. Evidence for underlying learning theory considerations were scant throughout the studies. CONCLUSIONS WhatsApp is popular and convenient in medical education. Current published literature suggests it may also be effective as a medical learning tool. By combining the 3 strategies for WhatsApp use and the exploration-enactment-assessment integrated learning design framework, we propose an instant messenger design model for medical education. This may address the need for theory-driven instructional design in social media learning. Further research would clarify the role of WhatsApp and our design model in this area.
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Affiliation(s)
- E. Coleman
- Department of Intensive Care and Anaesthesia, St James’s Hospital, Trinity College, Dublin 8, Dublin, Ireland
| | - E. O’Connor
- Department of Intensive Care and Anaesthesia, St James’s Hospital, Trinity College, Dublin 8, Dublin, Ireland
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Corry E, O’Connor E, Eogan M, Fitzpatrick M, O’Sullivan S, Imcha M. A Dedicated Perineal Clinic – An Audit in Support. Ir Med J 2019; 112:913. [PMID: 31241280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Aims To assess the quality of care in both the initial management of obstetric anal sphincter injury (OASI) and subsequent follow up postnatally in a tertiary maternity hospital without direct access to a perineal clinic. Methods Medical records were reviewed over a one-year period in University Maternity Hospital Limerick (UMHL) to determine the characteristics of patients sustaining OASI, how and where the repair was undertaken, the complications recorded and their follow up in the postpartum period. This pathway of care was compared with care currently available in three dedicated perineal clinics nationally. Results There were 44 patients with OASI recorded over a one-year period in UMHL. The majority were diagnosed in primiparous women having an operative vaginal delivery (OVD). Only 23 of 44 women had a documented review postnatally. Conclusion Audit of OASI is paramount to providing the best standard of care for affected women. It also aids clinician training and will be important in the establishment of a dedicated perineal clinic in UMHL.
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Affiliation(s)
- E Corry
- University Maternity Hospital Limerick, Ennis Road, Limerick
| | - E O’Connor
- University Maternity Hospital Limerick, Ennis Road, Limerick
| | - M Eogan
- The Rotunda Hospital, Parnell Square, Dublin 1
| | - M Fitzpatrick
- The National Maternity Hospital, Holles Street, Dublin 2
| | - S O’Sullivan
- Cork University Maternity Hospital, Wilton, Cork
| | - M Imcha
- University Maternity Hospital Limerick, Ennis Road, Limerick
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Suchy Y, Ziemnik R, Niermeyer M, Lopez S, Ray A, Heyrend R, O’Connor E, Nilssen A, Ocanovic Z. Executive Function - 3
Self-Reported Complexity of Daily Life Moderates the Association Between Executive Functioning and Daily Medication Management in Community Dwelling Older Adults. Arch Clin Neuropsychol 2018. [DOI: 10.1093/arclin/acy060.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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11
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Sullivan R, O’Connor E, Lynch D, Hanna M, Houlden H. Novel loss-of-function mutation in ACBD5 found in family with ataxia. Neuromuscul Disord 2018. [DOI: 10.1016/s0960-8966(18)30418-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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O’Connor E, Phan V, Cairns G, Cordts I, Hettwer S, Roos A, Lochmuller H. Testing a novel therapy in a MYO9A-related Congenital Myasthenic Syndrome zebrafish model. Neuromuscul Disord 2018. [DOI: 10.1016/s0960-8966(18)30371-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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13
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O’Connor E, Jackson R, Tran L, Lakshminarayanan B. WITHDRAWN: A late diagnosis of a complicated Meckel’s diverticulum - The first case of an enterocolic fistula secondary to a Meckel’s diverticulum in a paediatric patient and review of the literature. Journal of Pediatric Surgery Case Reports 2017. [DOI: 10.1016/j.epsc.2017.09.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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O’Connor E. Leveraging Partnerships and Collaboration to Advance Research: Kansas City Musculoskeletal Disease Consortium. Mo Med 2017; 114:379-380. [PMID: 30228639 PMCID: PMC6140175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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15
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O’Connor E, Cordts I, Roos A, Lochmüller H. Characterisation of MYO9A as a pre-synaptic CMS gene. Neuromuscul Disord 2017. [DOI: 10.1016/s0960-8966(17)30318-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Abstract
Purpose
The purpose of this two-part paper is to develop a process model of unlearning established organizational routines. The model traces the interactions among three unlearning sub-processes: ostensive aspects of initial destabilization of an established routine; performative aspects of ongoing discarding-from-use of old behaviors and experimenting with new ones; and ostensive aspects of eventual release of prior understandings and development of new ones.
Design/methodology/approach
The paper draws on evidence from psychology and cognitive science to explain the mechanisms underlying organizational processes of unlearning embedded routines.
Findings
The proposed model contributes to enriching current understanding of unlearning organizational routines without contradicting it. Consistent with prior understanding, destabilizing an old routine may lead to discarding it, and further discarding-from-use is likely required for continued destabilization of embedded routines. Again, consistent with prior understanding, experimenting with new behaviors may be a desired outcome of unlearning an old routine, and ongoing experimentation is likely required to sustain unlearning embedded routines.
Originality/value
The organizational unlearning literature provides many examples of organizational members relinquishing old routines to then make new learning possible and also provides little insight into the processes by which this occurs. The paper addresses this gap by modeling the mutually reinforcing nature of three unlearning sub-processes.
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Moloney BM, Hynes DA, Kelly ME, Iqbal A, O’Connor E, Lowe D, McAnena OJ. The role of laparoscopic sleeve gastrectomy as a treatment for morbid obesity; review of outcomes. Ir J Med Sci 2016; 186:143-149. [DOI: 10.1007/s11845-016-1484-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2015] [Accepted: 07/25/2016] [Indexed: 12/13/2022]
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Huang S, O’Connor E, Clark R, Lindup H, Macdougall I, Greenwood S. Reliability and validity of the five-repetition sit-to-stand test in adult kidney transplant recipients. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.3429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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O’Byrne P, Collins P, Johnson A, Ledwith M, Lane B, Bouchier-Hayes D, MacMathuna P, O’Reilly T, Barry M, Duanes-Laita A, Feely J, Keeling PWN, Cotter P, Burke G, Waldron R, Zinner MJ, Jaffe BM, Givan F, Keye G, Byrne P, O’Brien M, O’Farrelly C, Stevens F, McCarthy C, Feighery C, Weir DG, Hannigan MC, Stevens FM, McCarthy CF, Fottrell PF, O’Connor MP, Kennedy NP, Courtney MG, Kelleher D, Weir DW, Senapati A, Kitler ME, Thompson RPH, O’Shea B, Madigan D, Keeling P, Hennessy TPJ, Meenan JJ, Gaffney EF, Duigan JP, Johnson AH, Collins PB, Healy MV, Skehill R, Grimes H, O’Farrelly C, Kelly J, Rees R, Hoey H, Humphreys H, Dooley C, O’Leary D, Bourke S, McKenna D, Power B, Keane C, Sweeney E, O’Morain CA, Afdhal NH, McCormick A, O’Donoghue DP, Quigley EMM, Turnberg LA, Moorehead RJ, Hoper M, McKelvey STD, Tobbia I, Rafferty R, Gillen P, Stuart R, Dawson K, Collins JSA, McKnigh JA, Pyper PC, Love AHG, Dillon ME, O’Connor E, Keeling PWN, Broe PJ, Harte PI, Keane T, Garstin WIH, Buchanan KD, Walsh JP, Bloomfield FJ, Maxwell WJ, Hogan FP, O’Malley VP, Postier RG, Lombard M, Craven C, Spencer S, Crowe J, Quinn F, Templeton JL, Tobin MV, Hughes S, Gilmore IT, Keane RM, Johnson AB, Duenas-Laita A, Younger K, O’Brien T, Cotter J, Cullinane T, Whelton MJ, Waldron D, Bowes K, Given HF, Gawley WF, Gorey TF, Osborne DH, Lane BE, Collins PG, Boston VE, O’Mahony C. Irish society of gastroenterology. Ir J Med Sci 1986. [DOI: 10.1007/bf02962975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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