Publications by authors named "Agnieszka Stelmach-Goldys"

Article Synopsis
  • The study focuses on the increased risk of developing therapy-related acute myeloid leukemia (t-AML) and myelodysplastic syndrome (t-MDS) after lymphoma treatment, examining patient outcomes and prognostic factors.* -
  • Conducted over seven centers in Poland from 2011 to 2018, the analysis included 57 patients with a median age of 65, revealing a median overall survival of 16.1 months and a time to t-MDS/AML onset of about 58.7 months.* -
  • Key independent prognostic factors for survival included unfavorable cytogenetics, hemoglobin levels, and platelet counts, emphasizing that anemia and low platelet counts may signal more severe bone marrow dysfunction,
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At the beginning of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic, patients with inborn errors of immunity (IEI) appeared to be particularly vulnerable to a severe course of the disease. It quickly turned out that only some IEI groups are associated with a high risk of severe infection. However, data on the course of Coronavirus Disease 2019 (COVID-19) in patients with IEI are still insufficient, especially in children; hence, further analyses are required.

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AL (light-chain) amyloidosis is a systemic disease in which amyloid fibers are formed from kappa or lambda immunoglobulin light chains, or fragments thereof, produced by a neoplastic clone of plasmocytes. The produced protein is deposited in tissues and organs in the form of extracellular deposits, which leads to impairment of their functions and, consequently, to death. Despite the development of research on pathogenesis and therapy, the mortality rate of patients with late diagnosed amyloidosis is 30%.

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Infection with Epstein-Barr virus (EBV) worsens the prognosis in chronic lymphocytic leukemia (CLL), but the underlying mechanisms are not yet established. We intended to assess whether EBV affects the course of CLL by the deregulation of the CTLA-4/CD86 signaling pathway. We used polymerase chain reaction to measure the load of EBV DNA in the blood of 110 newly diagnosed patients with CLL.

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Purpose: Patients with monoclonal gammopathy of undetermined significance (MGUS) have an increased risk of developing infections. vaccinations are recommended for immunocompromised patients, including patients with lymphoproliferative disorders such as MGUS. The objective of the study was to assess the immune response to the 13-valent pneumococcal conjugate vaccine (PCV13) in treatment-naive MGUS patients versus healthy subjects.

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Introduction: Since 2012, both the 13-valent pneumococcal conjugate vaccine (PCV13) and the 23-valent pneumococcal polysaccharide vaccine (PPV23) have been recommended for pneumococcal infection prevention in patients with chronic lymphocytic leukemia (CLL). Available literature data indicate that leukemic cells may respond to the presence of pathogens through specific Toll-like receptors (TLR).

Objectives: The aim of the study was to assess the effect of in vitro PPV23 stimulation of peripheral blood mononuclear cells (PBMCs) on expression of TLR-2, TLR-4, CD25, CD69, and CD95 on the surface of CD3+ T cells and CD19+ B cells in CLL patients.

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Epstein-Barr virus (EBV) is a ubiquitous γ-herpesvirus that infects more than 90% of the world population. The potential involvement of EBV in the clinical course of chronic lymphocytic leukemia (CLL) remains unexplained. The aim of this study was to determine whether EBV-DNA load in the peripheral blood mononuclear cells (PBMCs) of CLL patients may influence heterogeneity in the course of the disease.

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Background: Chronic lymphocytic leukemia (CLL) leads to significant immune system dysfunction. The predominant clinical presentation in 50% of patients involves recurrent, often severe, infections. Infections are also the most common (60-80%) cause of deaths in CLL patients.

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Objectives: Monoclonal gammopathy of undetermined significance (MGUS) occurs without other symptoms, although monoclonal proteins can cause kidney injuries. Here, we assessed kidney function and identified the best follow-up parameters in patients with MGUS without kidney damage symptoms.

Methodology: Forty-six patients with MGUS were included in the study group.

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Monoclonal gammopathy of undetermined significance (MGUS) is a premalignant plasma-cell proliferative disorder characterized by the presence of a monoclonal immunoglobulin and associated with a life-long average 1% annual risk of developing lymphoproliferative malignancies. The prevalence of MGUS is about 3% in the general population 50 years of age or older. The current diagnostic criteria for MGUS are concentration of monoclonal protein in serum less that 3.

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