Publications by authors named "Grajkowska E"

Article Synopsis
  • Sleep-wake disturbances are prevalent among primary brain tumor patients, and this study explores the relationship between patient-reported outcomes (PROs) and data from smart wearables like Fitbits over a 4-week period.
  • Fifty-four patients participated, wearing Fitbits to track their sleep patterns and completing various PROs at the start and end of the study, showing high compliance and reliability in the data collected.
  • Results indicated that while some patients experienced significant improvements in sleep disturbance, a notable correlation was found between wake after sleep onset and sleep disturbance, highlighting a need for further research into sleep mechanics in this patient population.
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Background: Glioblastoma (GBM) is the most aggressive primary brain malignancy with <45% living a year beyond diagnosis. Previously published investigations of long-term survivors (LTS) provided clinical data but rarely incorporated a comprehensive clinical and molecular analysis. Herein, we identify clinical, imaging, molecular, and outcome features for 23 GBM-LTS patients and compare them with a matched cohort of short-term survivors (STS).

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Purpose: Cancer patients experience distress and anxiety when undergoing imaging studies to monitor disease status, yet these symptoms are not always appropriately identified or well-managed. This interim analysis of a phase 2 clinical trial explored feasibility and acceptability of a virtual reality relaxation (VR) intervention for primary brain tumor (PBT) patients at the time of clinical evaluation.

Methods: English speaking, adult PBT patients with previous reports of distress and upcoming neuroimaging were recruited between March of 2021 and March 2022.

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Article Synopsis
  • Cancer patients often face anxiety during imaging studies, leading to the need for effective management of their distress.
  • A phase 2 clinical trial tested a virtual reality relaxation (VR) intervention for primary brain tumor patients, assessing its feasibility and acceptability before neuroimaging.
  • Out of 55 approached, 20 patients enrolled, with high satisfaction reported (90%) and minimal adverse effects, indicating the potential of VR as a supportive tool for managing psychological symptoms in this population.
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  • Financial toxicity, especially linked to unemployment, has a significant impact on cancer survivors, prompting an evaluation of how it relates to patient-reported outcomes (PROs) in individuals with primary CNS tumors (PCNST).
  • The study, conducted between September 2016 and December 2019 with 277 participants, revealed that Hispanic individuals faced higher unemployment rates and reported greater functional impairments and reduced health-related quality of life (HRQOL) than employed counterparts.
  • Unemployed participants exhibited notably higher levels of depressive (25% vs. 8%) and anxiety symptoms (30% vs. 15%), highlighting the mental health challenges associated with unemployment in this patient group.
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  • Astroblastoma, -altered is a new classification of rare CNS tumors added by the WHO in 2021, characterized by unique DNA methylation patterns and specific genetic fusions but has variable histological features.
  • These tumors are most frequently found in children, especially females, and their clinical outcomes vary widely, with some patients facing multiple recurrences despite aggressive treatment while others do well after surgery alone.
  • The report details the cases of three female adults with these tumors, highlights the need for better clinical data collection, and suggests a standardized method for gathering neuropathological and patient-reported outcomes to enhance understanding of the tumor's clinical diversity.
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Article Synopsis
  • * Patients with sleep disturbances also experienced a higher overall symptom burden, including significantly more depressive and anxiety symptoms, as well as increased feelings of drowsiness and distress.
  • * The findings suggest that addressing sleep disturbances in PBT patients could improve their overall symptom experience and quality of life, highlighting the need for future research on sleep patterns and potential interventions.
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  • The study focused on the importance of clinical outcomes assessments (COAs) for patients with malignant glioma, specifically looking at symptoms and functions recommended by the RANO-PRO Working Group.
  • Using a cohort of 336 patients from a larger study, researchers analyzed how symptoms like pain and cognitive issues and functions like weakness and ability to work relate to disease progression over time.
  • Findings suggest that these COAs are relevant indicators of disease status and may change as the disease progresses, providing vital information for both clinical care and research.
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  • Cognitive impairments are common in patients with primary CNS tumors, and traditional neuropsychological assessments are often too lengthy for routine use, prompting the study of the brief Montreal Cognitive Assessment (MoCA) during in-person and telehealth visits.
  • The study involved 71 adults with CNS tumors who took the MoCA, revealing an average score of 25 in-person and 26 via telehealth, with a notable percentage scoring abnormally; satisfaction surveys indicated healthcare providers found the MoCA useful in both settings.
  • Findings demonstrated a correlation between lower MoCA scores and worse symptoms, emphasizing the importance of incorporating both objective cognitive measures and patient-reported outcomes for a comprehensive understanding of patient cognition in neuro-oncology care.
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Introduction: Despite an increasing aging population, older adults (≥ 65 years) with primary brain tumors (PBTs) are not routinely assessed for geriatric vulnerabilities. Recent reports of geriatric assessment (GA) in patients with glioblastomas demonstrated that GA may serve as a sensitive prognosticator of overall survival. Yet, current practice does not include routine evaluation of geriatric vulnerabilities and the relevance of GA has not been previously evaluated in broader cohorts of PBT patients.

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Article Synopsis
  • Primary CNS tumors lead to significant symptoms and a poor prognosis, prompting a study on long-term survivors (≥5 years) to evaluate their reported outcomes.
  • Data from 248 adult survivors revealed that while 42% reported no moderate-to-severe symptoms, many experienced issues like fatigue and cognitive difficulties, with significant anxiety and depression reported by some.
  • The study highlights the need for tailored survivorship care programs, as survivors exhibited diverse symptom experiences regardless of tumor characteristics, indicating ongoing support and research are essential.
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Purpose: To investigate the toxicity profile and establish an optimal dosing schedule of zotiraciclib with temozolomide in patients with recurrent high-grade astrocytoma.

Patients And Methods: This two-stage phase I trial determined the MTD of zotiraciclib combined with either dose-dense (Arm1) or metronomic (Arm2) temozolomide using a Bayesian Optimal Interval design; then a randomized cohort expansion compared the progression-free survival rate at 4 months (PFS4) of the two arms for an efficient determination of a temozolomide schedule to combine with zotiraciclib at MTD. Pharmacokinetic and pharmacogenomic profiling were included.

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The metabotropic glutamate 1 (mGlu1) receptor has emerged as a novel target for the treatment of metastatic melanoma and various other cancers. Our laboratory has demonstrated that a selective, non-competitive mGlu1 receptor antagonist slows human melanoma growth in vitro and in vivo. In this study, we sought to determine if the activation of a canonical G protein-dependent signal transduction cascade, which is often used as an output of mGlu1 receptor activity in neuronal cells, correlated with mGlu1 receptor-mediated melanoma cell viability.

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The elemental anion chloride is generally considered a passive participant in neuronal excitability, and has never been shown to function as an agonist in its own right. We show that the antagonist-mediated, glutamate-independent inverse agonism of group II and III metabotropic glutamate (mGlu) receptors results from inhibition of chloride-mediated activation. In silico molecular modeling, site-directed mutagenesis, and functional assays demonstrate (1) that chloride is an agonist of mGlu3, mGlu4, mGlu6, and mGlu8 receptors with its own orthosteric site, and (2) that chloride is not an agonist of mGlu2 receptors.

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The majority of existing research on the function of metabotropic glutamate (mGlu) receptor 1 focuses on G protein-mediated outcomes. However, similar to other G protein-coupled receptors (GPCR), it is becoming apparent that mGlu1 receptor signaling is multi-dimensional and does not always involve G protein activation. Previously, in transfected CHO cells, we showed that mGlu1 receptors activate a G protein-independent, β-arrestin-dependent signal transduction mechanism and that some mGlu1 receptor ligands were incapable of stimulating this response.

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Metabotropic glutamate 1 (mGlu) receptor has been proposed as a target for the treatment of metastatic melanoma. Studies have demonstrated that inhibiting the release of glutamate (the natural ligand of mGlu1 receptors), results in a decrease of melanoma tumor growth in mGlu1 receptor-expressing melanomas. Here we demonstrate that mGlu1 receptors, which have been previously characterized as oncogenes, also behave like dependence receptors by creating a dependence on glutamate for sustained cell viability.

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Group II and group III metabotropic glutamate (mGlu) receptors are G protein-coupled receptors (GPCRs) that inhibit adenylyl cyclase via activation of Gαi/o. The purpose of this study was to design a universal method that overcomes previous challenges in consistently measuring group II and group III mGlu-receptor (mGluR) activation in stably transfected systems. In Chinese hamster ovary (CHO) cells stably transfected with the GloSensor cAMP biosensor, we optimized conditions for simple and highly reproducible (<5% S.

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The metabotropic glutamate 1a (mGlu1a) receptor is a G protein-coupled receptor linked with phosphoinositide (PI) hydrolysis and with β-arrestin-1-mediated sustained extracellular signal-regulated kinase (ERK) phosphorylation and cytoprotective signaling. Previously, we reported the existence of ligand bias at this receptor, inasmuch as glutamate induced both effects, whereas quisqualate induced only PI hydrolysis. In the current study, we showed that mGlu1 receptor agonists such as glutamate, aspartate, and l-cysteate were unbiased and activated both signaling pathways, whereas quisqualate and (S)-3,5-dihydroxyphenylglycine stimulated only PI hydrolysis.

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In CHO-K1 cells, heat shock strongly activated reporter-gene expression driven by the cytomegalovirus immediate-early (CMV-IE) promoter from adenoviral and plasmid vectors. Heat shock treatment (2h at 42.5 °C) significantly enhanced the promoter DNA-binding activity in nuclear extracts.

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Metabotropic glutamate receptor 1 (mGlu1) is a G protein-coupled receptor that enhances the hydrolysis of membrane phosphoinositides. In addition to its role in synaptic transmission and plasticity, mGlu1 has been shown to be involved in neuroprotection and neurodegeneration. In this capacity, we have reported previously that in neuronal cells, mGlu1a exhibits the properties of a dependence receptor, inducing apoptosis in the absence of glutamate, while promoting neuronal survival in its presence (Pshenichkin, S.

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Group I metabotropic glutamate receptors have been often implicated in various models of neuronal toxicity, however, the role played by the individual receptors and their putative mechanisms of action contributing to neurotoxicity or neuroprotection remain unclear. Here, using primary cultures of rat cerebellar granule cells and mouse cortical neurons, we show that conditions of trophic deprivation increased mGlu1 expression which correlated with the developing cell death. The inhibition of mGlu1 expression by specific siRNA attenuated toxicity, while adenovirus-mediated overexpression of mGlu1 resulted in increased cell death, indicating a causal relationship between the level of receptor expression and neuronal survival.

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Metabotropic glutamate receptors mGluR1 and mGluR5 stimulate phospholipase C, leading to an increased inositol trisphosphate level and to Ca(2+) release from intracellular stores. Cyclothiazide (CTZ), known as a blocker of AMPA receptor desensitization, produced a non-competitive inhibition of [Ca(2+)](i) increases induced by mGluR agonists in HEK 293 cells transfected with rat mGluR1a but had no effect on the [Ca(2+)](i) signals in cells expressing rat mGluR5a. In cells expressing mGluR1, CTZ also inhibited phosphoinositide hydrolysis, as well as cAMP accumulation and arachidonic acid release induced by mGluR1 agonists, indicating a direct inhibition of the receptor and not of a particular signal transduction system.

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Recent genetic and pharmacological studies have suggested that the metabotropic glutamate receptor subtype 5 (mGluR5) may represent a druggable target in identifying new therapeutics for the treatment of various central nervous system disorders including drug abuse. In particular, considerable attention in the mGluR5 field has been devoted to identifying ligands that bind to the allosteric modulatory site, distinct from the site for the primary agonist glutamate. Both 2-methyl-6-(phenylethynyl)pyridine (MPEP) and its analogue 3-[(2-methyl-4-thiazolyl)ethynyl]pyridine (MTEP) have been shown to be selective and potent noncompetitive antagonists of mGluR5.

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We described the synthesis and biological evaluation of MPEP analogs functionalized at the position 3 of the phenyl ring. The results point out the limitation in the choice of a functional group at this position; the only substituents leading to retention of activity are NO(2) (IC(50)=13 nM) and CN (IC(50)=8 nM).

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Noncompetitive antagonists of the human metabotropic glutamate receptor subtype 5 (mGluR5) have been implicated as potential therapeutics for the treatment of a variety of nervous system disorders, including pain, anxiety, and drug addiction. To discover novel noncompetitive antagonists to the mGluR5, we initiated an SAR study around the known lead compounds MPEP and M-MPEP. Our results pointed out the critical role of the para position of the two aromatic rings, which leads to inactive products and permitted the discovery of potent mGluR5 antagonists (e.

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