41 results on '"Wiśniowski R"'
Search Results
2. Impact of BRCA1 mutation on survival after early onset breast cancer
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Huzarski T, Byrski T, Gronwald J, Górski B, Domagała W, Cybulski C, Sun Ping, Oszurek O, Szwiec M, Gugała K, Stawicka M, Morawiec Z, Mierzwa T, Janiszewska H, Kilar E, Marczyk E, Kozak-Klonowska B, Siołek M, Surdyka D, Wiśniowski R, Posmyk M, Lubiński J, and Narod SA
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 ,Genetics ,QH426-470 - Published
- 2012
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3. Neoadjuvant chemotherapy with Cisplatin in BRCA1 mutation carriers – results of treatment
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Byrski T, Gronwald J, Huzarski T, Marczyk E, Blecharz P, Ashuryk O, Cybulski C, Zuziak D, Wiśniowski R, Godlewski D, Narod SA, and Lubiński J
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 ,Genetics ,QH426-470 - Published
- 2012
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- View/download PDF
4. Neoadjuvant therapy with cisplatin in BRCA1-positive breast cancer patients
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Byrski T, Gronwald J, Huzarski T, Dent RA, Zuziak D, Wiśniowski R, Marczyk E, Blecharz P, Szurek O, Cybulski C, Dębniak T, Górski B, Lubiński J, and Narod S
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 ,Genetics ,QH426-470 - Published
- 2011
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5. Low-cost approximate reconstructing of heterogeneous microstructures
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Olchawa, W., Piasecki, R., Wiśniowski, R., and Frączek, D.
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- 2016
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6. The impact of oophorectomy on survival after breast cancer in BRCA1-positive breast cancer patients
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Huzarski, T., Byrski, T., Gronwald, J., Cybulski, C., Oszurek, O., Szwiec, M., Gugała, K., Stawicka, M., Morawiec, Z., Mierzwa, T., Falco, M., Janiszewska, H., Kilar, E., Marczyk, E., Kozak-Klonowska, B., Siołek, M., Surdyka, D., Wiśniowski, R., Posmyk, M., Domagała, P., Sun, P., Lubiński, J., Narod, S. A., and The Polish Breast Cancer Consortium
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- 2016
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7. Survival from breast cancer in patients with CHEK2 mutations
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Huzarski, T., Cybulski, C., Wokolorczyk, D., Jakubowska, A., Byrski, T., Gronwald, J., Domagała, P., Szwiec, M., Godlewski, D., Kilar, E., Marczyk, E., Siołek, M., Wiśniowski, R., Janiszewska, H., Surdyka, D., Sibilski, R., Sun, P., Lubiński, J., and Narod, S. A.
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- 2014
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8. Clinical characteristics of breast cancer in patients with an NBS1 mutation
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Huzarski, T., Cybulski, C., Jakubowska, A., Byrski, T., Gronwald, J., Domagała, P., Szwiec, M., Godlewski, D., Kilar, E., Marczyk, E., Siołek, M., Gorski, B., Wiśniowski, R., Janiszewska, H., Surdyka, D., Sibilski, R., Sun, P., Narod, S. A., Lubiński, J., and The Polish Breast Cancer Consortium
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- 2013
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9. Lynch syndrome mutations shared by the Baltic States and Poland
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Dymerska, D., Kurzawski, G., Suchy, J., Roomere, H., Toome, K., Metspalu, A., Janavičius, R., Elsakov, P., Irmejs, A., Berzina, D., Miklaševičs, E., Gardovskis, J., Rebane, E., Kelve, M., Kładny, J., Huzarski, T., Gronwald, J., Dębniak, T., Byrski, T., Stembalska, A., Surdyka, D., Siołek, M., Szwiec, M., Banaszkiewicz, Z., Wiśniowski, R., Kilar, E., Scott, R. J., and Lubiński, J.
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- 2014
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10. Response to neo-adjuvant chemotherapy in women with BRCA1-positive breast cancers
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Byrski, T., Gronwald, J., Huzarski, T., Grzybowska, E., Budryk, M., Stawicka, M., Mierzwa, T., Szwiec, M., Wiśniowski, R., Siolek, M., Narod, S. A., Lubinski, J., and the Polish Hereditary Breast Cancer Consortium
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- 2008
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11. BRCA1-positive breast cancers in young women from Poland
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Lubiński, J., Górski, B., Huzarski, T., Byrski, T., Gronwald, J., Serrano-Fernández, P., Domagała, W., Chosia, M., Uciński, M., Grzybowska, E., Lange, D., Mąka, B., Mackiewicz, A., Karczewska, A., Bręborowicz, J., Lamperska, K., Stawicka, M., Gozdecka-Grodecka, S., Bębenek, M., Sorokin, D., Wojnar, A., Haus, O., Sir, J., Mierzwa, T., Niepsuj, S., Gugała, K., Góźdź, S., Sygut, J., Kozak-Klonowska, B., Musiatowicz, B., Posmyk, M., Kordek, R., Morawiec, M., Zambrano, O., Waśko, B., Fudali, L., Skręt, J., Surdyka, D., Urbański, K., Mituś, J., Ryś, J., Szwiec, M., Rozmiarek, A., Dziuba, I., Wandzel, P., Wiśniowski, R., Szczylik, C., Kozak, A., Kozłowski, W., and Narod, S.A.
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- 2006
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12. P-342 Prospective, observational study evaluating the effectiveness and safety of aflibercept plus FOLFIRI in metastatic colorectal cancer (mCRC) according to Polish reimbursement criteria
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Durbajlo, A., Swiezynski, M., Chrzanowska-Kapica, A., Drab-Mazur, I., Kulma-Kreft, M., Sikora-Skrabaka, M., Matuszewska, E., Wisniowski, R., Wierzbicka, K., and Wyrwicz, L.
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- 2023
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13. Meeting abstracts from the Annual Conference on Hereditary Cancers 2016
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Cybulski, C., Kluźniak, W., Huzarski, T., Wokołorczyk, D., Kashyap, A., Jakubowska, A., Szwiec, M., Byrski, T., Dębniak, T., Górski, B., Sopik, V., Akbari, M. R., Sun, P., Gronwald, J., Narod, S. A., Lubiński, J., Dymerska, D., Kurzawski, G., Tutlewska, K., Kuswik, M., Rudnicka, H., Scott, R. J., Billings, R., Pławski, A., Lubinski, J., Gromowski, T., Kąklewski, K., Marciniak, W., Durda, K., Lener, M., Sukiennicki, G., Kaczmarek, K., Jaworska-Bieniek, K., Paszkowska-Szczur, K., Waloszczyk, P., Hemminki, K., Försti, A., Oszurek, O., Gugała, K., Stawicka, M., Morawiec, Z., Mierzwa, T., Falco, M., Janiszewska, H., Kilar, E., Marczyk, E., Kozak-Klonowska, B., Siołek, M., Surdyka, D., Wiśniowski, R., Posmyk, M., Domagała, P., Imyanitov, E. N., Muszyńska, M., Prajzendanc, K., Peruga, N., Morawski, A., Lener, M. R., Baszuk, P., Wiechowska-Kozłowska, A., Kładny, J., Pietrzak, S., Soluch, A., Plawski, A., Rashid, U. R., Naeemi, H., Muhammad, N., Loya, A., Yusuf, M. A., Savanevich, A., Aszurek, O., Mathe, A., Wong-Brown, M., Locke, W., Stirzaker, C., Braye, S. G., Forbes, J. F., Clark, S., Avery-Kiejda, K., Tomiczek-Szwiec, J., Jakubowicz, J., Sibilski, R., and Posmyk, R.
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Meeting Abstracts - Published
- 2017
14. 651P - Obese and overweight is associated with better prognosis in metastatic colorectal cancer patients treated with bevacizumab
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Cybulska-Stopa, B., Regulski, K., Wiśniowski, R., Rajczykowski, M., Suwinski, R., Domagała-Haduch, M., Piejko, K., Drosik, A.P., Bar-Letkiewicz, I., Rauch, L., Szczęsny, T., Ziobro, M., and Mackiewicz, J.
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- 2019
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15. CHARACTERISTICS OF MICROSTRUCTURE AND SELECTED PROPERTIES OF HARDENED CEMENT SLURRIES INCORPORATING GRAPHENE OXIDE.
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Jamrozik, A., Malata, G., Wiśniowski, R., and Ziaja, Jan
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GRAPHENE oxide ,CEMENT ,MICROSTRUCTURE ,OXIDES ,MICROPHYSICS - Abstract
The cementing of wellbores is of the utmost importance at each stage of the drilling jobs. Regardless the conditions in the well, the aim of the cementing job is to efficiently seal the annular space between the casing and the wellbore wall, and to liquidate absorptive zones and also the flow of fluids in the annulus. The properly performed cementing job guarantees successful and safe exploitation of the well. A correctly performed cementing job in a borehole depends on the design of the borehole, geologic-reservoir conditions, technical-technological conditions in the boreholes, cementing job itself and also the quality and composition of the applied cement slurry as well as strength and microstructural properties of hardened cement slurries. The dynamic development of nanotechnology and drilling works performed in increasingly difficult geological-reservoir conditions contributes to the use of nanomaterials as components of cementing slurries. The results of analyses of microstructure and phase composition of cement slurries (based on Portland cement CEM I 42,5 R) modified with graphene oxide are presented in the paper. The microstructural analysis of slurries containing graphene oxide reveals areas of directional positioning within the C-S-H phase. The observation of microstructure of hardened cement slurries inspired authors to broaden the scope of their analyses as far as the porosity and transport properties of the slurries are concerned. [ABSTRACT FROM AUTHOR]
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- 2018
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16. Effective electrical conductivity of microstructural patterns of binary mixtures on a square lattice in the presence of nearest-neighbour interactions.
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Wiśniowski, R. and Olchawa, W.
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ELECTRIC conductivity , *MICROSTRUCTURE , *BINARY mixtures , *ALGORITHMS , *PERCOLATION , *THERMODYNAMICS - Abstract
Abstract The effective conductivity and percolative behaviour of microstructural patterns of binary mixtures are studied. Microstructure patterns are not entirely random, but result from the presence of attractive or repulsive interactions and thermal fluctuations. The interactions of the particles with one another lead to the formation of correlations between particle positions, while thermal fluctuations weaken these correlations. A simple lattice model is used, where each site is occupied by a single particle, and interactions can occur only between the nearest neighbours. The Kawasaki algorithm is adopted to create 2D microstructure samples. The microstructure is treated as a continuous medium, which means that the contribution from the flow through ‘choke points’ is taken into account in the calculation of the effective conductivity. We studied the thermodynamics of the system and its effective conductivity in a wide range of parameters. A change in the percolation threshold when the temperature changed was observed. The direction of the threshold shift depends on the sign of the interaction between the particles. In the high temperature range, we obtained a formula describing the dependence of the percolation threshold on temperature, as well as on the critical exponent. Highlights • The conductivity of binary mixtures using the continuum approach was studied. • The influence on percolation threshold of interactions and temperature was examined. • The thermodynamics properties of the binary mixtures was determined. [ABSTRACT FROM AUTHOR]
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- 2018
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17. OIL BASED MUD MODIFIED WITH ORGANOPHILIC NANOMATERIALS.
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Wiśniowski, R., Jamrozik, A., and Czekaj, L.
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NANOSTRUCTURED materials , *DRILLING muds , *HYDROPHOBIC compounds , *DISPERSION (Chemistry) , *NATURAL gas prospecting - Abstract
The dynamic development of material and chemical engineering as well as physical analytical methods allows the use of new materials for the production of drilling muds. This is especially important because drilling works are conducted in increasingly difficult geological and technological conditions. The present analyses concentrate on the development and elaboration of recipes of drilling fluids with organophilic nanomaterials. One of the most frequently applied nanomaterials referred to in patents registered by the Oil and Gas Industry are nanoclays and nanosilica. Laboratory experiments indicated that hydrophobic nanosilica influences the technological parameters of oil base-mud, especially their rheological parameters. The nanosilica used as oil based mud additives, can helpful enhance the stability mineral liquid dispersion. By including organoclays in the oil-based muds considerably increases the stability of such mud, especially mud with an addition of weightings agent (e.g. barite). It can be meaningful for drilling fluids used in horizontal drilling, and drilling in difficult geological and technological conditions. This study helps promote application nanomaterials in drilling fluids technology in the oil and gas exploration and production. [ABSTRACT FROM AUTHOR]
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- 2017
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18. ANALYSES OF GRAPHENE OXIDE APPLICABILITY IN DRILLING MUD TECHNOLOGY.
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Jamrozik, A., Wiśniowski, R., Czekaj, L., and Pintal, K.
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GRAPHENE oxide ,CARBOXYLIC acids ,CARBONYL compounds ,HYDROXYLATION ,BIOPOLYMERS - Abstract
Nanomaterials have become so popular thanks to new and unique properties differing them from their classic counterparts. One of the nanomaterials which is commonly used nowadays is graphene and its derivatives. This paper demonstrates the results of laboratory-scale experimental works on the influence of ultra highly concentrated single-layer Graphene Oxide (HCGO) on properties of water based-mud (WBM). GO is a mono-layer of sp²-hybridized carbon atoms derivatized by a mixture of carboxyl, hydroxyl and epoxy functionalities. Hydroxyl and epoxy groups are present in the highest concentrations on the surface of graphene oxide (GO) per sp³ hybridized carbon atoms, while the carboxyl and carbonyl groups are mainly found at the layer's edges, thanks to which GO can be easily dispersed in an aqueous environment. The results of our experimental works show that an addition of ultra highly concentrated single-layer Graphene Oxide (HCGO) modifies the microstructural properties of the fluid. HCGO reduces filtration, even if it is added at a relatively low concentration. The conducted analyses prove that HCGO in biopolymer-based drilling mud with biopolymer XCD reduces the growth of bacteria, fungi and yeasts. [ABSTRACT FROM AUTHOR]
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- 2017
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19. STUDIES ON THE POSSIBILITY OF APPLYING NANOPARTICLES IN DRILLING FLUID TECHNOLOGIES.
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Jamrozik, A., Wiśniowski, R., and Ziaja, J.
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PETROLEUM refining , *DRILLING fluids , *NANOTECHNOLOGY , *NANOSTRUCTURED materials , *THERMAL stability , *CHEMICAL resistance - Abstract
Presently, nanotechnology and nanomaterials have found a number of applications in exploratory, drilling and production works, as well as in the area of refinery and distribution of crude oil and natural gas. This study presents the results of experimental works conducted on a laboratory scale on the possibility of applying nanosilica and organofunctional silanes in the drilling fluids technology. Such properties of nanomaterials as compatibility with other fluid components, chemical resistance, thermal stability, as well as anti-sedimentary and anti-coagulation properties, have been decisive about a possibility of using them as an additive to drilling fluids. As a result of the works being conducted, one may state, that nanosilica and organofunctional silanes used as drilling fluids additives, can be helpful to reducing the fluid loss and enhance the stability mineral liquid dispersions. It can be meaningful for water-based drilling fluids used in horizontal drilling, especially in the case of fluids with an addition of weighting agents (e.g. barite). [ABSTRACT FROM AUTHOR]
- Published
- 2016
20. CRITERIA OF RATIONAL WELLBORE CASING SCHEMES SELECTION FOR THE EXTRACTION OF UNCONVENTIONAL NATURAL GAS DEPOSITS IN POLAND.
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Ziaja, J., Wiśniowski, R., and Jamrozik, A.
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NATURAL gas extraction , *DECISION making , *CASING drilling , *CASINGHEAD gas , *SHALE gas - Abstract
Authors defined detailed criteria of rational wellbore casing selection for the natural gas extraction of unconventional shale gas deposits. The industrial data and literature studies were taken into account. On this basis a detailed schematic of making decision was worked out. It was addressed to the selection of the design of the casing, technology of tripping and sealing casing pipes, with special emphasis on the liner. The aim of the paper is indicating and solving technical and technological problems and also presenting economic profits relating to the use of rational schematics of the casing with the liner columns. The following theses have been proved as true:. 1. The use of the liner for shale gas prospecting and production wells in low-permeability shale gas deposits will be safe and efficient because of the following advantages:. Counteracts difficulties and complications met while drilling the well. Brings about considerable financial benefits. Improves extraction of reservoir fluids. Facilitates reconstruction and renovation of wells in the future. Creates possibility of shortening the time of drilling thanks to the use and sealing of the casing. 2. The tripping and sealing of the liner is failure-free if proper technical and technological decisions are made at the stage of designing and when performing these operations in real wellbore conditions. The scope of works covered the following aspects. - Analysis of technical and technological efficiency of use of the liner column in prospecting and production wells. - Evaluation of complications and failures associated with the use of the liner column. - Evaluation of technique and technology of suspending liner column. [ABSTRACT FROM AUTHOR]
- Published
- 2016
21. CONTROLLING SPATIAL INHOMOGENEITY IN PROTOTYPICAL MULTIPHASE MICROSTRUCTURES.
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FRĄCZEK, D., PIASECKI, R., OLCHAWA, W., and WIŚNIOWSKI, R.
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MICROSTRUCTURE ,COMPOSITE materials ,PROTOTYPES ,RADIUS (Geometry) ,ENTROPY - Abstract
A wide variety of real random composites can be studied by means of prototypes of multiphase microstructures with a controllable spatial inhomogeneity. To create them, we propose a versatile model of randomly overlapping super-spheres of a given radius and deformed in their shape by the parameter p. With the help of the so-called decomposable entropic measure, a clear dependence of the phase inhomogeneity degree on the values of the parameter p is found. Thus, a leading trend in changes of the phase inhomogeneity can be forecast. It makes searching for possible structure/ property relations easier. For the chosen values of p, examples of twoand three-phase prototypical microstructures show how the phase inhomogeneity degree evolves at different length scales. The approach can also be applied to preparing the optimal starting configurations in reconstructing real materials. [ABSTRACT FROM AUTHOR]
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- 2017
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22. On multi-scale percolation behaviour of the effective conductivity for the lattice model with interacting particles.
- Author
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Wiśniowski, R., Olchawa, W., Frączek, D., and Piasecki, R.
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PERCOLATION theory , *CRYSTAL lattices , *LATTICE models (Statistical physics) , *MICROEMULSIONS , *CLUSTER analysis (Statistics) - Abstract
Recently, the effective medium approach (EMA) using 2 × 2 basic cluster of model lattice sites to predict the conductivity of interacting microemulsion droplets has been presented by Hattori et al. To make a step aside from pure applications, we studied earlier a multi-scale percolation, employing any k × k basic cluster for non-interacting particles. Here, with interactions included, we examine in what way they alter the percolation threshold for any cluster case. We found that at a fixed length scale k , the interaction reduces the range of shifts of the percolation threshold. To determine the critical concentrations, the simplified EMA-model is used. It diminishes the number of local conductivities into two main ones. In the presence of a dominance of the repulsive interaction over the thermal energy, the exact percolation thresholds at two small scales can be revealed from analytical formulas. Furthermore, at large scales, the highest possible value of the estimated threshold can be obtained. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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23. On multi-scale percolation behaviour of the effective conductivity for the lattice model.
- Author
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Olchawa, W., Wiśniowski, R., Frączek, D., and Piasecki, R.
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MULTISCALE modeling , *PERCOLATION , *INHOMOGENEOUS materials , *ELECTRIC conductivity , *DIMENSIONAL analysis - Abstract
Macroscopic properties of heterogeneous media are frequently modelled by regular lattice models, which are based on a relatively small basic cluster of lattice sites. Here, we extend one of such models to any cluster of size k × k . We also explore its modified form. The focus is on the percolation behaviour of the effective conductivity of random two- and three-phase systems. We consider only the influence of geometrical features of local configurations at different length scales k . At scales accessible numerically, we find that an increase in the size of the basic cluster leads to characteristic displacements of the percolation threshold. We argue that the behaviour is typical of materials, whose conductivity is dominated by a few linear, percolation-like, conducting paths. Such a system can be effectively treated as one-dimensional medium. We also develop a simplified model that permits an analysis at any scale. It is worth mentioning that the latter approach keeps the same thresholds predicted by the former one. We also briefly discuss a three-phase system, where the double-thresholds paths appear on model surfaces. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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24. Integrated Approach to Drilling Project in Unconventional Reservoir Using Reservoir Simulation
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Stopa Jerzy, Wiśniowski Rafał, Wojnarowski Paweł, Janiga Damian, and Skrzypaszek Krzysztof
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hydraulic fracturing ,shale reservoir ,numerical simulation ,Environmental sciences ,GE1-350 - Abstract
Accumulation and flow mechanisms in unconventional reservoir are different compared to conventional. This requires a special approach of field management with drilling and stimulation treatments as major factor for further production. Integrated approach of unconventional reservoir production optimization assumes coupling drilling project with full scale reservoir simulation for determine best well placement, well length, fracturing treatment design and mid-length distance between wells. Full scale reservoir simulation model emulate a part of polish shale – gas field. The aim of this paper is to establish influence of technical factor for gas production from shale gas field. Due to low reservoir permeability, stimulation treatment should be direct towards maximizing the hydraulic contact. On the basis of production scenarios, 15 stages hydraulic fracturing allows boost gas production over 1.5 times compared to 8 stages. Due to the possible interference of the wells, it is necessary to determine the distance between the horizontal parts of the wells trajectories. In order to determine the distance between the wells allowing to maximize recovery factor of resources in the stimulated zone, a numerical algorithm based on a dynamic model was developed and implemented. Numerical testing and comparative study show that the most favourable arrangement assumes a minimum allowable distance between the wells. This is related to the volume ratio of the drainage zone to the total volume of the stimulated zone.
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- 2018
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25. Construction of Shale Gas Well
- Author
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Sapińska-Śliwa Aneta, Wiśniowski Rafał, and Skrzypaszek Krzysztof
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shale gas ,construction of the well ,unconventional reservoirs ,Environmental sciences ,GE1-350 - Abstract
The paper describes shale gas borehole axes trajectories (vertical, horizontal, multilateral). The methodology of trajectory design in a two-and three-dimensional space has been developed. The selection of the profile type of the trajectory axes of the directional borehole depends on the technical and technological possibilities of its implementation and the results of a comprehensive economic analysis of the availability and development of the field. The work assumes the possibility of a multivariate design of trajectories depending on the accepted (available or imposed) input data.
- Published
- 2018
- Full Text
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26. Cement slurry resistance to chemical aggressiveness of carbon capture and storage (CCS) method
- Author
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Formela Malgorzata, Wysocki Slawomir, and Wisniowski Rafal
- Subjects
Environmental sciences ,GE1-350 - Abstract
Nowadays, scientists from all over the world are focused on environmental issues connected with the greenhouse gases. The carbon dioxide is one of those gases. Therefore, researches are carried out to limit the emission or utilization the already ones. The aim of laboratory research was to find additives and admixtures resistant to CO2 presence and at the same time, able to modify rheological parameters of fresh cement slurry, as it is desirable during cementing of the wellbore. Moreover, research included the effect of newly synthesized polymers on the cement parameters. Laboratory research included filtration of the cement slurry, rheological parameters – Yield point, mechanical properties of hardened cement slurry obtained from hydraulic press and photographs of changes in mineralogical structure of cement from the electron microscope. The research was divided into two parts. The first one was based on the cement mixtures with commonly used superplastifier (SPL). In the second one, the SPL was replaced with newly synthesized polymer.
- Published
- 2018
- Full Text
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27. Mutations and polymorphisms of genes moderate increase in gastric cancer risk
- Author
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Teodorczyk Urszula, Cybulski Cezary, Jakubowska Anna, Starzyńska Teresa, Ławniczak Małgorzata, Domagała Paweł, Ferenc Katarzyna, Marlicz Krzysztof, Banaszkiewicz Zbigniew, Wiśniowski Rafał, and Lubiński Jan
- Subjects
Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 ,Genetics ,QH426-470 - Published
- 2012
- Full Text
- View/download PDF
28. The CHEK 2 GENE mutations and the risk of Gastric cancer
- Author
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Teodorczyk Urszula, Cybulski Cezary, Jakubowska Anna, Starzyńska Teresa, Ławniczak Małgorzata, Ferenc Katarzyna, Marlicz Krzysztof, Banaszkiewicz Zbigniew, Wiśniowski Rafał, and Lubiński Jan
- Subjects
Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 ,Genetics ,QH426-470 - Published
- 2012
- Full Text
- View/download PDF
29. Variant alleles of the CYP1B1 gene are associated with colorectal cancer susceptibility
- Author
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Trubicka Joanna, Grabowska-Kłujszo Ewa, Suchy Janina, Masojć Bartłomiej, Serrano-Fernandez Pablo, Kurzawski Grzegorz, Cybulski Cezary, Górski Bohdan, Huzarski Tomasz, Byrski Tomasz, Gronwald Jacek, Złowocka Elżbieta, Kładny Józef, Banaszkiewicz Zbigniew, Wiśniowski Rafał, Kowalska Elżbieta, Lubinski Jan, and Scott Rodney J
- Subjects
Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract Background CYP1B1 is a P450 enzyme which is involved in the activation of pro-carcinogens to carcinogens as well as sex hormone metabolism. Because differences in the activity of the enzyme have been correlated with variant alleles of single nucleotide polymorphisms (SNPs), it represents an attractive candidate gene for studies into colorectal cancer susceptibility. Methods We genotyped 597 cancer patients and 597controls for three CYP1B1 SNPs, which have previously been shown to be associated with altered enzymatic activity. Using the three SNPs, eight different haplotypes were constructed. The haplotype frequencies were estimated in cases and controls and then compared. The odds ratio for each tumour type, associated with each haplotype was estimated, with reference to the most common haplotype observed in the controls. Results The three SNPs rs10012, rs1056827 and rs1056836 alone did not provide any significant evidence of association with colorectal cancer risk. Haplotypes of rs1056827 and rs10012 or rs1056827 and rs1056836 revealed an association with colorectal cancer which was significantly stronger in the homozygous carriers. One haplotype was under represented in the colorectal cancer patient group compared to the control population suggesting a protective effect. Conclusion Genetic variants within the CYP1B1 that are associated with altered function appear to influence susceptibility to a colorectal cancer in Poland. Three haplotypes were associated with altered cancer risk; one conferred protection and two were associated with an increased risk of disease. These observations should be confirmed in other populations.
- Published
- 2010
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30. Antioxidant Properties of Zinc and Copper-Blood Zinc-to Copper-Ratio as a Marker of Cancer Risk BRCA1 Mutation Carriers.
- Author
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Matuszczak M, Kiljańczyk A, Marciniak W, Derkacz R, Stempa K, Baszuk P, Bryśkiewicz M, Cybulski C, Dębniak T, Gronwald J, Huzarski T, Lener M, Jakubowska A, Szwiec M, Stawicka-Niełacna M, Godlewski D, Prusaczyk A, Jasiewicz A, Kluz T, Tomiczek-Szwiec J, Kilar-Kobierzycka E, Siołek M, Wiśniowski R, Posmyk R, Jarkiewicz-Tretyn J, Scott R, and Lubiński J
- Abstract
Pathogenic mutations in BRCA1 (BReast CAncer gene 1) confer high risks of both breast (up to 70%) and ovarian (up to 40%) cancers. Zinc (Zn) and copper (Cu) are essential for various physiological functions, including antioxidant reactions. Their balance, reflected in the Zn/Cu ratio, plays a crucial role in maintaining redox homeostasis, which is vital for cancer prevention. This study examines the antioxidant properties of Zn and Cu, specifically focusing on the blood Zn/Cu ratio as a potential marker for cancer risk among BRCA1 mutation carriers. The study cohort consisted of 989 initially unaffected women, followed up for 7.5 years. Blood samples were analyzed using inductively coupled plasma mass spectrometry. Although individual Zn and Cu levels did not significantly correlate with overall cancer risk, those women with a Zn/Cu ratio above 6.38 experienced a significantly lower cancer risk than women with a ratio below this cut-off point. This suggests that the Zn/Cu ratio may be a valuable biomarker for cancer prevention in this high-risk group. Given the increased cancer risk in BRCA1 mutation carriers, optimizing Zn and Cu levels through dietary and active interventions could provide a preventive strategy.
- Published
- 2024
- Full Text
- View/download PDF
31. Blood Iodine as a Potential Marker of the Risk of Cancer in BRCA1 Carriers.
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Kiljańczyk A, Matuszczak M, Marciniak W, Derkacz R, Stempa K, Baszuk P, Bryśkiewicz M, Cybulski C, Dębniak T, Gronwald J, Huzarski T, Lener MR, Jakubowska A, Cheriyan A, Szwiec M, Stawicka-Niełacna M, Godlewski D, Prusaczyk A, Jasiewicz A, Kluz T, Tomiczek-Szwiec J, Kilar-Kobierzycka E, Siołek M, Wiśniowski R, Posmyk R, Jarkiewicz-Tretyn J, Sun P, Scott RJ, Narod SA, and Lubiński J
- Subjects
- Humans, Female, Middle Aged, Adult, Prospective Studies, Risk Factors, Heterozygote, Biomarkers, Tumor blood, Aged, Breast Neoplasms blood, Breast Neoplasms genetics, Ovarian Neoplasms blood, Ovarian Neoplasms genetics, Iodine blood, BRCA1 Protein genetics, BRCA1 Protein blood
- Abstract
Breast cancer and ovarian cancer pose a significant risk for BRCA1 carriers, with limited risk-reduction strategies. While improved screening helps in the early detection of breast cancer, preventive measures remain elusive. Emerging evidence suggests a potential link between iodine levels and modulation of cancer risk, but comprehensive studies are scarce. We conducted a prospective study among 989 BRCA1 carriers to assess the association between blood iodine levels and breast and ovarian cancer risk. Using inductively coupled plasma mass spectrometry, we measured blood iodine levels and observed a negative association with breast cancer risk, with a significantly lower risk observed in quartile 4 (iodine > 38.0 µg/L) compared with quartile 1 (iodine < 30 µg/L) (HR = 0.49; 95%CI: 0.27-0.87; p = 0.01). Conversely, a suggestive increase in ovarian cancer risk was observed at higher iodine levels (HR = 1.91; 95%CI: 0.64-5.67; p = 0.25). No significant association was found between iodine levels and overall cancer risk. Our results suggest the potential of iodine to reduce breast cancer risk in BRCA1 carriers after prophylactic oophorectomy but require further validation and investigation of its effect on ovarian cancer risk and overall mortality. These findings highlight the need for personalized strategies to manage cancer risk in BRCA1 carriers.
- Published
- 2024
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- View/download PDF
32. Prospective, Observational Study of Aflibercept Use in Combination with FOLFIRI in Patients with Metastatic Colorectal Cancer: A Real-World Effectiveness Study.
- Author
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Durbajło A, Świeżyński M, Ziemba B, Starzyczny-Słota D, Samborska-Plewicka M, Cencelewicz-Lesikow A, Chrzanowska-Kapica A, Dobrzyńska-Rutkowska A, Drab-Mazur I, Kulma-Kreft M, Sikora-Skrabaka M, Matuszewska E, Foszczyńska-Kłoda M, Lewandowski T, Słomian G, Ostrowska-Cichocka K, Chmielowska E, Wiśniowski R, Twardosz A, Wierzbicka K, Rumianowski L, and Wyrwicz L
- Abstract
Background: This was an observational study prospectively evaluating the effectiveness and safety of aflibercept/FOLFIRI administered in second-line mCRC per the reimbursement criteria in Poland., Methods: Consecutive mCRC patients who progressed with first-line oxaliplatin-based chemotherapy received aflibercept (4 mg/kg IV) followed by FOLFIRI every 2 weeks until progression or unacceptable toxicity. The primary endpoint was progression-free survival (PFS); overall survival (OS) and safety were the secondary endpoints., Results: A total of 93 patients were treated at 17 Polish sites. A median of 10 cycles was administered. Over a median treatment duration of 5.3 months, median PFS and median OS were 8.4 months [95% CI, 6.9-9.9] and 27.0 months [95% CI, 23.9-30.1], respectively. There was no significant impact of primary tumor location, metastatic site, or KRAS status on PFS and OS. Main grade ≥ 3 adverse events were neutropenia (16%), hypertension (8%), diarrhea (4%), and stomatitis (4%)., Conclusions: The benefits/risks of Aflibercept plus FOLFIRI administered per the Polish reimbursement criteria in second-line treatment of mCRC after failure of a prior oxaliplatin-based regimen is confirmed.
- Published
- 2024
- Full Text
- View/download PDF
33. Zinc and Its Antioxidant Properties: The Potential Use of Blood Zinc Levels as a Marker of Cancer Risk in BRCA1 Mutation Carriers.
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Matuszczak M, Kiljańczyk A, Marciniak W, Derkacz R, Stempa K, Baszuk P, Bryśkiewicz M, Sun P, Cheriyan A, Cybulski C, Dębniak T, Gronwald J, Huzarski T, Lener MR, Jakubowska A, Szwiec M, Stawicka-Niełacna M, Godlewski D, Prusaczyk A, Jasiewicz A, Kluz T, Tomiczek-Szwiec J, Kilar-Kobierzycka E, Siołek M, Wiśniowski R, Posmyk R, Jarkiewicz-Tretyn J, Scott RJ, Narod SA, and Lubiński J
- Abstract
BRCA1 mutations predispose women to breast and ovarian cancer. The anticancer effect of zinc is typically linked to its antioxidant abilities and protecting cells against oxidative stress. Zinc regulates key processes in cancer development, including DNA repair, gene expression, and apoptosis. We took a blood sample from 989 female BRCA1 mutation carriers who were initially unaffected by cancer and followed them for a mean of 7.5 years thereafter. There were 172 incident cases of cancer, including 121 cases of breast cancer, 29 cases of ovarian cancers, and 22 cancers at other sites. A zinc level in the lowest tertile was associated with a modestly higher risk of ovarian cancer compared to women with zinc levels in the upper two tertiles (HR = 1.65; 95% CI 0.80 to 3.44; p = 0.18), but this was not significant. Among those women with zinc levels in the lowest tertile, the 10-year cumulative risk of ovarian cancer was 6.1%. Among those in the top two tertiles of zinc level, the ten-year cumulative risk of ovarian cancer was 4.7%. There was no significant association between zinc level and breast cancer risk. Our preliminary study does not support an association between serum zinc level and cancer risk in BRCA1 mutation carriers.
- Published
- 2024
- Full Text
- View/download PDF
34. Blood Lead Level as Marker of Increased Risk of Ovarian Cancer in BRCA1 Carriers.
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Kiljańczyk A, Matuszczak M, Marciniak W, Derkacz R, Stempa K, Baszuk P, Bryśkiewicz M, Lubiński K, Cybulski C, Dębniak T, Gronwald J, Huzarski T, Lener MR, Jakubowska A, Szwiec M, Stawicka-Niełacna M, Godlewski D, Prusaczyk A, Jasiewicz A, Kluz T, Tomiczek-Szwiec J, Kilar-Kobierzycka E, Siołek M, Wiśniowski R, Posmyk R, Jarkiewicz-Tretyn J, Sun P, Scott RJ, Narod SA, and Lubiński J
- Subjects
- Humans, Female, Adult, Middle Aged, Risk Factors, Poland, Heterozygote, Mutation, Biomarkers, Tumor blood, Biomarkers, Tumor genetics, Genetic Predisposition to Disease, Aged, Proportional Hazards Models, Ovarian Neoplasms blood, Ovarian Neoplasms genetics, Lead blood, BRCA1 Protein genetics
- Abstract
BRCA1 mutations substantially elevate the risks of breast and ovarian cancer. Various modifiers, including environmental factors, can influence cancer risk. Lead, a known carcinogen, has been associated with various cancers, but its impact on BRCA1 carriers remains unexplored. A cohort of 989 BRCA1 mutation carriers underwent genetic testing at the Pomeranian Medical University, Poland. Blood lead levels were measured using inductively coupled plasma mass spectrometry. Each subject was assigned to a category based on their tertile of blood lead. Cox regression analysis was used to assess cancer risk associations. Elevated blood lead levels (>13.6 μg/L) were associated with an increased risk of ovarian cancer (univariable: HR = 3.33; 95% CI: 1.23-9.00; p = 0.02; multivariable: HR = 2.10; 95% CI: 0.73-6.01; p = 0.17). No significant correlation was found with breast cancer risk. High blood lead levels are associated with increased risk of ovarian cancer in BRCA1 carriers, suggesting priority for preventive salpingo-oophorectomy. Potential risk reduction strategies include detoxification. Validation in diverse populations and exploration of detoxification methods for lowering lead levels are required.
- Published
- 2024
- Full Text
- View/download PDF
35. The Impact of Sidedness on the Efficacy of Anti-EGFR-Based First-Line Chemotherapy in Advanced Colorectal Cancer Patients in Real-Life Setting-A Nation-Wide Retrospective Analysis (RACER).
- Author
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Potocki PM, Wiśniowski R, Haus D, Chowaniec Z, Kozaczka M, Kustra M, Samborska-Plewicka M, Szweda M, Starzyczny-Słota D, Michalik M, Słomian G, Lebiedzińska A, Jonak-Olczyk N, Łaszewska-Kraińska N, Adamowicz K, Kolenda P, Drosik-Kwaśniewska A, Szwiec M, Dziura R, Czech J, Dąbrowska M, Nowakowska-Zajdel E, Klank-Sokołowska E, Konopka K, Kwinta Ł, Dobrzańska J, and Wysocki PJ
- Abstract
Anti-EGFR antibodies combined with chemotherapy doublets are a cornerstone of the upfront treatment of colorectal cancer. RAS and BRAF mutations are established negative predictive factors for such therapy. The primary tumour located in the proximal colon has recently emerged as another negative predictive factor. We have conducted a retrospective multicentre study to collect data on real-world population characteristics, practice patterns, and outcomes in patients with metastatic colorectal cancer treated in a first-line setting with either cetuximab or panitumumab in combination with either FOLFOX or FOLFIRI chemotherapy. The presented analysis focuses on the impact of the primary tumour location. 126 of 842 patients analysed (15.0%) had proximal primary. It was associated with a lower BMI at diagnosis, mucinous histology, and peritoneal metastases. It was also associated with inferior treatment outcomes in terms of response ratio: 59.4% vs. 74.22% (odds ratio [OR] 0.51, 95% CI 0.33-0.78, p = 0.010), and median depth of response: -36.7% vs. -50.0% ( p = 0.038). There was only a borderline non-significant trend for inferior PFS in patients with proximal tumours. OS data was incomplete. The presented analysis confirms the negative impact of tumour sidedness on the efficacy of an upfront anti-EGFR-chemotherapy combination and provides valuable data on real-world population characteristics.
- Published
- 2023
- Full Text
- View/download PDF
36. The impact of oophorectomy on survival from breast cancer in patients with CHEK2 mutations.
- Author
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Tomiczek-Szwiec J, Szwiec M, Falco M, Cybulski C, Wokolorczyk D, Jakubowska A, Gronwald J, Stawicka M, Godlewski D, Kilar E, Marczyk E, Siołek M, Wiśniowski R, Haus O, Sibilski R, Bodnar L, Sun P, Narod SA, Lubinski J, and Huzarski T
- Subjects
- Female, Genetic Predisposition to Disease, Humans, Mutation, Proportional Hazards Models, Risk Factors, Breast Neoplasms genetics, Breast Neoplasms surgery, Checkpoint Kinase 2 genetics, Ovariectomy
- Abstract
Background: To estimate the impact of oophorectomy and other treatments on the survival of breast cancer patients with a CHEK2 mutation., Methods: Women with Stage I-III breast cancer who were treated at 17 hospitals in Poland were tested for four founder mutations in the CHEK2 gene. 974 women (10%) were positive for a CHEK2 mutation. Control patients without a CHEK2 mutation were selected from a database of patients treated over the same time period. Information on treatments received and distant recurrences were retrieved from medical records. Treatments included chemotherapy, hormonal therapy (tamoxifen) and radiation therapy. Oophorectomies were performed for the treatment of breast cancer or for benign conditions. Dates of death were obtained from the Polish Vital Statistics Registry. Causes of death were determined by medical record review. Predictors of survival were determined using the Cox proportional hazards model., Results: In all, 839 patients with a CHEK2 mutation were matched to 839 patients without a mutation. The mean follow-up was 12.0 years. The 15-year survival for CHEK2 carriers was 76.6% and the 15-year survival for non-carrier control patients was 78.8% (adjusted HR = 1.06; 95% CI: 0.84-1.34; P = 0.61). Among CHEK2 carriers, the 15-year survival for women who had an oophorectomy was 86.3% and for women who did not have an oophorectomy was 72.1% (adjusted HR = 0.59; 95% CI: 0.38-0.90; P = 0.02). Among controls, the 15-year survival for patients who had an oophorectomy was 84.5% and for women who did not have an oophorectomy was 77.6% (adjusted HR = 1.03; 95% CI: 0.66-1.61; P = 0.90)., Conclusion: Among women with breast cancer and a CHEK2 mutation, oophorectomy is associated with a reduced risk of death from breast cancer., (© 2022. The Author(s), under exclusive licence to Springer Nature Limited.)
- Published
- 2022
- Full Text
- View/download PDF
37. BRCA1 promoter methylation in peripheral blood is associated with the risk of triple-negative breast cancer.
- Author
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Prajzendanc K, Domagała P, Hybiak J, Ryś J, Huzarski T, Szwiec M, Tomiczek-Szwiec J, Redelbach W, Sejda A, Gronwald J, Kluz T, Wiśniowski R, Cybulski C, Łukomska A, Białkowska K, Sukiennicki G, Kulczycka K, Narod SA, Wojdacz TK, Lubiński J, and Jakubowska A
- Subjects
- Adult, Aged, Aged, 80 and over, Biomarkers, Tumor blood, Breast pathology, Case-Control Studies, DNA Methylation, Female, Follow-Up Studies, Humans, Middle Aged, Triple Negative Breast Neoplasms blood, Triple Negative Breast Neoplasms pathology, BRCA1 Protein genetics, Biomarkers, Tumor genetics, Genetic Predisposition to Disease, Promoter Regions, Genetic genetics, Triple Negative Breast Neoplasms genetics
- Abstract
Methylation of the promoter of the BRCA1 gene in DNA derived from peripheral blood cells is a possible risk factor for breast cancer. It is not clear if this association is restricted to certain types of breast cancer or is a general phenomenon. We evaluated BRCA1 methylation status in peripheral blood cells from 942 breast cancer patients and from 500 controls. We also assessed methylation status in 262 paraffin-embedded breast cancer tissues. Methylation status was assessed using methylation-sensitive high-resolution melting and was categorized as positive or negative. BRCA1 methylation in peripheral blood cells was strongly associated with the risk of triple-negative breast cancer (TNBC) (odds ratio [OR] 4.70; 95% confidence interval [CI]: 3.13-7.07; p < 0.001), but not of estrogen-receptor positive breast cancer (OR 0.80; 95% CI: 0.46-1.42; p = 0.46). Methylation was also overrepresented among patients with high-grade cancers (OR 4.53; 95% CI: 2.91-7.05; p < 0.001) and medullary cancers (OR 3.08; 95% CI: 1.38-6.88; p = 0.006). Moreover, we detected a significant concordance of BRCA1 promoter methylation in peripheral blood and paired tumor tissue (p < 0.001). We found that BRCA1 promoter methylation in peripheral blood cells is associated with approximately five times greater risk of TNBC. We propose that BRCA1 methylation in blood-derived DNA could be a novel biomarker of increased breast cancer susceptibility, in particular for triple-negative tumors., (© 2019 UICC.)
- Published
- 2020
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38. Overweight is associated with better prognosis in metastatic colorectal cancer patients treated with bevacizumab plus FOLFOX chemotherapy.
- Author
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Cybulska-Stopa B, Ługowska I, Wiśniowski R, Domagała-Haduch M, Rajczykowski M, Piejko K, Bar-Letkiewicz I, Suwiński R, Regulski K, and Mackiewicz J
- Abstract
Introduction: Previous studies showed that high and low body mass index (BMI) was associated with worse prognosis in metastatic CRC (mCRC). Whether BMI is a prognostic or predictive factor in mCRC is unclear. We aimed to assess efficacy outcomes according to BMI in patient with metastatic colorectal cancer treated with bevacizumab plus FOLFOX chemotherapy regimen in second-line treatment., Material and Methods: The analysis of 237 patients with metastatic colorectal cancer treated with bevacizumab plus FOLFOX in the second line (treated from January 2014 to August 2018) in 4 reference oncological centers in Poland., Results: The median age of the patients was 65 years (range 34-82). The median overall survival (OS) and progression-free survival (PFS) of the all 237 patient was 14.6 and 8.8 months, respectively. Comparison of obese patient (BMI > 30 kg/m
2 ) vs. overweight patients (BMI ≥ 25 to < 30 kg/m2 ) vs. normal BMI range patients revealed a significant improvement of median OS (17.5 vs. 14.3 vs. 13.1 months, p = 0.01) and median PFS (9.4 vs. 9.1 vs. 7.3 months, p = 0.03). The Cox hazard model showed that the BMI class is an important risk factor. However, the Cox model also showed that the significance of the BMI class applies only to patients with BMI < 25 kg/m2 . This rule applies to both OS and PFS. The regression analysis also confirmed that there is a statistically significant relationship between the length of OS and PFS and the BMI value. Higher BMI was associated with a better prognosis. There were no differences in responses to treatment bevacizumab and FOLFOX chemotherapy and number adverse events according to BMI values., Conclusions: Patients with mCRC treated with chemotherapy with bevacizumab in second-line treatment with higher BMI compared with normal weight patients have better prognosis in terms of PFS and OS. In this group, we found no evidence of changes in safety profile depending on BMI. Nevertheless, further large randomized studies are needed to assess the body weight on the effectiveness of chemotherapy in combination with bevacizumab., Competing Interests: The authors declare no conflict of interest., (Copyright: © 2020 Termedia Sp. z o. o.)- Published
- 2020
- Full Text
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39. The risk of gastric cancer in carriers of CHEK2 mutations.
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Teodorczyk U, Cybulski C, Wokołorczyk D, Jakubowska A, Starzyńska T, Lawniczak M, Domagała P, Ferenc K, Marlicz K, Banaszkiewicz Z, Wiśniowski R, Narod SA, and Lubiński J
- Subjects
- Adult, Aged, Aged, 80 and over, Case-Control Studies, Female, Genotype, Humans, Male, Middle Aged, Prognosis, Young Adult, Checkpoint Kinase 2 genetics, Genetic Predisposition to Disease, Heterozygote, Mutation genetics, Stomach Neoplasms genetics
- Abstract
CHEK2 is a tumor suppressor gene whose functions are central to the induction of cell cycle arrest and apoptosis following DNA damage. Mutations in CHEK2 have been associated with cancers at many sites, including breast and prostate cancers, but the relationship between CHEK2 and gastric cancer has not been extensively studied. In Poland, there are four known founder alleles of CHEK2; three alleles are protein truncating (1100delC, IVS2G>A, del5395) and the other is a missense variant (I157T). We examined the frequencies of four Polish founder mutations in the CHEK2 gene in 658 unselected gastric cancer patients, in 154 familial gastric cancer patients and in 8,302 controls. A CHEK2 mutation was seen in 57 of 658 (8.7 %) unselected patients with gastric cancer compared to 480 of 8,302 (5.8 %) controls (OR 1.6, p = 0.004). A CHEK2 mutation was present in 19 of 154 (12.3 %) familial cases (OR = 2.3, p = 0.001). The odds ratio for early onset (<50 years) gastric cancer was higher (2.1, p = 0.01), than for cases diagnosed at age of 50 or above (OR 1.4, p = 0.05). Truncating mutations of CHEK2 were associated with higher risk (OR = 2.1, p = 0.02) than the missense mutation I157T (OR = 1.4, p = 0.04). CHEK2 mutations predispose to gastric cancer, in particular to young-onset cases.
- Published
- 2013
- Full Text
- View/download PDF
40. BRCA1 mutations and colorectal cancer in Poland.
- Author
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Suchy J, Cybulski C, Górski B, Huzarski T, Byrski T, Dębniak T, Gronwald J, Jakubowska A, Wokołorczyk D, Kurzawski G, Kładny J, Jawień A, Banaszkiewicz Z, Wiśniowski R, Wandzel P, Starzewski J, Lorenc Z, Korobowicz E, Krokowicz P, Horbacka K, Lubiński J, and Narod SA
- Subjects
- Adult, Age of Onset, Aged, Aged, 80 and over, Case-Control Studies, Colorectal Neoplasms pathology, DNA Mutational Analysis, DNA, Neoplasm genetics, Female, Founder Effect, Genotype, Heterozygote, Humans, Incidence, Male, Middle Aged, Odds Ratio, Poland, Polymerase Chain Reaction, Risk Factors, Young Adult, BRCA1 Protein genetics, Colorectal Neoplasms genetics, Genetic Predisposition to Disease, Germ-Line Mutation genetics
- Abstract
Evidence to date that germline mutations in the tumor suppressor gene BRCA1 increase the incidence of colorectal cancer is mixed, and both positive and negative results have been reported. To establish whether or not inherited variation in BRCA1 influences the risk of colorectal cancer, we genotyped 2,398 unselected patients with colorectal cancer and 4,570 controls from Poland for three BRCA1 founder mutations (C61G, 4153delA and 5382insC). A BRCA1 mutation was present in 0.42% of unselected cases of colorectal cancer and in 0.48% of controls (OR = 0.8; P = 0.8). The mutation frequency was slightly higher (0.93%) in 321 cases who reported a family history of colon cancer in a first- or second-degree relative (OR = 1.9; P = 0.5). A BRCA1 mutation was also seen in excess (0.82%) in 851 cases who were diagnosed with colorectal cancer at age 60 or earlier (OR = 1.7; P = 0.3). The mean age at onset in carriers was 7 years younger than in non-carriers (57.0 years vs. 64.0) and the difference was significant (P = 0.05). This study suggests that BRCA1 mutations may be associated with early-onset of colorectal cancer.
- Published
- 2010
- Full Text
- View/download PDF
41. CHEK2 mutations and HNPCC-related colorectal cancer.
- Author
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Suchy J, Cybulski C, Wokołorczyk D, Oszurek O, Górski B, Debniak T, Jakubowska A, Gronwald J, Huzarski T, Byrski T, Dziuba I, Gogacz M, Wiśniowski R, Wandzel P, Banaszkiewicz Z, Kurzawski G, Kładny J, Narod SA, and Lubiński J
- Subjects
- Adaptor Proteins, Signal Transducing genetics, Case-Control Studies, Checkpoint Kinase 2, Colorectal Neoplasms, Hereditary Nonpolyposis pathology, DNA Mismatch Repair, DNA-Binding Proteins genetics, Family, Female, Gene Expression Regulation, Neoplastic, Genotype, Humans, Male, MutL Protein Homolog 1, MutS Homolog 2 Protein genetics, Neoplasm Staging, Nuclear Proteins genetics, Prognosis, Survival Rate, Colorectal Neoplasms, Hereditary Nonpolyposis genetics, Endometrial Neoplasms genetics, Mutation, Missense genetics, Protein Serine-Threonine Kinases genetics
- Abstract
Recently, the 1100delC variant of cell cycle checkpoint kinase 2 (CHEK2) has been reported to confer a colorectal cancer risk in hereditary non-polyposis-colorectal cancer (HNPCC) and HNPCC-related families in the Netherlands. To investigate whether CHEK2 mutations confer increased cancer risk in HNPCC and HNPCC-related families in Poland, we genotyped 463 probands from HNPCC and HNPCC-related families, and 5,496 controls for 4 CHEK2 alleles (1100delC, IVS2+1G>A, del5395, I157T). All 463 probands were screened for mutations in the HNPCC-related genes MSH2, MLH1 and MSH6. A positive association was observed for HNPCC-related cancer and the I157T missense CHEK2 mutation (OR = 1.7; p = 0.007), but not for the truncating alleles (OR = 1.0; p = 1.0). The association with the I157T was seen both for the 117 cases who fulfill Amsterdam criteria (OR = 1.9; p = 0.1) and for the 346 cases who do not fulfill the criteria (OR = 1.6; p = 0.03). One hundred forty-five of the 463 families had a mutation in MSH2, MLH1 or MSH6 (MMR-positive families). A positive association between the CHEK2 I157T mutation and HNPCC-related cancer was observed only for MMR-negative cases (OR = 2.1; p = 0.0004), but not for MMR-positive cases (OR = 0.8; p = 0.9). The association with I157T was particularly strong for MMR-negative cases with familial colorectal cancer (2 or more first-degree relatives affected) (OR = 2.5; p < 0.0001). We conclude that the I157T variant of CHEK2 increases the risk of colorectal cancer among MMR-negative, HNPCC/HNPCC-related families in Poland.
- Published
- 2010
- Full Text
- View/download PDF
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