Michire Alexandru

Dr. Michire Alexandru


Research Focus & Metrics

Academic Career Length

5Years (2022-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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2 March 2022 in Hematology Reports
Verified
Journal Article
Open access
PDF file
AGAlexandra Gaube
Alexandra Gaube
MAMichire Alexandru
Michire Alexandru
CSCalangiu Filip Stefan
Calangiu Filip Stefan
DPDraghia Petruta-Maria
Draghia Petruta-Maria
MBMihnea Gabriel Burlacu
Mihnea Gabriel Burlacu
MGMihai Teodor Georgescu
Mihai Teodor Georgescu
Background: We conducted an analysis to check whether the ABO blood group impacts the susceptibility or protection against different types of head and neck cancers. Method: We analyzed the medical records of 61,899 cancer patients from “Prof. Dr. Alexandru Trestioreanu” Institute of Oncology from Bucharest, along with the corresponding blood group type. Data were scraped using Python. For analysis, we used Chi-square test. Results: The blood group count was A (245, 45.12%) followed by 0 (160, 24.66%), B (110, 20.26%), and AB (28, 5.16%). Hypopharyngeal cancer was associated with B group, oral cavity cancer was associated with a lower risk in patients with B group while AB patients had a higher risk for oral cavity cancer (χ2 = 36.136, df = 18, p = 0.007). Conclusion: Blood group B is associated with an increased incidence for hypopharyngeal cancer, whereas, for the oral cavity, was associated lower incidence. Blood antigen A is associated with a higher risk of oral cavity cancer development, independent of B blood antigen.

26 August 2025 in Journal of Clinical Medicine
Verified
Journal Article
Open access
PDF file
MBMARIA Alexandra BARBU
MARIA Alexandra BARBU
MGMiruna Ghigeanu
Miruna Ghigeanu
SBSarah Bahaa-Eddin
Sarah Bahaa-Eddin
MAMichire Alexandru
Michire Alexandru
AHAlexandra Hanu
Alexandra Hanu
MGMihai Teodor Georgescu
Mihai Teodor Georgescu
Background: Cervical cancer is considered to be a global health challenge, particularly in low- and middle-income countries. Romania reports one of the highest burdens in Europe due to limited access to screening and HPV vaccination. Chemoradiotherapy is standard for locally advanced disease, but the impact on quality of life (QoL) for a low- and middle-income population has not yet been explored. This study aims to evaluate the effect of chemoradiotherapy on the QoL of cervical cancer survivors in the Romanian population. Methods: This prospective observational study included 111 patients with stage I–IV cervical cancer undergoing chemoradiotherapy. QoL was assessed using the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire before, during, and after treatment. Demographic and clinical data were collected. The statistical analyses included t-tests, ANOVA, and linear mixed-effects models to evaluate changes over time and the influence of sociodemographic and treatment-related factors. Results: FACT-G scores significantly increased after treatment, with improvements in physical and functional well-being. Better before-treatment QoL was associated with urban residence, early-stage disease, marital status, and higher education. Among treatment toxicities, only nausea had a statistically significant negative effect on QoL during treatment, while other toxicities showed no significant impact. Conclusions: Chemoradiotherapy in cervical cancer patients was not associated with a substantial deterioration in quality of life during treatment and was followed by significant improvement after therapy completion. These findings highlight a favorable short-term QoL trajectory and emphasize the need for longitudinal studies to assess whether such benefits are maintained over the long term.

29 April 2022 in Gastrointestinal Disorders
Verified
Journal Article
Open access
PDF file
MAMichire Alexandru
Michire Alexandru
RARodica Maricela Anghel
Rodica Maricela Anghel
PDPetruta Maria Draghia
Petruta Maria Draghia
MBMihnea Gabriel Burlacu
Mihnea Gabriel Burlacu
TGTeodor Florin Georgescu
Teodor Florin Georgescu
AGAlexandra Gaube
Alexandra Gaube
Colorectal cancer (CRC) is one of the most common cancers and represents a major global health burden. While genetics are implicated in a portion of CRC patients, most cases are sporadic. A new possibility of tumor initiation and promotion might be microbiome composition. It was recently shown that bacteria from the gut microbiome might be used as biomarkers for CRC detection, especially Fusobacterium nucleatum, Peptostreoptococcus stomatis, Parvimonas mica, Solobacterium moorei, and Peptostreptococcus anaerobius. Conversely, the healthy gut microbiome is mostly colonized by Bacterioides (Bacterioides fragilis, vulgatus, uniformis), Firmicutes (Clostridium spp., Ruminococcus faecis, Enterococcus faecium), and Actinobacteria (Bifidobacterium bifidum). Some strains of gut bacteria favor tumor promotion through DNA and RNA damage (directly or through interaction with other known food carcinogens) and through local immune inhibition. It is possible that bacteria (e.g., Bacillus polyfermenticus, Alistipes shahii, Lactobacillus casei) exist with protective functions against tumor promotion. Despite current advances in colorectal cancer treatment, especially in the medical oncology and radiotherapy domains, surgery remains the mainstay of curative treatment for colorectal cancer patients, even in the oligometastatic setting. Surgical complications like anastomotic leakage, excessive blood loss, abscess, and abdominal sepsis can reduce 1-year and 5-year overall survival and increase the recurrence rates for these patients; therefore, we reviewed currently published data focusing on the relationship between gut microbiota and postoperative complications for colorectal cancer patients.

1 December 2022 in Internal Medicine
Verified
Journal Article
Open access
PDF file
AGAlexandra Gaube
Alexandra Gaube
MAMichire Alexandru
Michire Alexandru
IVIleana Adela Văcăroiu
Ileana Adela Văcăroiu
ABAndra Balcangiu-Stroescu
Andra Balcangiu-Stroescu
DGD.E. Georgescu
D.E. Georgescu
ACAmalia Loredana Călinoiu
Amalia Loredana Călinoiu
We report the case of a 69-year-old-female with synchronous endometrial and breast cancer. The imaging and pathology results confirmed the diagnosis. The patient underwent surgery and chemotherapy for endometrial cancer, and surgery followed by external beam radiotherapy for breast cancer. The patient’s clinical condition and imaging showed a favorable evolution after 2 months of follow-up.

25 June 2025 in Preprints.org
Verified
Preprint
Open access
PDF file
MBMARIA Alexandra BARBU
MARIA Alexandra BARBU
MGMiruna Ghigeanu
Miruna Ghigeanu
SBSarah Bahaa-Eddin
Sarah Bahaa-Eddin
MAMichire Alexandru
Michire Alexandru
AHAlexandra Hanu
Alexandra Hanu
MGMihai Teodor Georgescu
Mihai Teodor Georgescu
Cervical cancer is considered a global health challenge, particularly in low and middle-income countries. Romania reports one of the highest burdens in Europe due to limited access to screening and HPV vaccination. Chemoradiotherapy is standard for locally advanced disease, but the impact on quality of life (QoL) for this specific population has not been explored. This study aims to evaluate the effect of chemoradiotherapy on the QoL of cervical cancer survivors. This prospective observational study included 111 patients with stage I–IVA cervical cancer undergoing chemoradiotherapy. QoL was assessed using the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire at baseline, during, and after treatment. Demographic and clinical data was collected. The statistical analyses included t-tests, ANOVA, and linear mixed-effects models to evaluate changes over time and the influence of sociodemographic and treatment-related factors. FACT-G scores significantly increased after treatment with improvements in physical and functional well-being. Better baseline QoL was associated with urban residence, early-stage disease, marital status, and higher education. Among treatment toxicities, only nausea had a statistically significant negative effect on QoL during treatment, while other toxicities showed no significant impact. In conclusion, chemoradiotherapy in locally advanced cervical cancers was associated with an overall improvement in QoL, despite temporary declines during treatment. Sociodemographic disparities and nausea significantly influenced patient-reported outcomes, highlighting the importance of supportive care strategies during and after treatment.