Stefan Modzelewski

Dr. Stefan Modzelewski

Department of Psychiatry, Medical University of Białystok, Bialystok, Poland
orcid

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

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

Representative Publications

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23 April 2024 in Frontiers in Psychiatry
Verified
Journal Article
Open access
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Stefan ModzelewskiStefan Modzelewski
Stefan Modzelewski
AOAleksandra Oracz
Aleksandra Oracz
XŻXawery Żukow
Xawery Żukow
KIKamila Iłendo
Kamila Iłendo
ZŚZofia Śledzikowka
Zofia Śledzikowka
NWNapoleon Waszkiewicz
Napoleon Waszkiewicz
Premenstrual syndrome (PMS) is a common disorder affecting women of reproductive age, with an estimated global prevalence of 47.8%, with severe symptoms occurring in 3-8%, significantly affecting daily functioning. GABA conductance and changes in neurosteroid levels, particularly allopregnanolone, are suspected to play a substantial role in the disorder’s etiology. In this paper, we provide an overview of recent reports on the etiology and recognized therapeutic approaches, encompassing both pharmacological and non-pharmacological interventions. Our examination includes studies on SSRIs, hormonal agents, neurosteroids, supplementation, and therapeutic roles. We aim to determine the most favorable treatment regimen by comparing medication effects and alternative methods. The treatment of PMS is crucial for enhancing the quality of life for affected women. Medications used in PMS treatment should be individually selected to achieve the best therapeutic effect, considering the clinical situation of the patients.

16 February 2024 in Nutrients
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Journal Article
Open access
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MSMaria Suprunowicz
Maria Suprunowicz
NTNatalia Tomaszek
Natalia Tomaszek
AUAgata Dominika Urbaniak
Agata Dominika Urbaniak
KZKlaudia Zackiewicz
Klaudia Zackiewicz
Stefan ModzelewskiStefan Modzelewski
Stefan Modzelewski
Napoleon WaszkiewiczNapoleon Waszkiewicz
Napoleon Waszkiewicz
Autism spectrum disorder (ASD) is a neuropsychiatric condition characterized by impaired social interactions and repetitive stereotyped behaviors. Growing evidence highlights an important role of the gut–brain–microbiome axis in the pathogenesis of ASD. Research indicates an abnormal composition of the gut microbiome and the potential involvement of bacterial molecules in neuroinflammation and brain development disruptions. Concurrently, attention is directed towards the role of short-chain fatty acids (SCFAs) and impaired intestinal tightness. This comprehensive review emphasizes the potential impact of maternal gut microbiota changes on the development of autism in children, especially considering maternal immune activation (MIA). The following paper evaluates the impact of the birth route on the colonization of the child with bacteria in the first weeks of life. Furthermore, it explores the role of pro-inflammatory cytokines, such as IL-6 and IL-17a and mother’s obesity as potentially environmental factors of ASD. The purpose of this review is to advance our understanding of ASD pathogenesis, while also searching for the positive implications of the latest therapies, such as probiotics, prebiotics or fecal microbiota transplantation, targeting the gut microbiota and reducing inflammation. This review aims to provide valuable insights that could instruct future studies and treatments for individuals affected by ASD.

29 January 2025 in Nutrients
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Journal Article
Open access
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NTNatalia Tomaszek
Natalia Tomaszek
AUAgata Dominika Urbaniak
Agata Dominika Urbaniak
DBDaniel Bałdyga
Daniel Bałdyga
KCKamila Chwesiuk
Kamila Chwesiuk
Stefan ModzelewskiStefan Modzelewski
Stefan Modzelewski
Napoleon WaszkiewiczNapoleon Waszkiewicz
Napoleon Waszkiewicz
Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by challenges in social communication, restricted interests, and repetitive behaviors. It is also associated with a high prevalence of eating disorders, gastrointestinal (GI) symptoms, and alterations in gut microbiota composition. One of the most pressing concerns is food selectivity. Various eating disorders, such as food neophobia, avoidant/restrictive food intake disorder (ARFID), specific dietary patterns, and poor-quality diets, are commonly observed in this population, often leading to nutrient deficiencies. Additionally, gastrointestinal problems in children with ASD are linked to imbalances in gut microbiota and immune system dysregulation. The aim of this narrative review is to identify previous associations between the gut–brain axis and gastrointestinal problems in ASD. We discuss the impact of the “microbiome–gut–brain axis”, a bidirectional connection between gut microbiota and brain function, on the development and symptoms of ASD. In gastrointestinal problems associated with ASD, a ‘vicious cycle’ may play a significant role: ASD symptoms contribute to the prevalence of ARFID, which in turn leads to microbiota degradation, ultimately worsening ASD symptoms. Current data suggest a link between gastrointestinal problems in ASD and the microbiota, but the amount of evidence is limited. Further research is needed, targeting the correlation of a patient’s microbiota status, dietary habits, and disease course.

25 August 2023 in Polish Journal of Radiology
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Journal Article
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RZRadosław Zawadzki
Radosław Zawadzki
Stefan ModzelewskiStefan Modzelewski
Stefan Modzelewski
MNMaciej Naumowicz
Maciej Naumowicz
AMAleksandra Monika Matyja
Aleksandra Monika Matyja
AUAgata Dominika Urbaniak
Agata Dominika Urbaniak
BKBożena Kubas
Bożena Kubas
Cerebral toxoplasmosis is a parasitic disease resulting, in most cases, from a reactivation of a latent cyst with Toxoplasma gondii. The disease mainly affects immunosuppressed individuals, such as HIV (human immunodeficiency virus)-infected patients. Diagnosis is based on specialized antibody testing, clinical symptoms, neuroimaging methods, and histological examination. The gold standard for diagnosis is a brain biopsy, but more often the response to treatment seen in clinical symptoms and neuroimaging studies is sufficient. The imaging features support the diagnosis of cerebral toxoplasmosis and help assess the effectiveness of treatment.

11 July 2024 in Nutrients
Verified
Journal Article
Open access
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IZIzabela Zajkowska
Izabela Zajkowska
PNPatrycja Niczyporuk
Patrycja Niczyporuk
AUAgata Dominika Urbaniak
Agata Dominika Urbaniak
NTNatalia Tomaszek
Natalia Tomaszek
Stefan ModzelewskiStefan Modzelewski
Stefan Modzelewski
Napoleon WaszkiewiczNapoleon Waszkiewicz
Napoleon Waszkiewicz
Schizophrenia is a disease with a complex etiology that significantly impairs the functioning of patients. In recent years, there has been increasing focus on the importance of the gut microbiota in the context of the gut–brain axis. In our study, we analyzed data on the gut–brain axis in relation to schizophrenia, as well as the impacts of eating habits, the use of various supplements, and diets on schizophrenia. Additionally, the study investigated the impact of antipsychotics on the development of metabolic disorders, such as diabetes, dyslipidemia, and obesity. There may be significant clinical benefits to be gained from therapies supported by supplements such as omega-3 fatty acids, B vitamins, and probiotics. The results suggest the need for a holistic approach to the treatment of schizophrenia, incorporating both drug therapy and dietary interventions.

14 October 2023 in Journal of Clinical Medicine
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Journal Article
Open access
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Stefan ModzelewskiStefan Modzelewski
Stefan Modzelewski
AOAleksandra Julia Oracz
Aleksandra Julia Oracz
KIKamila Iłendo
Kamila Iłendo
ASAleksandra Sokół
Aleksandra Sokół
Napoleon WaszkiewiczNapoleon Waszkiewicz
Napoleon Waszkiewicz
Postpartum depression (PPD) is a disorder that impairs the formation of the relationship between mother and child, and reduces the quality of life for affected women to a functionally significant degree. Studying markers associated with PPD can help in early detection, prevention, or monitoring treatment. The purpose of this paper is to review biomarkers linked to PPD and to present selected theories on the pathogenesis of the disease based on data from biomarker studies. The complex etiology of the disorder reduces the specificity and sensitivity of markers, but they remain a valuable source of information to help clinicians. The biggest challenge of the future will be to translate high-tech methods for detecting markers associated with postpartum depression into more readily available and less costly ones. Population-based studies are needed to test the utility of potential PPD markers.