Ewa Dwojak

Dr. Ewa Dwojak


Research Focus & Metrics

Academic Career Length

3Years (2024-Present)

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

Representative Publications

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12 April 2025 in Cells
Verified
Journal Article
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PZPawel Zielinski
Pawel Zielinski
Maria StępieńMaria Stępień
Maria Stępień
HGHanna Gryczka
Hanna Gryczka
KKKateryna Kalyta
Kateryna Kalyta
JCJoanna Czerniak
Joanna Czerniak
PDPaula Dobosz
Paula Dobosz
Lung cancer with the highest number of new cases diagnosed in Europe and in Poland, remains an example of malignancy with a very poor prognosis despite the recent progress in medicine. Different treatment strategies are now available for cancer therapy based on its type, molecular subtype and other factors including overall health, the stage of disease and cancer molecular profile. Immunotherapy is emerging as a potential addition to surgery, chemotherapy, radiotherapy or other targeted therapies, but also considered a mainstay therapy mode. This combination is an area of active investigation in order to enhance efficacy and overcome resistance. Due to the complexity and dynamic of cancer’s ecosystem, novel therapeutic targets and strategies need continued research into the cellular and molecular mechanisms within the tumour microenvironment. From the genetic point of view, several signatures ranging from a few mutated genes to hundreds of them have been identified and associated with therapy resistance and metastatic potential. ML techniques and AI can enhance the predictive potential of genetic signatures and model the prognosis. Here, we present the overview of already existing treatment approaches, the current findings of key aspects of immunotherapy, such as immune checkpoint inhibitors (ICIs), existing molecular biomarkers like PD-L1 expression, tumour mutation burden, immunoscore, and neoantigens, as well as their roles as predictive markers for treatment response and resistance.

Verified
Journal Article
Open access
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EDEwa Dwojak
Ewa Dwojak
MMMagdalena Mroczek
Magdalena Mroczek
GDGrzegorz Dworacki
Grzegorz Dworacki
PDPaula Dobosz
Paula Dobosz
ASAntonina Maria Spalińska
Antonina Maria Spalińska
HGHanna Gryczka
Hanna Gryczka
There is an interplay between plasma cells, endometritis, and infertility, particularly in the context of in vitro fertilization (IVF) failure. This narrative literature review explains the pathophysiology of endometritis, detailing the involvement of various immune cells, cytokines, and chemokines in the regulation of inflammatory responses within the uterine endometrium. Here, we discuss the physiological role of plasma cells in immunity and their detection as markers of chronic endometritis, a disease associated with reproductive disorders. Our study also highlights the importance of CD138 immunohistochemical staining in the diagnosis of chronic endometritis, emphasizing the presence of plasma cells in endometrial tissue and its association with infertility and recurrent implantation failure. Of particular interest are the proposed diagnostic criteria for chronic endometritis based on the presence of plasma cells and studies that suggest a threshold for diagnosing this condition. We highlight the importance of examining the regenerative potential of endometrial stem cells in the treatment of infertility related to endometrial disorders.

Verified
Journal Article
Open access
PDF file
AKAndrzej Kluk
Andrzej Kluk
HGHanna Gryczka
Hanna Gryczka
MBMalgorzata Braszka
Malgorzata Braszka
RARafał Ałtyn
Rafał Ałtyn
HMHanna Markiewicz
Hanna Markiewicz
PDPaula Dobosz
Paula Dobosz
Endometrial cancer is the most common gynaecologic malignancy in high-income countries, with a rising incidence largely driven by reproductive factors, obesity, and prolonged exposure to unopposed oestrogens. Although most cases are sporadic, approximately 2–5% are associated with hereditary cancer syndromes, of which Lynch syndrome represents the most important contributor. Lynch syndrome results from germline mutations in DNA mismatch repair (MMR) genes and is associated with a substantially increased lifetime risk of endometrial cancer, reaching up to 71% in carriers of MutS homologue 6 (MSH6) mutations. Hereditary cancer predisposition typically follows an autosomal dominant inheritance pattern and may be suspected based on clinical warning signs such as early disease onset, multiple primary malignancies, a strong family history, or the presence of microsatellite instability in tumour tissue. In addition to Lynch syndrome, rarer genetic conditions—including Cowden syndrome (PTEN), Li–Fraumeni syndrome (TP53), polymerase proofreading–associated polyposis (POLE/POLD1), and hereditary breast and ovarian cancer syndromes (BRCA1/2)—also contribute to hereditary endometrial cancer risk. Recognition of these genetic backgrounds is essential for accurate diagnosis, personalised surveillance, and the implementation of targeted preventive and therapeutic strategies. Despite major advances in molecular diagnostics, hereditary endometrial cancer remains frequently underdiagnosed, leading to missed opportunities for cancer prevention among affected individuals and their families. This comprehensive review summarises current evidence on hereditary predispositions to endometrial cancer, with a particular emphasis on Lynch syndrome, and discusses underlying genetic mechanisms, inheritance patterns, diagnostic strategies, and clinical implications for screening, genetic counselling, and treatment optimisation.