Publications by authors named "Cesar R Najera"

We conducted an exome-wide association study of childhood acute lymphoblastic leukemia (ALL) among Hispanics to confirm and identify novel variants associated with disease risk in this population. We used a case-parent trio study design; unlike more commonly used case-control studies, this study design is ideal for avoiding issues with population stratification bias among this at-risk ethnic group. Using 710 individuals from 323 Guatemalan and US Hispanic families, two inherited SNPs in ARID5B reached genome-wide level significance: rs10821936, RR = 2.

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Background: Children of Hispanic ancestry have a higher incidence of acute lymphoblastic leukemia (ALL) compared with other ethnic groups, but to the authors' knowledge, the genetic basis for these racial disparities remain incompletely understood. Genome-wide association studies of childhood ALL to date have focused on inherited genetic effects; however, maternal genetic effects (the role of the maternal genotype on phenotype development in the offspring) also may play a role in ALL susceptibility.

Methods: The authors conducted a family-based exome-wide association study of maternal genetic effects among Hispanics with childhood B-cell ALL using the Illumina Infinium HumanExome BeadChip.

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Article Synopsis
  • Thiopurines are commonly used in cancer treatment but have a narrow therapeutic range, often causing toxic side effects linked to genetic differences in TPMT.
  • Recent research highlights NUDT15 genetic variations as significant contributors to thiopurine intolerance, yet the exact mechanisms and effects on treatment remain unclear.
  • In a study with 270 children undergoing leukemia treatment across three countries, specific NUDT15 variants were found to severely impair enzyme activity, leading to higher toxicity and suggesting that personalized treatment plans considering NUDT15 genotypes could improve patient outcomes.
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