Publications by authors named "Zeina Mahayri"

Association between genomic variants and athletic performance has seen a high degree of controversy, as there is often conflicting data as far as the association of genomic variants with endurance, speed and strength is concerned. Here, findings from a thorough meta-analysis from 4228 articles exploring the association of genomic variants with athletic performance in power and endurance sports are summarized, aiming to confirm or overrule the association of genetic variants with athletic performance of all types. From the 4228 articles, only 107 were eligible for further analysis, including 37 different genes.

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Background: Statins are the most prescribed lipid-lowering drugs worldwide. The associated adverse events, especially muscle symptoms, have been frequently reported despite their perceived safety. Three pharmacogenes, the solute carrier organic anion transporter family member 1B1 (), ATP-binding cassette subfamily G member 2 (), and cytochrome P450 2C9 () are suggested as safety biomarkers for statins.

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Hypertension remains a significant health burden worldwide, re-emphasizing the outstanding need for more effective and safer antihypertensive therapeutic approaches. Genetic variation contributes significantly to interindividual variability in treatment response and adverse events, suggesting pharmacogenomics as a major approach to optimize such therapy. This review examines the molecular mechanisms underlying antihypertensives-associated adverse events and surveys existing research on pharmacogenomic biomarkers associated with these events.

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Major depression is a frequent condition which variably responds to treatment. In view of its high prevalence, the presence of treatment resistance in major depression significantly impacts on quality of life. Tailoring pharmacological treatment based on genetic polymorphisms is a current trend to personalizing pharmacological treatment in patients with major depressive disorders.

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Article Synopsis
  • Pharmacogenomic (PGx) testing is shown to be effective for tailoring cardiovascular disease (CVD) medication dosages, yet it is not routinely included in the UAE healthcare system despite the diverse population.
  • A pilot study with 160 patients analyzed genetic variations related to common CVD drugs, revealing that 46.9% of participants may need alternatives to clopidogrel, and 80% have genetic variants affecting warfarin dosing.
  • The study highlights the potential for implementing PGx-guided therapy in the UAE, emphasizing the importance of personalized medication strategies for better healthcare outcomes.
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Mendelian randomization (MR) is an epidemiological method that uses genetic variants to proxy an exposure predicting its causal association with an outcome. It occupies a valuable niche between observational studies and randomized trials. MR applications expanded lately, facilitated by the availability of big data, to include disease risk causation prediction, supporting evidence of prior observational data, identifying new drug targets, and drug repurposing.

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During the last few decades, pediatric acute lymphoblastic leukemia (ALL) cure rates have improved significantly with rates exceeding 90%. Parallel to this remarkable improvement, there has been mounting interest in the long-term health of the survivors. Consequently, modified treatment protocols have been developed and resulted in the reduction of many adverse long-term consequences.

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Over the last few years, the field of pharmacogenomics has gained considerable momentum. The advances of new genomics and bioinformatics technologies propelled pharmacogenomics towards its implementation in the clinical setting. Since 2007, and especially the last-5 years, many studies have focused on the clinical implementation of pharmacogenomics while identifying obstacles and proposed strategies and approaches for overcoming them in the real world of primary care as well as outpatients and inpatients clinics.

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Article Synopsis
  • - Paclitaxel, a widely used chemotherapy drug, is effective in treating various cancers but is associated with significant neurotoxicity and other adverse effects, prompting research into its safety profile.
  • - The review discusses mechanisms and risk factors behind paclitaxel-induced toxicities, focusing on pharmacogenomic biomarkers, with specific attention to genes linked to neuro-sensitivity as promising candidates for further investigation.
  • - Genome-wide studies have identified various candidate genes related to neuro-sensitivity, suggesting future research should explore these genes and their multifactorial influences on toxicity rather than relying solely on pharmacokinetic pathways, which have shown inconsistent results.
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Article Synopsis
  • Pharmacogenomics can improve drug treatment outcomes by using genetic testing to enhance drug effectiveness and reduce severe side effects.
  • Next-generation sequencing (NGS) allows for simultaneous genotyping of multiple pharmacogenomic loci, leading to greater data availability.
  • A study resequenced 100 pharmacogenes in Southeast Asian populations, revealing significant genetic variations that could explain differences in drug responses among populations.
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Genetic variations have an established impact on the pharmacological response. Investigating this variation resulted in a compilation of variants in "pharmacogenes". The emergence of next-generation sequencing facilitated large-scale pharmacogenomic studies and exhibited the extensive variability of pharmacogenes.

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Type 1 diabetes (T1D) is a chronic autoimmune disease with a complex interrelation of genetic and environmental factors. Genetic studies have reported HLA and non-HLA loci as significant contributors to T1D. However, the genetic basis of T1D among Emiratis is unexplored.

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Breast cancer (BC) is one of the most prevalent types of cancer worldwide with high morbidity and mortality rates. Treatment modalities include systemic therapy, in which chemotherapy is a major component in many cases. Several chemotherapeutic agents are used in combinations or as single agents with many adverse events occurring in variable frequencies.

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Variability in response to warfarin is one of the main obstacles challenging its use in clinical practice. Vitamin K epoxide reductase complex (VKORC) is the target enzyme of warfarin, and variations in the form of single nucleotide polymorphisms (SNPs) in , coding for this enzyme, are known to cause resistance to warfarin treatment. This study aimed to explore variants in Emirati patients receiving warfarin treatment and to correlate their genotypes at the studied SNPs to their maintenance warfarin dose.

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Despite the significant advances achieved in pediatric acute lymphocytic leukemia (ALL) treatment, adverse side effects of drugs remain a challenging issue. Numerous ALL pharmacogenomic studies have been conducted to elucidate the predisposing genetic factors for their development. Plausible pharmacogenomic data are available for the osteonecrosis associated with glucocorticoids, the neurotoxicity associated with vincristine and the cardiotoxicity related to anthracyclines.

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Autosomal recessive cutis laxa type 2B (ARCL2B; OMIM # 612940) is a segmental progeroid disorder caused by mutations in PYCR1 encoding pyrroline-5-carboxylate reductase 1, which is part of the conserved proline de novo synthesis pathway. Here we describe 33 patients with PYCR1-related ARCL from 27 families with initial diagnoses varying between wrinkly skin syndrome, gerodermia osteodysplastica, De Barsy syndrome or more severe progeria syndromes. Given the difficult differential diagnosis of ARCL syndromes we performed a systematic comparison of clinical features of PYCR1-related ARCL.

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