Brown Lab

University of Alabama at Birmingham

PATHOLOGY

Birmingham · United States

NIH-funded
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NIH R01 · 2025

Role of Disadvantage, Mutographs and T Cell Immunity on MGUS in African Americans

ABSTRACT The goal of this investigation is to characterize the influence of structural racism on associations of mutational signatures and T cell immunity on the excess risk of monoclonal gammopathy of undetermined significance (MGUS) observed in African American (AA) populations. MGUS is a necessary precursor to Multiple Myeloma (MM), which is the most common blood cancer affecting AA populations. Despite the increased incidence, 5-year survival is similar by African and European ancestry suggesting that underlying differences in driver events accumulated in early-stage precursor disease provide an evolutionary trajectory that predisposes AA populations to greater risk and subsequent…

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