HLA-DRB1 and month of birth in multiple sclerosis.

BACKGROUND: Multiple sclerosis (MS) displays a month-of-birth effect, with an excess of individuals being born in the spring and a deficit in the winter. This effect was shown to be more pronounced in familial cases of MS. In the present study, we investigated whether this month-of-birth associatio...

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المؤلفون الرئيسيون: Ramagopalan, S, Link, J, Byrnes, J, Dyment, D, Giovannoni, G, Hintzen, R, Sundqvist, E, Kockum, I, Smestad, C, Lie, B, Harbo, H, Padyukov, L, Alfredsson, L, Olsson, T, Sadovnick, A, Hillert, J, Ebers, G
التنسيق: Journal article
اللغة:English
منشور في: 2009
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author Ramagopalan, S
Link, J
Byrnes, J
Dyment, D
Giovannoni, G
Hintzen, R
Sundqvist, E
Kockum, I
Smestad, C
Lie, B
Harbo, H
Padyukov, L
Alfredsson, L
Olsson, T
Sadovnick, A
Hillert, J
Ebers, G
author_facet Ramagopalan, S
Link, J
Byrnes, J
Dyment, D
Giovannoni, G
Hintzen, R
Sundqvist, E
Kockum, I
Smestad, C
Lie, B
Harbo, H
Padyukov, L
Alfredsson, L
Olsson, T
Sadovnick, A
Hillert, J
Ebers, G
author_sort Ramagopalan, S
collection OXFORD
description BACKGROUND: Multiple sclerosis (MS) displays a month-of-birth effect, with an excess of individuals being born in the spring and a deficit in the winter. This effect was shown to be more pronounced in familial cases of MS. In the present study, we investigated whether this month-of-birth association has any relation to the principal MS susceptibility gene, HLA-DRB1. METHODS: A total of 4,834 patients with MS, 4,056 controls, and 659 unaffected siblings from Canada, Sweden, and Norway were genotyped for the HLA-DRB1 gene. Month of birth was compared for patients, controls, and unaffected siblings with and without the MS risk allele HLA-DRB1*15. RESULTS: Significantly fewer patients with MS carrying the HLA-DRB1*15 risk allele were born in November compared with patients not carrying this allele (p = 0.02). Additionally, patients with MS carrying HLA-DRB1*15 had a higher number of April births compared with patients with MS not carrying HLA-DRB1*15 (p = 0.004). These differences were not present in controls or unaffected siblings. CONCLUSIONS: Month of birth, HLA-DRB1 genotype, and risk of multiple sclerosis are associated. The interaction of a seasonal risk factor with loci at or near HLA-DRB1 during gestation or shortly after birth is implicated.
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spelling oxford-uuid:fe6ff7f3-5bc1-4d69-be21-0c1a586123db2022-03-27T13:36:30ZHLA-DRB1 and month of birth in multiple sclerosis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:fe6ff7f3-5bc1-4d69-be21-0c1a586123dbEnglishSymplectic Elements at Oxford2009Ramagopalan, SLink, JByrnes, JDyment, DGiovannoni, GHintzen, RSundqvist, EKockum, ISmestad, CLie, BHarbo, HPadyukov, LAlfredsson, LOlsson, TSadovnick, AHillert, JEbers, G BACKGROUND: Multiple sclerosis (MS) displays a month-of-birth effect, with an excess of individuals being born in the spring and a deficit in the winter. This effect was shown to be more pronounced in familial cases of MS. In the present study, we investigated whether this month-of-birth association has any relation to the principal MS susceptibility gene, HLA-DRB1. METHODS: A total of 4,834 patients with MS, 4,056 controls, and 659 unaffected siblings from Canada, Sweden, and Norway were genotyped for the HLA-DRB1 gene. Month of birth was compared for patients, controls, and unaffected siblings with and without the MS risk allele HLA-DRB1*15. RESULTS: Significantly fewer patients with MS carrying the HLA-DRB1*15 risk allele were born in November compared with patients not carrying this allele (p = 0.02). Additionally, patients with MS carrying HLA-DRB1*15 had a higher number of April births compared with patients with MS not carrying HLA-DRB1*15 (p = 0.004). These differences were not present in controls or unaffected siblings. CONCLUSIONS: Month of birth, HLA-DRB1 genotype, and risk of multiple sclerosis are associated. The interaction of a seasonal risk factor with loci at or near HLA-DRB1 during gestation or shortly after birth is implicated.
spellingShingle Ramagopalan, S
Link, J
Byrnes, J
Dyment, D
Giovannoni, G
Hintzen, R
Sundqvist, E
Kockum, I
Smestad, C
Lie, B
Harbo, H
Padyukov, L
Alfredsson, L
Olsson, T
Sadovnick, A
Hillert, J
Ebers, G
HLA-DRB1 and month of birth in multiple sclerosis.
title HLA-DRB1 and month of birth in multiple sclerosis.
title_full HLA-DRB1 and month of birth in multiple sclerosis.
title_fullStr HLA-DRB1 and month of birth in multiple sclerosis.
title_full_unstemmed HLA-DRB1 and month of birth in multiple sclerosis.
title_short HLA-DRB1 and month of birth in multiple sclerosis.
title_sort hla drb1 and month of birth in multiple sclerosis
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