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Published on: September 9, 2022
Autoimmune diseases in families of French patients with multiple sclerosis
O Heinzlef1, S Alamowitch, V Sazdovitch
1Department of Neurology, Hospital Tenon, Paris, France.
Abstract:
Multiple sclerosis (MS) is associated with autoimmune disorders (AIDs) in individual patients, and limited data suggest a possible familial association of MS and AIDs; however, no systematic study has been conducted on the occurrence of AIDs in the families of MS patients. Using a standardized interview focused on AIDs, we obtained the family histories of 357 consecutive patients from our MS clinic. Adequate information was obtained on 1971 first-degree relatives. Fifty-five patients (15.4%) had first-degree relatives with MS (n=22, 6.2%) another AID (n = 30, 8.4%), or both (n = 3, 0.8%). In 16 families (4.5%), at least 3 first-degree relatives had MS or another AID. MS, Grave's disease, rheumatoid arthritis, vitiligo, type 1 insulin-dependent diabetes mellitus, and uveitis, were the most common AIDs in these families. Such multiplex families (families with MS plus AID) are appropriate for identifying susceptibility genes that may be common to MS and other AIDs.
Insights
This study found that 15.4% of multiple sclerosis (MS) patients have first-degree relatives with MS or other autoimmune disorders (AIDs). These families may help identify shared genetic factors for MS and AIDs.
Area of Science:
- Neurology
- Immunology
- Genetics
Background:
- Multiple sclerosis (MS) is an autoimmune disorder.
- MS patients often have co-occurring autoimmune disorders (AIDs).
- Familial clustering of MS and AIDs is suggested but not systematically studied.
Purpose of the Study:
- To investigate the occurrence of AIDs in first-degree relatives of MS patients.
- To identify families with both MS and other AIDs (multiplex families).
Main Methods:
- Standardized interviews were used to collect family histories of AIDs.
- 357 consecutive MS patients and 1971 first-degree relatives were analyzed.
Main Results:
- 15.4% of MS patients had relatives with MS or another AID.
- 22 relatives had MS, 30 had another AID, and 3 had both.
- 16 families (4.5%) had at least 3 relatives with MS or AIDs.
- Common AIDs included Grave's disease, rheumatoid arthritis, vitiligo, type 1 diabetes, and uveitis.
Conclusions:
- A significant proportion of MS patients have a familial history of MS or other AIDs.
- Multiplex families are valuable for identifying shared genetic susceptibilities between MS and AIDs.
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