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Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Familial clustering of multiple sclerosis in a Dutch genetic isolate
I A Hoppenbrouwers1, L M Pardo Cortes, Y S Aulchenko
1Department of Neurology, MS Centre ErasMS, Erasmus MC, Rotterdam 3015 GD, The Netherlands.
Abstract:
Multiple sclerosis (MS) is a complex disease with a substantial, yet poorly identified, genetic influence. We estimated the pattern of familial aggregation of MS in a recent genetically isolated population in The Netherlands. Forty-eight MS patients were identified. Their relationship was evaluated by tracing extended pedigrees, making use of municipal and church records. Of the 48 MS patients, 24 could be linked to a common ancestor in 14 generations. However, multiple relationships exist between patients and, to take these into account, we calculated inbreeding and kinship coefficients. We found that MS patients from the isolate were significantly more often related to each other and significantly more often inbred than a non-MS control group, drawn from the same isolate. There was no clustering of Type 1 diabetes and autoimmune thyroid diseases in families of MS patients from this isolate. Finally, HLA typing was performed. Although there was a trend towards a higher prevalence of the HLA DRB1*15 allele in patients compared to controls, differences did not reach significance. This study suggests familial aggregation in the genetically isolated population. The high level of inbreeding makes this population valuable for finding novel genes involved in MS.
Insights
This study found that multiple sclerosis (MS) patients in a Dutch isolate show significant familial aggregation and inbreeding. This genetically isolated population is valuable for identifying new MS genes.
Area of Science:
- Genetics
- Neurology
- Epidemiology
Background:
- Multiple sclerosis (MS) has a significant genetic component that remains incompletely understood.
- Genetically isolated populations offer unique opportunities to study disease aggregation and genetic factors.
Purpose of the Study:
- To investigate the familial aggregation of multiple sclerosis (MS) within a genetically isolated population in The Netherlands.
- To assess the degree of relatedness, inbreeding, and kinship among MS patients in this isolate.
- To explore potential associations with other autoimmune diseases and HLA alleles.
Main Methods:
- Identification of 48 MS patients from a Dutch isolate.
- Pedigree analysis using municipal and church records to trace familial relationships.
- Calculation of inbreeding and kinship coefficients for MS patients and a control group.
- HLA typing for patients and controls.
Main Results:
- A significant familial aggregation of MS was observed in the isolate.
- MS patients exhibited higher rates of relatedness and inbreeding compared to controls.
- No significant clustering of Type 1 diabetes or autoimmune thyroid diseases was found in MS families.
- A non-significant trend towards increased prevalence of the HLA DRB1*15 allele in MS patients was noted.
Conclusions:
- The study confirms familial aggregation of MS in this genetically isolated Dutch population.
- The high inbreeding level in this isolate makes it a valuable resource for discovering novel genes implicated in MS pathogenesis.
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