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Updated: Feb 7, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Association of macrophage migration inhibitory factor gene promoter polymorphisms with multiple sclerosis in Turkish
A Akcali1, S Pehlivan, M Pehlivan
1Department of Neurology, Gaziantep University Faculty of Medicine, Gaziantep, Turkey. akcali@gantep.edu.tr
Abstract:
Elevated levels of macrophage migration inhibitory factor (MIF) have been observed in the cerebrospinal fluid of patients with multiple sclerosis. This study was designed to determine if MIF gene polymorphisms are associated with multiple sclerosis and disease severity. In total, 120 relapsing-remitting patients with multiple sclerosis and 120 control subjects were enrolled in the study. There was a statistically significant increase in the MIF -173 CC genotype in patients with multiple sclerosis compared with the control subjects. The MIF -794 6/7 genotype had a significantly lower progression index compared with MIF -794 6/6. Patients with the MIF -173 CC genotype had a significantly lower age of disease onset compared with those with the MIF -173 CG and MIF -173 GG genotypes. Additionally, patients with the MIF -794 5/6 genotype had a significantly later age of disease onset. This study indicates that the MIF -173 CC genotype may cause susceptibility to multiple sclerosis in the white Turkish population and a younger age of disease onset is associated with this polymorphism.
Insights
Multiple sclerosis susceptibility in Turkish Caucasians may be linked to the macrophage migration inhibitory factor (MIF) -173 CC genotype, associated with earlier disease onset. Certain MIF gene variations also correlate with disease progression.
Area of Science:
- Immunogenetics
- Neurology
- Human Genetics
Background:
- Elevated macrophage migration inhibitory factor (MIF) levels are detected in the cerebrospinal fluid of multiple sclerosis patients.
- Macrophage migration inhibitory factor (MIF) plays a role in immune regulation and inflammation.
Purpose of the Study:
- To investigate the association between macrophage migration inhibitory factor (MIF) gene polymorphisms and multiple sclerosis (MS) susceptibility.
- To determine if MIF gene polymorphisms correlate with multiple sclerosis disease severity and age of onset.
Main Methods:
- Genotyping of MIF gene polymorphisms (-173 and -794 loci) in 120 relapsing-remitting multiple sclerosis patients and 120 healthy controls.
- Statistical analysis to compare genotype frequencies between patients and controls.
- Correlation analysis between MIF genotypes and clinical parameters like progression index and age of onset.
Main Results:
- A statistically significant increase in the MIF -173 CC genotype was observed in multiple sclerosis patients compared to controls.
- The MIF -173 CC genotype was associated with a significantly earlier age of disease onset.
- The MIF -794 6/7 genotype showed a lower progression index compared to the MIF -794 6/6 genotype.
- The MIF -794 5/6 genotype was linked to a later age of disease onset.
Conclusions:
- The MIF -173 CC genotype may confer susceptibility to multiple sclerosis in the white Turkish population.
- Specific MIF gene polymorphisms are associated with variations in disease onset and progression in multiple sclerosis.
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