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Updated: Jun 13, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Risk factors in the development of multiple sclerosis
Kassandra L Munger1, Alberto Ascherio
1Harvard School of Public Health, Department of Nutrition, 655 Huntington Ave, Boston, MA 02115, USA. kgorham@hsph.harvard.edu
Abstract:
Multiple sclerosis (MS) is a T-cell-mediated demyelinating disease of the CNS with no known cure or cause. However, it is widely believed that MS is caused by an environmental trigger(s) in genetically susceptible individuals. Several lines of evidence suggest that infection with Epstein-Barr virus and cigarette smoking increase the risk of MS, whereas vitamin D plays a protective role. This review discusses the current evidence supporting a link between these factors and MS.
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