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Environmental risk factors for multiple sclerosis: a review with a focus on molecular mechanisms
Cullen O'Gorman1, Robyn Lucas2, Bruce Taylor3
1School of Medicine, Griffith University, Gold Coast, Queensland 4222, Australia.
Abstract:
Multiple sclerosis (MS) is a chronic disabling disease of the central nervous system commonly affecting young adults. Pathologically, there are patches of inflammation (plaques) with demyelination of axons and oligodendrocyte loss. There is a global latitude gradient in MS prevalence, and incidence of MS is increasing (particularly in females). These changes suggest a major role for environmental factors in causation of disease. We have reviewed the evidence and potential mechanisms of action for three exposures: vitamin D, Epstein Barr virus and cigarette smoking. Recent advances supporting gene-environment interactions are reviewed. Further research is needed to establish mechanisms of causality in humans and to explore preventative strategies.
Insights
Multiple sclerosis (MS) is a disabling neurological disease. Environmental factors like vitamin D, Epstein-Barr virus, and smoking may influence MS risk, warranting further investigation into prevention.
Area of Science:
- Neurology
- Immunology
- Epidemiology
Background:
- Multiple sclerosis (MS) is a chronic, disabling central nervous system disease affecting young adults.
- Pathology involves inflammatory plaques, demyelination, and oligodendrocyte loss.
- A global latitude gradient and increasing incidence (especially in females) suggest environmental influences.
Purpose of the Study:
- To review evidence for environmental factors in MS causation.
- To explore potential mechanisms of action for vitamin D, Epstein-Barr virus, and smoking.
- To examine recent advances in gene-environment interactions for MS.
Main Methods:
- Literature review of epidemiological and mechanistic studies.
- Analysis of evidence linking vitamin D, Epstein-Barr virus, and cigarette smoking to MS.
- Synthesis of research on gene-environment interactions in MS.
Main Results:
- Evidence suggests a significant role for environmental factors in MS etiology.
- Vitamin D deficiency, Epstein-Barr virus infection, and cigarette smoking are implicated.
- Gene-environment interactions are increasingly recognized as important.
Conclusions:
- Environmental factors play a crucial role in the development of multiple sclerosis.
- Further research is essential to elucidate causal mechanisms in humans.
- Exploring preventative strategies targeting environmental exposures is a key future direction.
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