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Updated: Mar 6, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
Genetic susceptibility to multiple sclerosis: Brain structure and cognitive function in the general population
Mohammad Arfan Ikram1, Meike W Vernooij2, Gennady V Roshchupkin3
1Department of Epidemiology, Erasmus University Medical Center (Erasmus MC), Rotterdam, The Netherlands/Department of Radiology, Erasmus University Medical Center (Erasmus MC), Rotterdam, The Netherlands/Department of Neurology, Erasmus University Medical Center (Erasmus MC), Rotterdam, The Netherlands.
Genetic risk for multiple sclerosis (MS) may impact brain structure and cognitive function, even in individuals without the disease. This suggests a hidden burden of MS genetic susceptibility in the general population.
Area of Science:
- Neurogenetics
- Cognitive Neuroscience
- Neuroimaging
Background:
- Multiple sclerosis (MS) is a neurodegenerative disease with a genetic component, but most genetic risk carriers do not develop MS.
- The impact of MS-associated genetic variants on brain structure and cognition in the general population remains largely uninvestigated.
- Understanding these effects could reveal a 'hidden burden' of MS susceptibility.
Purpose of the Study:
- To investigate the effects of multiple sclerosis (MS)-associated genetic variants on brain structure and cognitive function in the general population.
- To determine if a cumulative genetic risk score for MS is associated with measurable differences in brain anatomy and cognitive performance.
- To identify specific MS genetic variants that influence cognitive domains like memory.
Main Methods:
- Utilized data from the population-based Rotterdam Study, including middle-aged and elderly participants.
- Assessed 107 known MS genetic risk variants and calculated a combined MS risk score.
- Employed magnetic resonance imaging (MRI) for brain structure analysis (N=4710) and a cognitive test battery for cognitive function assessment (N=7556).
Main Results:
- A higher MS genetic risk score was associated with reduced overall gray matter volume (p=0.044).
- No significant associations were found between individual MS variants and brain structure measures after correction for multiple testing.
- One specific variant, rs2283792, showed a significant association with poorer memory performance (p=3.4×10⁻⁵).
Conclusions:
- Genetic susceptibility to multiple sclerosis (MS) may subtly influence brain structure and cognitive abilities in individuals without the disease.
- These findings suggest a potential 'hidden burden' of MS genetic risk factors operating within the general population.
- Further research is warranted to elucidate the mechanisms linking MS genetic variants to brain health and cognitive function in non-patient populations.
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