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Environmental modifiable risk factors for multiple sclerosis: Report from the 2016 ECTRIMS focused workshop
Maria Pia Amato1, Tobias Derfuss2, Bernard Hemmer3
1Department of NEUROFARBA, Section Neurosciences, University of Florence, Florence, Italy.
Summary
Understanding environmental factors like infections and vitamin D is key to managing multiple sclerosis (MS). Researching these modifiable risks offers new hope for patient counseling, prevention, and treatment strategies.
Area of Science:
- Neurology
- Immunology
- Environmental Health
Background:
- Multiple sclerosis (MS) is a complex autoimmune disease affecting the central nervous system (CNS).
- Its exact cause is unknown, but it likely involves genetic and environmental interactions.
- Identifying modifiable risk factors is crucial for better patient management and potential prevention.
Purpose of the Study:
- To review current research on environmental, modifiable risk factors for MS.
- To analyze evidence regarding factors influencing MS onset, activity, and progression.
- To identify knowledge gaps and suggest future research directions.
Main Methods:
- A focused workshop by the European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS) in 2016.
- Gathering global experts to discuss experimental and clinical research.
- Analysis of evidence on various environmental factors associated with MS.
Main Results:
- Discussed factors include infections, vitamin D deficiency, diet, lifestyle, stress, and comorbidities.
- Evidence linking these factors to MS onset and progression was evaluated.
- Inconsistencies and gaps in current knowledge were identified.
Conclusions:
- Further research is needed to fully understand the role of modifiable environmental factors in MS.
- Improved understanding can lead to enhanced patient counseling and therapeutic strategies.
- Addressing these factors may offer new avenues for MS prevention and management.

