Related Experiment Video
Updated: Feb 21, 2026

Author Spotlight: Creating a Versatile Experimental Autoimmune Encephalomyelitis Model Relevant for Both Male and Female Mice
Published on: October 13, 2023
Genetic risk factors for pediatric-onset multiple sclerosis
Milena A Gianfrancesco1, Pernilla Stridh2, Xiaorong Shao1
1Division of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, CA, USA.
Insights
Genetic factors significantly influence pediatric-onset multiple sclerosis (POMS). Many adult multiple sclerosis (MS) risk variants are also linked to POMS, indicating shared genetic underpinnings between pediatric and adult forms of the disease.
Area of Science:
- Genetics
- Immunology
- Neurology
Background:
- Pediatric-onset multiple sclerosis (POMS) is influenced by both genetic and environmental factors.
- Understanding the genetic basis of POMS is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate the association between established adult multiple sclerosis (MS) risk variants and susceptibility to POMS.
- To compare the genetic risk profiles of POMS cases with adult MS cases.
Main Methods:
- Utilized logistic regression and meta-analyses on data from 569 POMS cases and 16,251 controls from the US and Sweden.
- Assessed individual risk variants and a weighted genetic risk score (wGRS) for non-MHC variants.
- Compared results with 7,588 adult MS cases.
Main Results:
- The HLA-DRB1*15:01 variant showed a strong association with POMS (ORmeta = 2.95).
- 28% of non-MHC variants were associated with POMS, with a higher average burden in POMS cases compared to adult MS cases.
- The wGRS was strongly associated with POMS (ORmeta = 2.77), and additional MHC risk variants were identified.
Conclusions:
- Pediatric and adult MS share numerous genetic variants, suggesting similar underlying biological mechanisms.
- Genetic factors beyond HLA-DRB1*15:01 and HLA-A*02 in the MHC region are also associated with POMS susceptibility.
Background:
Strong evidence supports the role of both genetic and environmental factors in pediatric-onset multiple sclerosis (POMS) etiology.
Objective:
We comprehensively investigated the association between established major histocompatibility complex (MHC) and non-MHC adult multiple sclerosis (MS)-associated variants and susceptibility to POMS.
Methods:
Cases with onset <18 years (n = 569) and controls (n = 16,251) were included from the United States and Sweden. Adjusted logistic regression and meta-analyses were performed for individual risk variants and a weighted genetic risk score (wGRS) for non-MHC variants. Results were compared to adult MS cases (n = 7588).
Results:
HLA-DRB1*15:01 was strongly associated with POMS (odds ratio (OR)meta = 2.95, p < 2.0 × 10-16). Furthermore, 28 of 104 non-MHC variants studied (23%) were associated (p < 0.05); POMS cases carried, on average, a higher burden of these 28 variants compared to adults (ORavg = 1.24 vs 1.13, respectively), though the difference was not significant. The wGRS was strongly associated with POMS (ORmeta = 2.77, 95% confidence interval: 2.33, 3.32, p < 2.0 × 10-16) and higher, on average, when compared to adult cases. Additional class III risk variants in the MHC region associated with POMS were revealed after accounting for HLA-DRB1*15:01 and HLA-A*02.
Conclusion:
Pediatric and adult MS share many genetic variants suggesting similar biological processes are present. MHC variants beyond HLA-DRB1*15:01 and HLA-A*02 are also associated with POMS.
More Related Videos
05:55Author Spotlight: Novel Assay for Studying B-Cell Responses in Multiple Sclerosis Research
Published on: December 1, 2023
08:04Identification and Classification of Position-specific GABAA Receptor Subunit Missense Variants for Their Role In Hippocampal Pyramidal Neurons
Published on: June 6, 2025
Related Concept Videos
Pedigree Analysis
Human Genetics
The complex relationship between genetics and psychology is observable through common biological components such...
Sex-linked Disorders
Biological Causes of Schizophrenia
Genetic Factors in Schizophrenia
The genetic basis of schizophrenia is strongly supported by family and twin...
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Cancer Prevention
Some...