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No excess of autoimmune diseases in multiple sclerosis families from the Netherlands
J Y Mescheriakova1, R Q Hintzen1
1Department of Neurology, MS Centre ErasMS, Erasmus Medical Centre, Rotterdam, The Netherlands.
Objectives:
Autoimmune diseases (AIDs) cluster in families; however, to what extent AIDs co-occur in MS multiplex families with two or more affected individuals is still controversial. The study aimed to evaluate coexisting AIDs in this type of families from the Netherlands.
Materials And Methods:
A total of 155 MS multiplex families (155 MS probands, 959 first-degree relatives and 212 spouses) were characterized for a history of 11 AIDs by means of a self-administered questionnaire.
Results:
In 43.2% of MS multiplex families, at least one AID was present in the first-degree relatives. Overall, the frequency of AIDs was not significantly different between patients with MS (11%), their first-degree family members (11%) and controls (5.2%). After correction for age at inclusion and gender, the odds ratios (OR) for AIDs were not significant for patients with MS (OR = 1.8 [0.77-4.34], P = .17) and first-degree family members (OR = 2.0 [0.98-4.10], P = .06) when both compared to spouses. The frequency of AIDs in mothers did not differ from that in fathers after correction for sex bias (19% vs 8%, P = .51). A presence of AID was more often reported in maternal than paternal second-degree relatives (23% vs 10%, P = .0020).
Conclusion:
Although nearly half of the Dutch MS multiplex families reported an AID, no excess of AIDs was present in patients with MS from multiplex families or their first-degree family members compared to the spouses.
Insights
Autoimmune diseases (AIDs) are not more common in families with multiple sclerosis (MS) patients than in controls. This study found no increased risk of AIDs in MS families compared to spouses.
Area of Science:
- Neurology
- Immunology
- Genetics
Background:
- Autoimmune diseases (AIDs) tend to cluster within families.
- The co-occurrence of AIDs in families with multiple sclerosis (MS) multiplex (two or more affected individuals) is debated.
Purpose of the Study:
- To investigate the prevalence of coexisting AIDs in Dutch MS multiplex families.
Main Methods:
- A questionnaire was used to collect data on 11 AIDs from 155 MS multiplex families in the Netherlands.
- Participants included MS probands, 959 first-degree relatives, and 212 spouses.
Main Results:
- 43.2% of MS multiplex families reported at least one AID in first-degree relatives.
- The overall frequency of AIDs was similar between MS patients (11%), their first-degree relatives (11%), and spouses (not specified, but implied to be the control group).
- No significant excess of AIDs was found in MS patients or their first-degree relatives compared to spouses after adjusting for age and gender.
Conclusions:
- Despite nearly half of Dutch MS multiplex families reporting an AID, there was no evidence of increased AID prevalence in MS patients or their immediate family members compared to spouses.
- Further research may be needed to understand the familial clustering of AIDs and MS.
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