Multiple sclerosis and genetic polymorphisms in fibrinogen-mediated hemostatic pathways: a case-control study.
Gianmarco Abbadessa1, Giuseppina Miele2, Andrea Di Pietro2
1Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy. gianmarcoabbadessa@live.com.
Summary
Multiple sclerosis patients show a higher prevalence of pro-hemostatic genetic variants compared to healthy individuals. An increased number of these unfavorable alleles may elevate the risk of developing multiple sclerosis (MS).
Area of Science:
- Neuroimmunology
- Genetics
- Hematology
Background:
- Blood coagulation factors may influence central nervous system (CNS) immunity, potentially driving neuroinflammation and demyelination.
- Specific single-nucleotide polymorphisms (SNPs) in hemostatic pathways are investigated for their role in multiple sclerosis (MS) pathogenesis.
Purpose of the Study:
- To determine if specific SNPs involved in fibrinogen-mediated hemostasis are more common in MS patients than in healthy controls.
- To assess the cumulative effect of these genetic variants on MS susceptibility.
Main Methods:
- A case-control study involving 119 MS patients and 68 healthy controls.
- Calculation of a cumulative genetic risk score (CGRS) based on five selected hemostatic risk alleles.
- Application of logistic regression models to analyze the association between CGRS and MS susceptibility.
Main Results:
- The Beta-Fibrinogen (FGB) 455 G/A and Factor V H1299R variants showed potential associations with MS status.
- A cumulative association was observed between the five investigated SNPs and the disease.
Conclusions:
- MS patients exhibited a higher burden of pro-hemostatic genetic variants compared to controls.
- An increased number of unfavorable alleles correlated with a greater likelihood of MS.
- Further validation in larger, population-based cohorts is recommended.
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