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Published on: December 1, 2023
The role of parental consanguinity and familial aggregation in development of multiple sclerosis: a case-control
Saeed Vaheb1, Mohammad Yazdan Panah2, Alireza Afshari-Safavi3
1Isfahan Neurosciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Background:
Several studies pointed out the importance of genetic risk factors such as parental consanguinity (PC) and familial multiple sclerosis (FMS) in the risk of MS. This study aimed to investigate the PC and FMS among people with MS (pwMS) in Isfahan, Iran.
Methods:
This case-control study was conducted on pwMS from the MS clinic of Kashani Hospital, Isfahan, Iran, in October 2023. A group of healthy controls (HC) were also recruited. Data on demographic and clinical characteristics and history of PC and FMS were collected from participants. The relationships between PC, FMS, and developing MS were assessed using multinomial logistic regression analysis. The odds ratio (OR) with a 95% confidence interval (CI) was computed.
Results:
A total number of 4264 pwMS and 400 HCs were included. The prevalence of PC and FMS among pwMS were 29.3% and 24%, respectively. Multinomial logistic regression adjusted for age and sex indicated that the odds of developing MS were significantly associated with a history of PC (OR = 3.03, 95% CI 2.23 to 4.13, p < 0.001) and FMS (OR = 5.42, 95% CI 3.51 to 8.38, p < 0.001).
Conclusion:
PC and FMS can increase the risk of developing MS. They should be considered along with other risk factors for developing MS. A comprehensive conclusion requires further research.
Insights
Parental consanguinity (PC) and familial multiple sclerosis (FMS) significantly increase the risk of developing MS. These genetic factors, alongside others, warrant consideration in MS risk assessment and future research.
Area of Science:
- Neurology
- Genetics
- Epidemiology
Background:
- Genetic factors like parental consanguinity (PC) and familial multiple sclerosis (FMS) are implicated in multiple sclerosis (MS) risk.
- Investigating PC and FMS prevalence in Iranian MS patients is crucial for understanding genetic predispositions.
Purpose of the Study:
- To determine the prevalence of parental consanguinity (PC) and familial multiple sclerosis (FMS) among people with MS (pwMS) in Isfahan, Iran.
- To assess the association between PC, FMS, and the risk of developing MS.
Main Methods:
- A case-control study involving 4264 pwMS and 400 healthy controls (HCs) from Isfahan, Iran.
- Data collection included demographic, clinical characteristics, and family history of PC and FMS.
- Multinomial logistic regression analysis was used to evaluate the relationship between PC, FMS, and MS risk.
Main Results:
- The prevalence of PC was 29.3% and FMS was 24% among pwMS.
- Adjusted analysis revealed a significant association between PC and MS risk (OR=3.03, 95% CI 2.23-4.13).
- A history of FMS was also significantly associated with increased MS risk (OR=5.42, 95% CI 3.51-8.38).
Conclusions:
- Parental consanguinity (PC) and familial multiple sclerosis (FMS) are significant risk factors for developing MS.
- These genetic factors should be considered in comprehensive MS risk assessments.
- Further research is needed to fully elucidate the role of these factors in MS etiology.
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