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Published on: May 8, 2016
Is multiple sclerosis an age-dependent host response to measles?
Abstract:
Several lines of evidence support the possibility that multiple sclerosis (M.S.) may be an age-dependent host response to measles. In animals, measles evokes different responses depending upon age at inoculation. In man, measles is already known to produce at least two age-dependent responses: risk of subacute sclerosing panencephalitis is increased among those who have had measles before 2 years of age and risk of measles encephalitis increases with age, at least during adolescence. Studies of immigrant populations indicate that an event at or before adolescence but not infancy affects risk of M.S. In the tropics where M.S. is rare, measles tends to be acquired very early in life, usually before the age of 3, whereas in temperate areas, measles tends to be acquired later, after the age of 5. A retrospective study has shown that M.S. patients tend to have had measles later than controls. Mechanisms which might underlie an age-dependent host response to measles include maturation of an immune system (k.g., number of available B cells) or change in the metabolic state of a target cell (e.g., oligocytes which change from laying down myelin to maintaining it). If the hypothesis that M.S. is a host response to later measles infection is valid, then mass measles vaccination programmes should produce a decline in the rate of M.S., but the effect may not be discernible before 1980.
Insights
Multiple sclerosis (M.S.) may be an age-dependent immune response to measles infection. Later measles exposure, rather than early childhood, appears to increase M.S. risk.
Area of Science:
- Neurology
- Immunology
- Epidemiology
Background:
- Multiple sclerosis (M.S.) is a neurological disorder with an unclear etiology.
- Measles infection is known to have age-dependent effects on the immune system and neurological outcomes.
- Previous studies suggest a link between measles exposure timing and neurological conditions.
Purpose of the Study:
- To investigate the hypothesis that multiple sclerosis (M.S.) is an age-dependent host response to measles infection.
- To explore the relationship between the age of measles acquisition and the risk of developing M.S.
Main Methods:
- Review of existing evidence on measles' age-dependent effects in animals and humans.
- Analysis of studies on immigrant populations and measles exposure.
- Examination of retrospective data comparing measles history in M.S. patients and controls.
Main Results:
- Animal studies show age-dependent responses to measles.
- Human data indicate age-dependent risks for subacute sclerosing panencephalitis and measles encephalitis.
- M.S. risk appears associated with measles exposure at or before adolescence, not infancy.
- Geographical variations in M.S. prevalence correlate with typical age of measles acquisition.
- Retrospective studies suggest M.S. patients had measles later in life compared to controls.
Conclusions:
- The findings support the hypothesis that M.S. may result from an age-dependent host response to measles.
- Potential mechanisms involve immune system maturation or changes in target cell metabolism.
- Widespread measles vaccination programs may lead to a future decline in M.S. rates.
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