Inverse correlation of genetic risk score with age at onset in bout-onset and progressive-onset multiple sclerosis

Author:

Sorosina Melissa1,Esposito Federica2,Guaschino Clara2,Clarelli Ferdinando1,Barizzone Nadia3,Osiceanu Ana Maria1,Brambilla Paola1,Mascia Elisabetta1,Cavalla Paola4,Gallo Paolo5,Martinelli Vittorio6,Leone Maurizio7,Comi Giancarlo2,D’Alfonso Sandra3,Martinelli Boneschi Filippo2, ,

Affiliation:

1. Laboratory of Genetics of Neurological complex Disorders, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, Milan, Italy

2. Laboratory of Genetics of Neurological complex Disorders, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, Milan, Italy/Department of Neurology, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, Milan, Italy

3. Interdisciplinary Research Centre of Autoimmune Disease IRCAD, University of Eastern Piedmont, Novara, Italy/Department of Health Sciences, University of Eastern Piedmont, Novara, Italy

4. Multiple Sclerosis Centre, AOUS Giovanni Battista di Torino, Department of Neurosciences, University of Turin, Italy

5. The Multiple Sclerosis Centre of Veneto Region, First Neurology Clinic, Department of Neurosciences, University Hospital of Padova, Padua, Italy

6. Department of Neurology, Institute of Experimental Neurology (INSPE), Division of Neuroscience, San Raffaele Scientific Institute, Milan, Italy

7. Interdisciplinary Research Centre of Autoimmune Disease IRCAD, University of Eastern Piedmont, Novara, Italy

Abstract

We correlated the weighted genetic risk score measured using 107 established susceptibility variants for multiple sclerosis (MS) with the age at onset in bout-onset (BOMS, n=906) and progressive-onset MS Italian patients (PrMS) ( n=544). We observed an opposite relationship in the two disease courses: a higher weighted genetic risk score was associated with an earlier age at onset in BOMS (rho= −0.1; p=5 × 10−3) and a later age at onset in PrMS cases (rho=0.07; p=0.15) ( p of difference of regression=1.4 × 10−2). These findings suggest that established MS risk variants anticipate the onset of the inflammatory phase, while they have no impact on, or even delay, the onset of the progressive phase.

Publisher

SAGE Publications

Subject

Clinical Neurology,Neurology

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