Journal of Pediatric Neurology 2018; 16(03): 141-147
DOI: 10.1055/s-0037-1604339
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Genetic and Environmental Risk Factors for Pediatric Multiple Sclerosis

Ilena C. George
1   Department of Neurology, Yale School of Medicine, New Haven, Connecticut, United States
,
Naila Makhani
2   Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, United States
› Author Affiliations
Further Information

Publication History

15 January 2017

16 June 2017

Publication Date:
24 July 2017 (online)

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Abstract

Both genetic and environmental risk factors may contribute to risk of multiple sclerosis (MS) in children. Genetic risk factors include the presence of the human leukocyte antigen (HLA)-DRB1*1501 allele and other non-HLA single nucleotide polymorphisms. Environmental risk factors include parental smoking, low serum vitamin D levels, and prior exposure to Epstein–Barr virus. Some of these risk factors not only confer increased susceptibility to MS but may also alter the course of the disease. How different risk factors interact is a growing area of research. In this review, we examine the current literature regarding the genetic and environmental risk factors for MS in children.

Note

Dr. George is a member of the Resident & Fellow Section of Neurology. Dr. Makhani is supported by a Junior Faculty Award from Race to Erase MS.