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      Human Endogenous Retrovirus HERV-Fc1 Association with Multiple Sclerosis Susceptibility: A Meta-Analysis

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          Abstract

          Background

          Human endogenous retroviruses (HERVs) are repetitive sequences derived from ancestral germ-line infections by exogenous retroviruses and different HERV families have been integrated in the genome. HERV-Fc1 in chromosome X has been previously associated with multiple sclerosis (MS) in Northern European populations. Additionally, HERV-Fc1 RNA levels of expression have been found increased in plasma of MS patients with active disease. Considering the North-South latitude gradient in MS prevalence, we aimed to evaluate the role of HERV-Fc1on MS risk in three independent Spanish cohorts.

          Methods

          A single nucleotide polymorphism near HERV-Fc1, rs391745, was genotyped by Taqman chemistry in a total of 2473 MS patients and 3031 ethnically matched controls, consecutively recruited from: Northern (569 patients and 980 controls), Central (883 patients and 692 controls) and Southern (1021 patients and 1359 controls) Spain. Our results were pooled in a meta-analysis with previously published data.

          Results

          Significant associations of the HERV-Fc1 polymorphism with MS were observed in two Spanish cohorts and the combined meta-analysis with previous data yielded a significant association [rs391745 C-allele carriers: p M-H = 0.0005; OR M-H (95% CI) = 1.27 (1.11–1.45)]. Concordantly to previous findings, when the analysis was restricted to relapsing remitting and secondary progressive MS samples, a slight enhancement in the strength of the association was observed [p M-H = 0.0003, OR M-H (95% CI) = 1.32 (1.14–1.53)].

          Conclusion

          Association of the HERV-Fc1 polymorphism rs391745 with bout-onset MS susceptibility was confirmed in Southern European cohorts.

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          Most cited references24

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          Multiple sclerosis--the plaque and its pathogenesis.

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            Risk alleles for multiple sclerosis identified by a genomewide study.

            Multiple sclerosis has a clinically significant heritable component. We conducted a genomewide association study to identify alleles associated with the risk of multiple sclerosis. We used DNA microarray technology to identify common DNA sequence variants in 931 family trios (consisting of an affected child and both parents) and tested them for association. For replication, we genotyped another 609 family trios, 2322 case subjects, and 789 control subjects and used genotyping data from two external control data sets. A joint analysis of data from 12,360 subjects was performed to estimate the overall significance and effect size of associations between alleles and the risk of multiple sclerosis. A transmission disequilibrium test of 334,923 single-nucleotide polymorphisms (SNPs) in 931 family trios revealed 49 SNPs having an association with multiple sclerosis (P<1x10(-4)); of these SNPs, 38 were selected for the second-stage analysis. A comparison between the 931 case subjects from the family trios and 2431 control subjects identified an additional nonoverlapping 32 SNPs (P<0.001). An additional 40 SNPs with less stringent P values (<0.01) were also selected, for a total of 110 SNPs for the second-stage analysis. Of these SNPs, two within the interleukin-2 receptor alpha gene (IL2RA) were strongly associated with multiple sclerosis (P=2.96x10(-8)), as were a nonsynonymous SNP in the interleukin-7 receptor alpha gene (IL7RA) (P=2.94x10(-7)) and multiple SNPs in the HLA-DRA locus (P=8.94x10(-81)). Alleles of IL2RA and IL7RA and those in the HLA locus are identified as heritable risk factors for multiple sclerosis. Copyright 2007 Massachusetts Medical Society.
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              Environmental factors and multiple sclerosis.

              Studies in Canada have provided strong evidence that environmental factors act at a population level to influence the unusual geographical distribution of multiple sclerosis (MS). However, the available data accommodate more than one type of environmental effect. Migration studies show that changes to early environment can greatly affect risk, and there are recent indications that risk can be altered in situ. The rising incidence rates of MS in Canada implied by longitudinal increases in sex ratio place this effect in temporal context and narrow the candidates for mediating the effect of environment. Similarly, geographical patterns in Australia imply that modifiable environmental factors hold the key to preventing some 80% of cases. Genetic epidemiology provides overwhelming evidence that genetic background has an important complementary role. If genetic factors are held constant, the environment sets the disease threshold. Although these could be independent additive risk factors, it seems more likely that susceptibility is mediated by direct interactions between the environment and genes.

                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, USA )
                1932-6203
                2014
                3 March 2014
                : 9
                : 3
                : e90182
                Affiliations
                [1 ]Immunology Dept., Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain
                [2 ]Multiple Sclerosis Unit, Neurology Dept., Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain
                [3 ]Instituto de Parasitología y Biomedicina “López Neyra”, Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
                [4 ]Neurogenomiks Group, Universidad del País Vasco (UPV/EHU), Leioa, Spain
                [5 ]Laboratorio de Investigación, Instituto de Neurociencias Clínicas, Hospital Regional Universitario, Málaga, Spain
                [6 ]Servicio de Neurología, Instituto de Neurociencias Clínicas, Hospital Regional Universitario, Málaga, Spain
                [7 ]Unidad de Esclerosis Múltiple, Hospital Virgen Macarena, Sevilla, Spain
                [8 ]Servicio de Neurología, Hospital de Basurto, Bilbao, Spain
                [9 ]Achucarro Basque Center for Neuroscience – UPV/EHU, Zamudio, Spain
                [10 ]IKERBASQUE, Basque Foundation for Science, Bilbao, Spain
                Hospital Nacional de Parapléjicos – SESCAM, Spain
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: KV FM EU. Performed the experiments: BDLH JV MGM MF IA. Analyzed the data: AA IA LL RAL. Contributed reagents/materials/analysis tools: OF GI AA RA. Wrote the paper: KV FM EU.

                Article
                PONE-D-13-44698
                10.1371/journal.pone.0090182
                3971560
                24594754
                01a323dc-dc68-4802-9488-11f9d2f94eeb
                Copyright @ 2014

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 30 October 2013
                : 27 January 2014
                Page count
                Pages: 6
                Funding
                Belén de la Hera is recipient of a PhD scholarship from “Fondo de Investigaciones Sanitarias” (FI11/00560), Jezabel Varadé benefits from a contract of “Ministerio de Economía y Competitividad” (PTA2011-6137-1) and Elena Urcelay Works for the Fundación para la Investigación Biomédica-Hospital Clínico San Carlos. This is a collaborative study promoted by “REEM: Red Española de Esclerosis Múltiple” (RETICS-REEM RD12/0032/009; www.reem.es). The funders did not play any role in: study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Biology
                Genetics
                Population Genetics
                Genetic Polymorphism
                Genetics of Disease
                Mathematics
                Statistics
                Biostatistics
                Medicine
                Clinical Immunology
                Autoimmune Diseases
                Multiple Sclerosis
                Epidemiology
                Genetic Epidemiology
                Neurology
                Demyelinating Disorders
                Multiple Sclerosis

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                Uncategorized

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