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*MS & Genes Article*

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MS is predominantly modulated by the MHC, latest findings in genetic

research

http://jpma.org.pk/jpma/01jan06/fulltex16.htm

Haines, a world renowned Geneticist presented the findings of

the International Multiple Sclerosis Consortium (IMSC) of a genome-wide

linkage scan on affected relative pairs (ARP) (such as siblings with MS)

to locate regions of the genome likely to harbor MS genes.1 Previously

two linkage scans had identified a region in the major

histocompatibility complex (MHC) viz HLA DRB1*1501.2,3 On the basis of

concerns about the quality of genotyping data IMSC re-screened the

largest sample of ARPs to date (n=730) with the Illumina bead array

linkage mapping panel which provides 99.5% genotyping efficiency and

uses a carefully selected map of single nucleotide polymorphisms (SNP)

as markers.

The results were shocking. For a disease with a sibling relative risk of

15-40 this high quality, powerful linkage scan could only find a single

major locus on chromosome 6p (MHC). Three other minor loci were found on

chromosomes 17, 5 and 19.

Keeping this finding in view it seems that MS is predominantly modulated

by the MHC. 1. Sawcer. International Multiple Sclerosis Genetics

Consortium. A high-density screen for linkage in multiple sclerosis. Am

J Hum Genet. 2005;77:454-67. Epub 2005 Jul 29.

2. Haines. A complete genomic screen for multiple sclerosis underscores

a role for the major histocompatability complex. The Multiple Sclerosis

Genetics Group. Nat Genet. 1996;13:469-71.

3. Sawcer. A genome screen in multiple sclerosis reveals susceptibility

loci on chromosome 6p21 and 17q22. Nat Genet. 1996;13:464-8.

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