Abstract
The population prevalence of multiple sclerosis is 0.1 %1; however, the risk of the disease in the siblings of affected individuals is very much higher at 3–5%2,3. The importance2 of genetic factors in accounting for this increased risk is confirmed by the results of twin and adoption studies4–7. Despite the evidence for a strong genetic effect, a weak major histocompatibility complex (MHC) association is the only consistently observed feature in the genetics of multiple sclerosis8–11. Other candidates have been proposed, including genes encoding the immunoglobulin heavy chain12–14, T cell receptor β chain15,16 and APOC217, but none has yet been confirmed18,19. Evidence for linkage and association to the myelin basic protein gene has been reported in a genetically isolated Finnish population20, but it has not been possible to reproduce these results in other populations21,22. We used a two-stage approach to search the human genome for the genes causing susceptibility to multiple sclerosis. Two principal regions of linkage are identified, chromosomes 17q22 and 6p21 (MHC). Our results are compatible with genetic models involving epistatic interaction between these and several additional genes.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Robertson, N.P. & Compston, D.A.S. Surveying multiple sclerosis in the United Kingdom. J. Neurol. Neurosurg. Psych. 58, 2–6 (1995).
Sadovnick, A.D., Baird, P.A. & Ward, R.H. Multiple sclerosis; updated risks for relatives. Am. J. Med. Genet. 29, 533–541 (1988).
Robertson, N.P., Fraser, M., Deans, J., Clayton, D. & Compston, D.A.S. Age adjusted recurrence risks for relatives of patients with multiple sclerosis. Brain 119, 449–455 (1996).
Ebers, G.C., Bulman, D.E. & Sadovnick, A.D. A population based study of multiple sclerosis in twins. N. Eng. J. Med. 315, 1638–1642 (1986).
Sadovnick, A.D., Armstrong, H. & Rice, G.P.A. A poulation based study of multiple sclerosis in twins: updated. Ann. Neurol. 33, 281–285 (1993).
Mumford, C.J. et al. The British Isles survey of multiple sclerosis in twins. Neurology 44, 11–15 (1994).
Ebers, G.C., Sadovnick, A.D., Risch, N.J. & the Canadian Collaborative Study Group. A genetic basis for familial aggregation in multiple sclerosis. Nature 377, 150–151 (1995).
Winchester, R.J. et al. B-cell alloantigen Ag7a in multiple sclerosis. Lancet ii, 814 (1975).
Compston, D.A.S., Batchelor, J.R. & McDonald, W.I. B lymphocyte alloantigens associated with multiple sclerosis. Lancet ii, 1261–1265 (1976).
Ebers, G.C. et al. HLA typing and sibling pairs with multiple sclerosis. Lancet ii, 88–90 (1982).
Kellar Wood, H. et al. Multiple sclerosis and the HLA-D region: linkage and association studies. J. Neuroimmunol. 58, 183–190 (1995).
Walter, M.A., Gibson, W.T., Ebers, G.C. & Cox, D.W. Susceptibility to multiple sclerosis is associated with the proximal immunoglobulin heavy chain region. J. Clin. Invest. 87, 1266–1273 (1991).
Hashimoto, L., Walter, M., Cox, D. & Ebers, G.C. Immunoglobulin heavy chain variable region polymorphisms in multiple sclerosis susceptibility. J. Neuroimmunol. 44, 77–83 (1993).
Wood, N. et al. Susceptibility to multiple sclerosis and the immunoglobulin heavy chain variable region. J. Neurol. 242, 677–682 (1995).
Seboun, E. et al. A susceptibility locus for multiple sclerosis is linked to the T cell receptor beta chain complex. Cell 57, 1095–1100 (1989).
Beall, S.S., Biddison, W.E., McFarlin, D.E., McFarland, H., & Hood, L.E., Susceptibility for multiple sclerosis is determined, in part, by inheritance of a 175-kb region of the TCR V beta locus and the HIA class II genes. J. Neuroimmunol. 45, 53–60 (1993).
Pericak-Vance, M.A. et al. Segregation with markers on chromosome 19q suggest a susceptibility locus for multiple sclerosis (MS). Am. J. Hum. Genet. 55, A199 (1994).
Hillert, J. Immunoglobulin constant region gene polymorphisms in multiple sclerosis. J. Neuroimmunol. 43, 9–14 (1993).
Wood, N.W., Sawcer, S.J., Robertson, N., Clayton, D. & Compston, D.A.S., T-cell receptor beta locus and susceptibility to multiple sclerosis. Neurology 45, 1859–1863 (1995).
Tienari, P., Wikstrom, J., Sajantila, A., Palo, J. & Peltonen, L. Genetic susceptibility to multiple sclerosis linked to the myelin basic protein gene. Lancet 340, 987–991 (1993).
Rose, J. et al. Genetic susceptibility in familial multiple sclerosis not linked to myelin basic protein gene. Lancet 341, 1179–1181 (1993).
Wood, N.W., Holmans, P., Clayton, D., Robertson, N. & Compston, D.A.S. No linkage or association between multiple sclerosis and the myelin basic protein gene in affected sibling pairs. J. Neurol. Neurosurg. Psych. 57, 1191–1194 (1994).
Reed, P.W. et al. Chromosome-specific microsatellite sets for fluorescence-based, semiautomated genome mapping. Nature Genet. 7, 390–395 (1994).
Risch, N. Linkage strategies for genetically complex traits. I. Muttilocus models. Am. J. Hum. Genet. 46, 222–228 (1990).
Ott, J. Analysis of human genetic linkage. (The John Hopkins University Press, Baltimore, 1991).
Lander, E. & Kruglyak, L. Genetic dissection of complex traits: guidelines for interpreting and reporting linkage results. Nature Genet. 11, 241–247 (1995).
Suarez, B.K., Hampe, C.L. & Van-Eerdewegh, P., Genetic Approaches to Mental Disorders. (American Psychiatric Press, Washington DC, 1994).
Poser, C.M. et al. New diagnostic criteria for multiple sclerosis: guidelines for research protocols. Ann. Neurol. 13, 227–231 (1983).
Don, R.H., Cox, P.T., Wainwright, B.J., Baker, K. & Mattick, J.S. ‘Touchdown’ PCR to circumvent spurious priming during gene amplification. Nucl. Acids. Res. 19, 4008 (1991).
Kruglyak, L. & Lander, E.S. Complete multipoint sib-pair analysis of qualitative and quantitative traits. Am. J. Hum. Genet. 57, 439–454 (1995).
Holmans, P. & Clayton, D. Efficiency of typing unaffected relatives in an affected sib-pair linkage study. Am. J. Hum. Genet. 57, 1221–1232 (1995).
Holmans, P. Asymptotic properties of affected-sib-pair linkage analysis. Am. J. Hum. Genet. 52, 362–374 (1993).
Gyapay, G. et al. The 1993-94 Genethon human genetic linkage map. Nature Genet. 7, 246–339 (1994).
Davies, J.L. et al. A genome-wide search for human type 1 diabetes susceptibility genes. Nature 371, 130–136 (1994).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sawcer, S., Jones, H., Feakes, R. et al. A genome screen in multiple sclerosis reveals susceptibility loci on chromosome 6p21 and 17q22. Nat Genet 13, 464–468 (1996). https://doi.org/10.1038/ng0896-464
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1038/ng0896-464
This article is cited by
-
Proximal and distal effects of genetic susceptibility to multiple sclerosis on the T cell epigenome
Nature Communications (2021)
-
GWAS analysis implicates NF-κB-mediated induction of inflammatory T cells in multiple sclerosis
Genes & Immunity (2016)
-
Copy number variation in Y chromosome multicopy genes is linked to a paternal parent-of-origin effect on CNS autoimmune disease in female offspring
Genome Biology (2015)
-
Microarray analysis revealing common and distinct functions of promyelocytic leukemia protein (PML) and tumor necrosis factor alpha (TNFα) signaling in endothelial cells
BMC Genomics (2012)
-
A Distinct Role of CD4+ Th17- and Th17-Stimulated CD8+ CTL in the Pathogenesis of Type 1 Diabetes and Experimental Autoimmune Encephalomyelitis
Journal of Clinical Immunology (2011)