The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
Environmental risk factors for multiple sclerosis. Part I: The role of infection
Open accessAbstract
Although genetic susceptibility explains the clustering of multiple sclerosis (MS) cases within families and the sharp decline in risk with increasing genetic distance, it cannot fully explain the geographic variations in MS frequency and the changes in risk that occur with migration. Epidemiological data provide some support for the “hygiene hypothesis,” but with the additional proviso for a key role of Epstein–Barr virus (EBV) in determining MS risk. We show that whereas EBV stands out as the only infectious agent that can explain many of the key features of MS epidemiology, by itself the link between EBV and MS cannot explain the decline in risk among migrants from high to low MS prevalence areas. This decline implies that either EBV strains in low‐risk areas have less propensity to cause MS, or that other infectious or noninfectious factors modify the host response to EBV or otherwise contribute to determine MS risk. The role of infectious factors is discussed here; in a companion article, we will examine the possible role of noninfectious factors and provide evidence that high levels of vitamin D may have a protective role, particularly during adolescence. The primary purpose of these reviews is to identify clues to the causes of MS and to evaluate the possibility of primary prevention. Ann Neurol 2007;61:288–299
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Epidemiologic evidence for multiple sclerosis as an infection
Kurtzke, J. F. (1993) · Clinical Microbiology Reviews · doi:10.1128/cmr.6.4.382 · Cited by 472
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“Although a greater degree of underrecognition of MS in the southern states as compared with the northern states in the earlier cohorts cannot be completely excluded, it is highly unlikely that it accounted for a threefold difference among individuals of similar socioeconomic status(5) and access to health care.(21) In…”
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Metadata
- Authors
- Ascherio, A., & Munger, K. L.
- Venue
- Annals of Neurology
- Publisher
- Wiley
- Published
- 2007-04
- Volume
- 61
- Issue
- 4
- Pages
- 288-299
- ISSN
- 0364-5134 (ISSN-L)
- 1531-8249
- OpenAlex
- W2139113477
- Cited by
- 1,042
- References
- 2
- FWCI
- 38.12
- Type
- journal article
- Language
- en
- Open access
- bronze
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