Evidence map›Paper›PMID 36725329›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2023

Gene-environment interactions increase the risk of paediatric-onset multiple sclerosis associated with household chemical exposures.

Zahra Nasr, Vinicius Andreoli Schoeps, Amin Ziaei, Akash Virupakshaiah, Cameron Adams, T Charles Casper, Michael Waltz, John Rose, Moses Rodriguez, Jan-Mendelt Tillema and 17 more

Open access · greenAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Genomic Impacts of Biological Exposures.Journal of developmental biology · 2026
    Review
  5. Epigenetic age and telomere length correlations in pediatric-onset multiple sclerosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2025
    Article
  6. A narrative review of genetic and environmental factors and risk for multiple sclerosis. The design of the Italian multicentric PEDIGREE study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 18 institutions in 3 countries.

Zahra NasrUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0001-6172-1432
Vinicius Andreoli SchoepsUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0001-8875-0567
Amin ZiaeiUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, California, USA.
Akash VirupakshaiahUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0003-2624-9974
Cameron AdamsGenetic Epidemiology and Genomics Laboratory, Divisions of Epidemiology and Biostatistics, School of Public Health, University of California Berkeley, Berkeley, California, USA.
T Charles CasperUniversity of Utah Health, Salt Lake City, Utah, USA.
Michael WaltzUniversity of Utah Health, Salt Lake City, Utah, USA.
John RoseUniversity of Utah Health, Salt Lake City, Utah, USA.
Moses RodriguezMayo Clinic, Rochester, Minnesota, USA.
Jan-Mendelt TillemaMayo Clinic, Rochester, Minnesota, USA.
Tanuja ChitnisBrigham and Women's Hospital, Harvard Medical school, Boston, Massachusetts, USA.ORCID 0000-0002-9897-4422
Jennifer S GravesUniversity of California San Diego, San Diego, California, USA.
Leslie BensonChildrens Hospital Boston, Boston, Massachusetts, USA.
Mary RenselCleveland Clinic, Cleveland, Ohio, USA.
Lauren KruppNew York University Medical Center, New York City, New York, USA.ORCID 0000-0001-7003-807X
Amy T WaldmanDivision of Child Neurology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Bianca Weinstock-GuttmanJacobs School of Medicine and Biomedical Sciences University of Buffalo, Buffalo, New York, USA.
Tim LotzeTexas Children's Hospital, Houston, Texas, USA.
Benjamin GreenbergUniversity of Texas Southwestern Medical Center, Dallas, Texas, USA.
Gregory AaenLoma Linda University Children's Hospital, Loma Linda, California, USA.
Soe MarWashington University in St. Louis, St Louis, Missouri, USA.
Teri SchreinerDenver Children's Hospital, Denver, Colorado, USA.
Janace HartUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, California, USA.
Steve Simpson-YapNeuroepidemiology Unit, The University of Melbourne School of Population and Global Health, Melbourne, Carlton, Australia.ORCID 0000-0001-6521-3056
Clementina MesarosDepartment of Systems Pharmacology and Translational Therapeutics (SPATT), University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Lisa F BarcellosGenetic Epidemiology and Genomics Laboratory, Divisions of Epidemiology and Biostatistics, School of Public Health, University of California Berkeley, Berkeley, California, USA.
Emmanuelle WaubantUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, California, USA emmanuelle.waubant@ucsf.edu.
University of California, San Francisco · USUniversity of Utah · USInstitut thématique Génétique, génomique et bioinformatique · FRMayo Clinic · USBoston Children's Hospital · USBrigham and Women's Hospital · USCalifornia University of Pennsylvania · USChildren's Hospital Colorado · USChildren's Hospital of Philadelphia · USCleveland Clinic · USColumbia University Irving Medical Center · USJacobs Institute · USLoma Linda University Children's Hospital · USSouthwestern Medical CenterTexas Children's Hospital · USUniversity of California San Diego · USUniversity of Tasmania · AUWashington University in St. Louis · US

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI A. Clementina Mesaros · 2006 to 2026
$35.3M
Environmental and genetic risk factors for pediatric MSR01NS071463 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WAUBANT, EMMANUELLE LAURENCE · 2010 to 2015
$2.8M
NIEHS NIH HHS P30 ES013508NINDS NIH HHS R01 NS071463
6 · The paper itself

Abstract

backgroundWe previously reported an association between household chemical exposures and an increased risk of paediatric-onset multiple sclerosis.

methodsUsing a case-control paediatric multiple sclerosis study, gene-environment interaction between exposure to household chemicals and genotypes for risk of paediatric-onset multiple sclerosis was estimated.Genetic risk factors of interest included the two major HLA multiple sclerosis risk factors, the presence of

results490 paediatric-onset multiple sclerosis cases and 716 controls were included in the analyses. Exposures to insect repellent for ticks or mosquitos (OR 1.47, 95% CI 1.06 to 2.04, p=0.019), weed control products (OR 2.15, 95% CI 1.51 to 3.07, p<0.001) and plant/tree insect or disease control products (OR 3.25, 95% CI 1.92 to 5.49, p<0.001) were associated with increased odds of paediatric-onset multiple sclerosis. There was significant additive interaction between exposure to weed control products and

conclusionsThe presence of gene-environment interactions with household toxins supports their possible causal role in paediatric-onset multiple sclerosis.

Indexed as

Gene-Environment InteractionMultiple SclerosisCase-Control StudiesChildGenetic Predisposition to DiseaseGenotypeHLA AntigensHLA-DRB1 ChainsHumansInterleukin-6Proto-Oncogene Proteins c-bcl-2Risk FactorsHLA AntigensHLA-DRB1 ChainsInterleukin-6Proto-Oncogene Proteins c-bcl-2geneticsmultiple sclerosispaediatric neurology

Identifiers

PMID36725329
PMCPMC10272045
OpenAlexW4318768356

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.