Evidence map›Paper›PMID 37435869›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2023

The familial risk and heritability of multiple sclerosis and its onset phenotypes: A case-control study.

Graysen Steele Boles, Jan Hillert, Ryan Ramanujam, Helga Westerlind, Tomas Olsson, Ingrid Kockum, Ali Manouchehrinia

Open access · hybridAbstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Linking Pathogenesis to Fall Risk in Multiple Sclerosis.Archives of internal medicine research · 2025
    Article
  10. Observational
  11. Article
  12. 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

7 authors at 1 institution in 1 country.

Graysen Steele BolesDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Jan HillertDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-7386-6732
Ryan RamanujamDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0001-7360-1497
Helga WesterlindClinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-3380-5342
Tomas OlssonDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Ingrid KockumDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-0867-4726
Ali ManouchehriniaThe Karolinska Neuroimmunology & Multiple Sclerosis Centre, Department of Clinical Neurosciences, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-4857-5762
Karolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe two main phenotypes of multiple sclerosis (MS), primary progressive (PPMS) and relapsing Onset (ROMS), show clinical and demographic differences suggesting possible differential risk mechanisms. Understanding the heritable features of these phenotypes could provide aetiological insight.

objectivesTo evaluate the magnitude of familial components in PPMS and ROMS and to estimate the heritability of disease phenotypes.

methodsWe used data from 25,186 MS patients of Nordic ancestry from the Swedish MS Registry between 1987 and 2019 with known disease phenotype (1593 PPMS and 16,718 ROMS) and 251,881 matched population-based controls and 3,364,646 relatives of cases and controls. Heritability was calculated using threshold-liability models. For familial odds ratios (ORs), logistic regression with robust sandwich estimator was utilized.

resultsThe OR of MS diagnosis in those with a first-degree family member with ROMS was 7.00 and 8.06 in those with PPMS. The corresponding ORs for having a second-degree family member with ROMS was 2.16 and 2.18 in PPMS. The additive genetic effect in ROMS was 0.54 and 0.22 in PPMS.

conclusionRisk of MS increases by several folds in those with a relative with MS. The likelihood of developing either disease phenotype appears independent of genetic predisposition.

Indexed as

Multiple SclerosisMultiple Sclerosis, Chronic ProgressiveMultiple Sclerosis, Relapsing-RemittingCase-Control StudiesDisease ProgressionGenetic Predisposition to DiseaseHumansPhenotypefamilial riskheritabilityMultiple sclerosisprimary progressiverelapsing onset

Identifiers

PMID37435869
PMCPMC10503245
OpenAlexW4383998487

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.