No effect of preterm birth on the risk of multiple sclerosis: A population based study

Sreeram V. Ramagopalan, William Valdar, David A. Dyment, Gabriele C. DeLuca, Sarah Michelle Orton, Irene M. Yee, Maria Criscuoli, George C. Ebers, A. Dessa Dessa, V. Devonshire, P. Rieckmann, S. A. Hashimoto, J. Hooge, L. Kastrukoff, J. J.F. Oger, J. P. Smythe, A. Traboulsee, P. Smyth, L. Metz, S. WarrenW. Hader, K. Knox, G. Rice, M. Kremenchutzky, M. Freedman, D. Brunet, P. O'Connor, T. Gray, M. Hohol, P. Duquette, Y. Lapierre, T. J. Murray, V. Bhan, C. Maxner, M. Stefanelli

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)

Abstract

Background: Genetic and environmental factors have important roles in multiple sclerosis (MS) susceptibility. A clear parent of origin effect has been shown in several populations, perhaps resulting from factors operating during gestation. Preterm birth (birth at less than 37 weeks gestational age) has been shown to result in long-term health problems, including impaired neurological development. Here, in a population-based cohort, we investigate whether preterm birth increases the risk to subsequently develop MS. Methods: We identified 6585 MS index cases and 2509 spousal controls with preterm birth information from the Canadian Collaborative Project on Genetic Susceptibility to MS. Rates of individuals born preterm were compared for index cases and controls. Results: There were no significant differences between cases and controls with respect to preterm births. 370 (5.6%) MS index cases and 130 (5.2%) spousal controls were born preterm, p = 0.41. Conclusion: Preterm birth does not appear to contribute to MS aetiology. Other factors involved in foetal and early development need to be explored to elucidate the mechanism of the increased risk conferred by the apparent maternal effect.

Original languageEnglish
Article number30
JournalBMC Neurology
Volume8
DOIs
Publication statusPublished - Aug 1 2008

Bibliographical note

Funding Information:
This work was funded by the Multiple Sclerosis Society of Canada Scientific Research Foundation. S.V.R. is funded by the Medical Research Council of the United Kingdom. G.C.E. is the Action Research Professor of Clinical Neurology at the University of Oxford. The authors would like to thank all patients who generously participated in this study. The sponsor of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report. The corresponding author had full access to all the data in the study and final responsibility for the decision to submit for publication.

ASJC Scopus Subject Areas

  • Clinical Neurology

PubMed: MeSH publication types

  • Journal Article
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

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