Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system and, in countries populated by northern Europeans and their descendants, a leading cause of progressive neurologic dysfunction in young adults.
1 A large body of data confirms a multifactorial source, and a decade of large-scale genomic screens identified more than 100 genomic regions in which variants are associated with increased susceptibility.
2 The strongest genome-wide susceptibility locus maps to the major histocompatibility complex (MHC) (6p21.3) accounting for approximately 10.5% of the genetic variance underlying the risk for MS. This pivotal association also reflects the complexity of MS risk inheritance by harboring multiple statistically independent allelic and haplotypic effects
3,4 including 2 specific interactions involving pairs of class II alleles:
DQA1*01:01-
DRB1*15:01 and
DQB1*03:01-
DQB1*03:02.
5