title: NRAMP1 polymorphism and viral factors in Sardinian multiple sclerosis patients.
abstract: BACKGROUND
  Multiple sclerosis (MS) is believed to be an autoimmune disease occurring in genetically predisposed individuals after an appropriate environmental exposure such as viral infections. Recent studies suggest a significant association between MS and the functional 5'-(GT)n polymorphism in the promoter region of the NRAMP1 gene. In the present study we aimed to evaluate the contribution of the allelic variation in the NRAMPI promoter to MS susceptibility and to study the role of viral infection in relation to specific NRAMP1 genotypes, in a Sardinian cohort.
  
  
  METHODS
  Sixty MS patients and 66 healthy individuals were genotyped, and screened for the presence of Epstein-bar virus (EBV) and JC virus (JCV) sequences.
  
  
  RESULTS
  Consistent with previous autoimmune disease studies, allele 3 at the functional 5'(GT)n promoter region repeat polymorphism, was significantly overrepresented among MS patients when compared to controls (p=0.02). The EBV and JCV sequences were detected in 8/60 (13.33%) and in 4/60 (6.66%) of MS patients respectively and in 5/66 (7.57%) and in 0/66 of controls.
  
  
  CONCLUSIONS
  The allelic variation in the NRAMP1 promoter may contribute to MS susceptibility in the Sardinian population. The viral sequences were not confined to a specific NRAMP1 genotype.
authors.affiliation: Department of Neurology, School of Medicine, University of Athens, Athens, Greece.
authors.forename: Maria
authors.initials: M
authors.lastname: Gazouli
authors.forename: Leonardo
authors.initials: L
authors.lastname: Sechi
authors.forename: Daniela
authors.initials: D
authors.lastname: Paccagnini
authors.forename: Stefano
authors.initials: S
authors.lastname: Sotgiu
authors.forename: Giannina
authors.initials: G
authors.lastname: Arru
authors.forename: George
authors.initials: G
authors.lastname: Nasioulas
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Vassilopoulos
mesh_terms: D027682:Cation Transport Proteins / Q000235:genetics* / Q000378:metabolism; D005787:Gene Frequency; D020022:Genetic Predisposition to Disease; D005838:Genotype; D004854:Herpesvirus 4, Human / Q000235:genetics; D006801:Humans; D007558:Italy; D007577:JC Virus / Q000235:genetics; D009103:Multiple Sclerosis / Q000235:genetics* / Q000821:virology; D011110:Polymorphism, Genetic; D011401:Promoter Regions, Genetic; D000099173:Natural Resistance-associated Macrophage Protein 1
chemical_list: D027682:Cation Transport Proteins; D000099173:Natural Resistance-associated Macrophage Protein 1