PMID- 25324153 OWN - NLM STAT- MEDLINE DCOM- 20150909 LR - 20220317 IS - 1464-3685 (Electronic) IS - 0300-5771 (Print) IS - 0300-5771 (Linking) VI - 43 IP - 6 DP - 2014 Dec TI - Interaction between passive smoking and two HLA genes with regard to multiple sclerosis risk. PG - 1791-8 LID - 10.1093/ije/dyu195 [doi] AB - BACKGROUND: The recently described interaction between smoking, human leukocyte antigen (HLA) DRB1*15 and absence of HLA-A*02 with regard to multiple sclerosis (MS) risk shows that the risk conveyed by smoking differs depending on genetic background. We aimed to investigate whether a similar interaction exists between passive smoking and HLA genotype. METHODS: We used one case-control study with incident cases of MS (736 cases, 1195 controls) and one with prevalent cases (575 cases, 373 controls). Never-smokers with different genotypes and passive smoking status were compared with regard to occurrence of MS, by calculating odds ratios (ORs) with 95% confidence intervals (CIs). The potential interaction between different genotypes and passive smoking was evaluated by calculating the attributable proportion (AP) due to interaction. RESULTS: An interaction was observed between passive smoking and carriage of HLA-DRB1*15 (AP 0.3, 95% CI 0.02-0.5 in the incident study, and AP 0.4, 95% CI 0.1-0.7 in the prevalent study), as well as between passive smoking and absence of HLA-A*02. Compared with non-smokers without any of these two genetic risk factors, non-exposed subjects with the two risk genotypes displayed an OR of 4.5 (95% CI 3.3-6.1) whereas the same genotype for subjects exposed to passive smoking rendered an OR of 7.7 (95% CI 5.5-10.8). CONCLUSIONS: The risk of developing MS associated with different HLA genotypes may be influenced by exposure to passive smoking. The finding supports our hypothesis that priming of the immune response in the lungs may subsequently lead to MS in people with a genetic susceptibility to the disease. CI - (c) The Author 2014; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association. FAU - Hedstrom, Anna Karin AU - Hedstrom AK AD - Institute of Environmental Medicine, and Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden, Division of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA, Kaiser Permanente Division of Research, Oakland, CA, USA and Neuroimmunology Unit, Karolinska Institutet at Karolinska University Hospital, Solna, Sweden anna.hedstrom@ki.se. FAU - Bomfim, Izaura Lima AU - Bomfim IL AD - Institute of Environmental Medicine, and Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden, Division of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA, Kaiser Permanente Division of Research, Oakland, CA, USA and Neuroimmunology Unit, Karolinska Institutet at Karolinska University Hospital, Solna, Sweden. FAU - Barcellos, Lisa F AU - Barcellos LF AD - Institute of Environmental Medicine, and Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden, Division of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA, Kaiser Permanente Division of Research, Oakland, CA, USA and Neuroimmunology Unit, Karolinska Institutet at Karolinska University Hospital, Solna, Sweden. FAU - Briggs, Farren AU - Briggs F AD - Institute of Environmental Medicine, and Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden, Division of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA, Kaiser Permanente Division of Research, Oakland, CA, USA and Neuroimmunology Unit, Karolinska Institutet at Karolinska University Hospital, Solna, Sweden. FAU - Schaefer, Catherine AU - Schaefer C AD - Institute of Environmental Medicine, and Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden, Division of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA, Kaiser Permanente Division of Research, Oakland, CA, USA and Neuroimmunology Unit, Karolinska Institutet at Karolinska University Hospital, Solna, Sweden. FAU - Kockum, Ingrid AU - Kockum I AD - Institute of Environmental Medicine, and Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden, Division of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA, Kaiser Permanente Division of Research, Oakland, CA, USA and Neuroimmunology Unit, Karolinska Institutet at Karolinska University Hospital, Solna, Sweden. FAU - Olsson, Tomas AU - Olsson T AD - Institute of Environmental Medicine, and Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden, Division of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA, Kaiser Permanente Division of Research, Oakland, CA, USA and Neuroimmunology Unit, Karolinska Institutet at Karolinska University Hospital, Solna, Sweden. FAU - Alfredsson, Lars AU - Alfredsson L AD - Institute of Environmental Medicine, and Neuroimmunology Unit, Karolinska Institutet, Stockholm, Sweden, Division of Epidemiology, School of Public Health, University of California, Berkeley, CA, USA, Kaiser Permanente Division of Research, Oakland, CA, USA and Neuroimmunology Unit, Karolinska Institutet at Karolinska University Hospital, Solna, Sweden. LA - eng GR - R01 AI076544/AI/NIAID NIH HHS/United States GR - R01 NS049510/NS/NINDS NIH HHS/United States GR - R01NS0495103/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20141015 PL - England TA - Int J Epidemiol JT - International journal of epidemiology JID - 7802871 RN - 0 (HLA-A*02 antigen) RN - 0 (HLA-A2 Antigen) RN - 0 (HLA-DRB1 Chains) RN - 0 (HLA-DRB1*15 antigen) RN - 0 (Tobacco Smoke Pollution) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Female MH - Gene-Environment Interaction MH - Genetic Predisposition to Disease MH - HLA-A2 Antigen/*genetics MH - HLA-DRB1 Chains/*genetics MH - Humans MH - Male MH - Middle Aged MH - Multiple Sclerosis/epidemiology/*genetics MH - Protective Factors MH - Risk Factors MH - Smoking/*epidemiology MH - Sweden/epidemiology MH - Tobacco Smoke Pollution/*statistics & numerical data MH - Young Adult PMC - PMC4276064 OTO - NOTNLM OT - HLA genotype OT - Multiple sclerosis OT - case-control study OT - gene-environment interaction OT - immunology OT - passive smoking OT - smoking EDAT- 2014/10/18 06:00 MHDA- 2015/09/10 06:00 PMCR- 2014/10/14 CRDT- 2014/10/18 06:00 PHST- 2014/10/18 06:00 [entrez] PHST- 2014/10/18 06:00 [pubmed] PHST- 2015/09/10 06:00 [medline] PHST- 2014/10/14 00:00 [pmc-release] AID - dyu195 [pii] AID - 10.1093/ije/dyu195 [doi] PST - ppublish SO - Int J Epidemiol. 2014 Dec;43(6):1791-8. doi: 10.1093/ije/dyu195. Epub 2014 Oct 15.