PMID- 25480016 OWN - NLM STAT- MEDLINE DCOM- 20160404 LR - 20220311 IS - 1878-5883 (Electronic) IS - 0022-510X (Linking) VI - 348 IP - 1-2 DP - 2015 Jan 15 TI - The co-occurrence of multiple sclerosis and type 1 diabetes: shared aetiologic features and clinical implication for MS aetiology. PG - 126-31 LID - S0022-510X(14)00746-1 [pii] LID - 10.1016/j.jns.2014.11.019 [doi] AB - We reviewed the evidence for the co-occurrence of type 1 diabetes mellitus (T1D) and multiple sclerosis (MS), and assessed the clinical significance of this association and the shared aetiological features of the two diseases. T1D and MS contribute considerably to the burden of autoimmune diseases in young adults. The co-occurrence of MS and T1D has been reported by a number of studies, suggesting that the two conditions share one or more aetiological components. Both conditions have been associated with distinct human leukocyte antigen (HLA) haplotypes but share a number of similarities in clinical, epidemiological and immunological features, leading to suggestions of possible common mechanisms of development. While underlying genetic factors may be important for the co-occurrence of both conditions, some evidence suggests that environmental factors such as vitamin D deficiency may also modulate an individual's risk for the development of both conditions. Evidence on whether the co-occurrence of the two autoimmune conditions will affect the disease course and severity of MS is merely absent. Further studies need to be conducted to ascertain whether the neuropathology associated with T1D might influence the disease course and contribute to the severity of MS. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Tettey, Prudence AU - Tettey P AD - Menzies Research Institute Tasmania, University of Tasmania, Australia. FAU - Simpson, Steve Jr AU - Simpson S Jr AD - Menzies Research Institute Tasmania, University of Tasmania, Australia. FAU - Taylor, Bruce V AU - Taylor BV AD - Menzies Research Institute Tasmania, University of Tasmania, Australia. FAU - van der Mei, Ingrid A F AU - van der Mei IA AD - Menzies Research Institute Tasmania, University of Tasmania, Australia. Electronic address: ingrid.vandermei@utas.edu.au. LA - eng PT - Journal Article PT - Review DEP - 20141120 PL - Netherlands TA - J Neurol Sci JT - Journal of the neurological sciences JID - 0375403 SB - IM MH - *Comorbidity MH - Diabetes Mellitus, Type 1/epidemiology/*etiology/genetics MH - Humans MH - Multiple Sclerosis/epidemiology/*etiology/genetics OTO - NOTNLM OT - Autoimmune OT - Comorbidity OT - Latitudinal gradient OT - Multiple sclerosis OT - Type 1 diabetes OT - Ultraviolet radiation and vitamin D EDAT- 2014/12/07 06:00 MHDA- 2016/04/05 06:00 CRDT- 2014/12/07 06:00 PHST- 2014/05/29 00:00 [received] PHST- 2014/10/21 00:00 [revised] PHST- 2014/11/14 00:00 [accepted] PHST- 2014/12/07 06:00 [entrez] PHST- 2014/12/07 06:00 [pubmed] PHST- 2016/04/05 06:00 [medline] AID - S0022-510X(14)00746-1 [pii] AID - 10.1016/j.jns.2014.11.019 [doi] PST - ppublish SO - J Neurol Sci. 2015 Jan 15;348(1-2):126-31. doi: 10.1016/j.jns.2014.11.019. Epub 2014 Nov 20.