Men with multiple sclerosis are more than twice
as likely than women with the illness to pass
it on to their children, U.S. researchers report.
"When we looked at a large population of
MS patients, when there was a parent and a child
who had MS in a family, the child with MS got
the disease twice as often from the father rather
than the mother," researcher Dr. Brian Weinshenker,
a Mayo Clinic neurologist, said in a prepared
statement.
Reporting in the July 25 issue of Neurology,
Weinshenker and his colleagues theorized that
this may be because men may have a greater "genetic
load" of MS genes compared to women.
"The hypothesis of this study is that men
are more resistant to MS, so they need stronger
or a larger number of genes in order to develop
MS, and then pass these genes to their children,"
study author Dr. Orhun Kantarci, a Mayo Clinic
neurologist, said in a prepared statement.
The fact that men are more likely to pass MS
to their children is not easily explained by hormonal
differences between women and men or by genes
on the sex chromosomes, Kantarci said.
The findings shouldn't affect how men with MS
are counseled about the risk to their children,
the researchers said. A child with an affected
parent has about a 20-fold increased risk of MS.
But the additional risk of having a father with
the disease is not enough to change current patient
counseling methods.
"The over-transmission by men is primarily
of interest to scientists studying the mechanisms
of genetic transmission of MS susceptibility,"
Kantarci said. The finding "may indicate
that nontraditional, or so-called epigenetic factors,
play some role in the transmission of MS,"
he theorized.
Eighty-five percent of MS cases have no known
cause. Among 15 percent of MS patients, a family
member within a generation is also affected by
the disease. In familial cases, no single gene
has been identified that strongly predisposes
a person to MS.