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024 7 _ |a 10.1177/13524585211022011
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024 7 _ |a 1477-0970
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037 _ _ |a DKFZ-2021-01308
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Wu, Jing
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245 _ _ |a High antibody levels against human herpesvirus-6A interact with lifestyle factors in multiple sclerosis development.
260 _ _ |a London
|c 2022
|b Sage
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500 _ _ |a 2022 Mar;28(3):383-392
520 _ _ |a Infection with human herpesvirus 6A (HHV-6A) has been suggested to increase multiple sclerosis (MS) risk. However, potential interactions between HHV-6A and environmental/lifestyle risk factors for MS have not previously been studied.We used two Swedish population-based case-control studies comprising 5993 cases and 5995 controls. Using logistic regression models, subjects with different HHV-6A antibody levels, environmental exposures, and lifestyle habits were compared regarding MS risk, by calculating odds ratios (ORs) with 95% confidence intervals (CIs). Potential interactions between high HHV-6A antibody levels and common environmental exposures and lifestyle factors were evaluated on the additive scale.High HHV-6A antibody levels were associated with increased risk of developing MS (OR = 1.5, 95% CI = 1.4-1.6). Regarding MS risk, significant interactions were observed between high HHV-6A antibody levels and both smoking (attributable proportion (AP) = 0.2, 95% CI = 0.1-0.3), low ultraviolet radiation (UVR) exposure (AP = 0.3, 95% CI = 0.1-0.4), and low vitamin D levels (AP = 0.3, 95% CI = 0.0-0.6).High HHV-6A antibody levels are associated with increased MS risk and act synergistically with common environmental/lifestyle risk factors for MS. Further research is needed to investigate potential mechanisms underlying the interactions presented in this study.
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650 _ 7 |a Multiple sclerosis
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650 _ 7 |a environmental risk factors
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650 _ 7 |a human herpesvirus 6A
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650 _ 7 |a interaction
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700 1 _ |a Engdahl, Elin
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700 1 _ |a Gustafsson, Rasmus
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700 1 _ |a Fogdell-Hahn, Anna
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700 1 _ |a Waterboer, Tim
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700 1 _ |a Hillert, Jan
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700 1 _ |a Olsson, Tomas
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700 1 _ |a Alfredsson, Lars
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700 1 _ |a Hedström, Anna Karin
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