Etiology MS
Etiology MS
Etiology MS
It's
considered an immune mediated disease in which the
body's immune system attacks its own tissues. Immune
system malfunction destroys the fatty substance that coats
and protects nerve fibers in the brain and spinal cord.
Etiology (causative.Predisposing.Precipitating)
The cause of multiple sclerosis is unknown. It's considered an immune mediated disease in which the
body's immune system attacks its own tissues. Immune system malfunction destroys the fatty substance
that coats and protects nerve fibers in the brain and spinal cord.
According to World Health Organization, Multiple Sclerosis (MS) is a condition that happens when the
immune system attacks the brain and spinal cord. It's considered an immune mediated disease in which
the body's immune system attacks its own tissues. Immune system malfunction destroys the fatty
substance that coats and protects nerve fibers in the brain and spinal cord (Xaxis, 2022).
Predisposing
- Age (Nuerol, Front. (2022). Aging with Multiple Sclerosis: Age-Related Factors and
Socioeconomic Risks. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8965716/
Multiple Sclerosis can occur at any age, but onset usually occurs around 20 and 40 years of age.
However, younger and older people can be affected (Neurol, 2022).
- Sex (Calabresi, Peter., 2024), Multiple Sclerosis; Why are Women More at Risk.
https://www.hopkinsmedicine.org/health/conditions-and-diseases/multiple-sclerosis-ms/
multiple-sclerosis-why-are-women-more-at-risk#:~:text=According%20to%20the
%20National%20Multiple,more%20women%20are%20developing%20it.
According to the National Multiple Sclerosis Society, four times as many women have multiple
sclerosis as men and more and more women are developing it. Women typically carry more fat
on their bodies than men, and obesity rates are higher for women as well. Belly fat, in particular,
is associated with increased inflammation (Mowry, 2024)
White people, particularly those of Northern European descent, are at highest risk of developing
MS. People of Asian, African or Native American descent have the lowest risk. A recent study
suggests that the number of Black and Hispanic young adults with multiple sclerosis may be
greater than previously thought (Tobin, 2023)
Precipitating Factor
- Viral Infections. (Thomas, Olivia. (2023). Epstein–Barr virus and multiple sclerosis: moving
from questions of association to questions of mechanism.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191779/
Certain viral infections, such as Epstein-Barr virus (EBV), have been linked to an increased risk of
developing MS. Viral infections may trigger or exacerbate the autoimmune response in
susceptible individuals, leading to the onset or worsening of MS symptoms (Thomas, 2023).
- Stress Sparaco, M., Miele, G., and Lavorgna, L. (2022). Association between relapses, stress,
and depression in people with multiple sclerosis during the COVID-19 pandemic.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8799958/
Psychological stress has been associated with the exacerbation of MS symptoms in some
individuals. Stress can lead to the release of stress hormones, which may impact the immune
system and contribute to the worsening of MS symptoms (Sparaco, 2022).
- Trauma or Injury. (Harris, L., Hateley, S., and Malik, H. (2021). A Diagnosis of Multiple
Sclerosis Following Whiplash Injury: Is There a True Association.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7980313/
Physical trauma or injury, such as head trauma or spinal cord injury, can trigger the onset of MS
symptoms or exacerbate existing symptoms in individuals with MS. Trauma may cause
inflammation or damage to the central nervous system, leading to the activation of the
autoimmune response characteristic of MS (Harris, 2021).
Certain medications, such as steroids or drugs that suppress the immune system, may
precipitate the onset or exacerbation of MS symptoms in some individuals. It is essential for
individuals with MS to discuss their medications with their healthcare provider to ensure they
are not exacerbating their symptoms.
Multiple Sclerosis is characterized by an abnormal immune response, where the body's own
immune system mistakenly attacks the myelin sheath—the protective covering of nerve fibers in
the central nervous system. This autoimmune assault leads to inflammation, demyelination, and
ultimately, neurological dysfunction. Certain genetic variations are thought to increase
susceptibility to MS, although no single gene has been identified as the sole culprit. Rather, it's
likely that multiple genes interact in a complex manner, contributing to an individual's risk of
developing the condition. The exact trigger for this immune dysregulation remains elusive, but
various theories have been proposed. One hypothesis implicates viral infections as potential
instigators, with certain viruses triggering an aberrant immune response that targets myelin.
Epstein-Barr virus (EBV), in particular, has been linked to MS, as individuals with a history of
infectious mononucleosis (caused by EBV) have an increased risk of developing the condition.