Differences in MS clinical and epidemiological characteristics between Ashkenazi and non-Ashkenazi Jewish patients in Israel: a retrospective single center study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
16 03 2022
Historique:
received: 28 07 2021
accepted: 08 03 2022
entrez: 17 3 2022
pubmed: 18 3 2022
medline: 6 5 2022
Statut: epublish

Résumé

The prevalence and severity of Multiple Sclerosis (MS) varies across different ethnicities, with a tendency to a more severe phenotype in non-Caucasian populations.  Our objective was to evaluate the differences in disease phenotype between Ashkenazi Jewish and Non-Ashkenazi Jewish patients in Israel. We conducted a single center retrospective cohort study in which subjects were assigned to Ashkenazi or Non-Ashkenazi groups according to self-reported ancestry and disease severity was assessed using the expanded disability status (EDSS), MS severity score (MSSS), progression index (PI) and MRI metrics. 330 Ashkenazi Jewish (AJ) and 207 Non-Ashkenazi Jewish patients (Non-AJ) were included. Non-AJ had a younger age of disease onset (32.7 years vs. 35.7 years, p = 0.05), with a lower proportion of females (62.3% vs. 73.3%, p = 0.01). These differences were maintained within the subgroup of Israeli native patients. Ethnicity was a significant predictor of MSSS (β = 0.601, p = 0.003), with a higher estimate than that of other epidemiological factors. To conclude, Non-AJ patients had an earlier age of onset and a more disabling disease as well as having a more balanced female to male ratio compared to AJ patients. These findings demonstrate variability of disease phenotype within Caucasian patient's dependent on their ethnicity despite equivalent access to healthcare services.

Identifiants

pubmed: 35296756
doi: 10.1038/s41598-022-08565-7
pii: 10.1038/s41598-022-08565-7
pmc: PMC8927451
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

4555

Informations de copyright

© 2022. The Author(s).

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Auteurs

Arnon Karni (A)

Neuroimmunology and Multiple Sclerosis Unit, Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Sagol School of Neuroscience Tel Aviv University, Tel Aviv, Israel.

Gil Ben Noon (G)

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. gil.bnoon@gmail.com.

Tamara Shiner (T)

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Sagol School of Neuroscience Tel Aviv University, Tel Aviv, Israel.

Ifat Vigiser (I)

Neuroimmunology and Multiple Sclerosis Unit, Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Hadar Kolb (H)

Neuroimmunology and Multiple Sclerosis Unit, Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Keren Regev (K)

Neuroimmunology and Multiple Sclerosis Unit, Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

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