“…The G 49 allele of CTLA-4 was associated with MS susceptibility in two Scandinavian casecontrol studies (Harbo et al, 1999;Ligers et al, 1999) as well as in Olmsted County (Kantarci et al, 2003), and may influence disease severity in Japanese MS (Fukazawa et al, 1999b). However, multiple other case-control studies found no association with MS susceptibility (Masterman et al, 2000;Rasmussen et al, 2001;Bocko et al, 2003;van Veen et al, 2003a;Bonetti et al, 2004;Teutsch et al, 2004;Fukazawa et al, 2005;Lorentzen et al, 2005;Roxburgh et al, 2006). A family-based study in Canadian MS also found no association (Dyment et al, 2004); however, familybased studies with replication in French and southern European MS found an association, especially in families carrying the HLA-DRB1*15 haplotype (Alizadeh et al, 2003).…”