2000
DOI: 10.1056/nejm200009283431307
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Multiple Sclerosis

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Cited by 3,096 publications
(2,349 citation statements)
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References 92 publications
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“…Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system and one of the most frequent neurological disorders in young adults (Noseworthy, Lucchinetti, Rodriguez, & Weinshenker, 2000). The generally recognized MS risk factor hypovitaminosis D (Ascherio & Munger, 2007;Hanwell & Banwell, 2011) is defined as a 25-hydroxyvitamin D (25(OH)D) concentration below 50 nmol/L and is prevalent in approximately 57% of German adults (Hintzpeter, Mensink, Thierfelder, Müller, & Scheidt-Nave, 2008).…”
Section: Introductionmentioning
confidence: 99%
“…Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system and one of the most frequent neurological disorders in young adults (Noseworthy, Lucchinetti, Rodriguez, & Weinshenker, 2000). The generally recognized MS risk factor hypovitaminosis D (Ascherio & Munger, 2007;Hanwell & Banwell, 2011) is defined as a 25-hydroxyvitamin D (25(OH)D) concentration below 50 nmol/L and is prevalent in approximately 57% of German adults (Hintzpeter, Mensink, Thierfelder, Müller, & Scheidt-Nave, 2008).…”
Section: Introductionmentioning
confidence: 99%
“…While MS has traditionally been considered to be a T-cell-mediated disease, there is an increasing body of evidence that B cells and autoantibodies may play a pathogenic role in this disease, providing a rationale for therapeutic approaches targeting B cells and B cell derived components of the immune system. B cells and plasma cells are commonly found in active MS plaques and the presence of cerebrospinal fluidspecific antibodies (oligoclonal bands) remains a hallmark finding in the diagnosis of MS (Noseworthy et al, 2000). In addition, myelinspecific antibodies have been identified in areas of vesicular demyelination (Genain et al, 1999), suggesting that they directly promote CNS damage, at least in a subset of MS patients .…”
Section: Introductionmentioning
confidence: 99%
“…Multiple sclerosis (MS) is a complex, chronic inflammatory, progressive neurologic disorder that is the leading cause of non‐traumatic neurologic disability in young adults 1, 2. Its aetiology is unknown, but as for many complex diseases, environmental, genetic and immunologic factors have all been implicated 1.…”
Section: Introductionmentioning
confidence: 99%
“…Its aetiology is unknown, but as for many complex diseases, environmental, genetic and immunologic factors have all been implicated 1. The most common age of onset for MS is 20–40 years, and the disease tends to be more common in women 1, 2. MS affects individuals at a productive time in their lives, has a negative impact on quality of life 3 and is associated with significant economic burden 4.…”
Section: Introductionmentioning
confidence: 99%