The interaction between smoking and Epstein-Barr virus as multiple sclerosis risk factors may depend on age

被引:18
作者
Salzer, Jonatan [1 ]
Stenlund, Hans [2 ]
Sundstrom, Peter [1 ]
机构
[1] Umea Univ, Neurol Sect, Dept Pharmacol & Clin Neurosci, SE-90187 Umea, Sweden
[2] Umea Univ, Dept Publ Hlth & Clin Med, SE-90187 Umea, Sweden
关键词
Epstein-Barr virus; case control study; interaction; risk factors in epidemiology; smoking; Multiple sclerosis; VITAMIN-D; ANTIBODIES;
D O I
10.1177/1352458513507820
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The multiple sclerosis (MS) risk factors smoking and remote Epstein-Barr virus (EBV) infection have been suggested to interact statistically, but the results are conflicting. In a prospective study on 192 MS cases and 384 matched controls, we analysed levels of cotinine as a marker of smoke exposure, and Epstein-Barr Nuclear Antigen-1 antibody reactivity. We assessed interaction on the additive and multiplicative scales, and estimated the effects of the risk factors across strata of each other. The results suggest that a negative interaction may be present in samples drawn at a young age, and a positive interaction among older subjects.
引用
收藏
页码:747 / 750
页数:4
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