Genetic Epidemiology of Multiple Sclerosis – Ingrid Kockum's research group

Our aim is to identify genetic risk factors for multiple sclerosis, study their function and how they together with life-style risk factors for multiple sclerosis interact.

MS 2, Kockum

Our research

We are trying to identify novel genetic risk variants for inflammatory diseases with focus on multiple sclerosis, both in collaboration with international consortia (e.g. MultipleMS and International Multiple Sclerosis Genetic Consortium) and together with industry e.g. deCODE genetics. We are using both traditional genotyping and next generation sequencing in these studies. Currently more than 230 susceptibility variants have been identified for multiple sclerosis, the major ones being in the HLA region.

MS 2, Kockum

We are studying how multiple sclerosis genetic risk variants interact with multiple sclerosis risk life-style exposures such as smoking, and viral infections since this pinpoints which biological processes are acting together to cause multiple sclerosis. Several such interactions have been identified as that between HLA genes and smoking. We are also Mendelian randomization to study lifestyle risk factors for autoimmune diseases.

Immune response to viral infections such herpes virus infections (e.g. Epstein Barr, Cytmegalo Virus and Human Herpes Virus 6) is altered in multiple sclerosis, it is however unclear if this is a consequence of the disease or if these viral infections themselves affect the risk of developing MS. We are trying to address this by comparing genetic risk factors for serological response to these infections and genetic risk factors for multiple sclerosis. We are also investigating molecular mimicry between viral and human proteins.

Because we have access to a uniquely large and well characterized dataset of multiple sclerosis patients, we are now embarking on trying to identify genetic and life-style exposure risk factors for progression/severity of multiple sclerosis. One of the stumbling blocks here is how to measure severity and progression. We will use a variety of measures ranging from standard measures such as EDSS, to patient reported outcomes and potential biomarkers such as neurofilament light. This work will be carried out in the MultipleMS project, a Horizon2020 funded project that is coordinated by Ingrid Kockum and Maja Jagodic. In this project we will also aim to stratify patients based on genetic and life-style exposures with the aim of identify subpopulations of patients that respond differently to different treatments to achieve personalized medicine for multiple sclerosis. We are also working with identify novel biomarkers for multiple sclerosis and these stratified patient populations.

Finally we are using the rich datasets available in different national registries for persons with multiple sclerosis and population based controls. This included healthcare usage, drug prescriptions, income and much more. We are using this data as well as lifestyle exposures and genetics to try to predict individuals at increased risk of developing mutiple sclerosis and to predict disease course so that we in future can offer advice on lifestyle changes to avoid disease and aid in better use of available treatments.

 

Research projects

  • MultipleMS: Multiple manifestations of genetic and non-genetic factors in Multiple Sclerosis disentangled with a multi-omics approach to accelerate personalised medicine
  • Role of genetic and lifestyle exposures in severity/outcome of multiple sclerosis
  • Role of virus infections in risk for multiple sclerosis
  • Genetic control of immune response to viral infections with focus on herpes viruses and JC virus
  • Protein biomarkers for MS and MS severity
  • EU-STANDS4PM: A European standardization framework for data integration and data-driven in silico models for personalized medicine
  • PROPHET: A personalized prevention roadmap for the future healthcare
  • Prediction of multiple sclerosis and its outcome using AI and multimodal data.


 

 

Publications

Selected publications

  • Article: BRAIN. 2024;147(1):177-185
    Grut V; Biström M; Salzer J; Stridh P; Jons D; Gustafsson R; Fogdell-Hahn A; Huang J; Butt J; Lindam A; Alonso-Magdalena L; Bergström T; Kockum I; Waterboer T; Olsson T; Zetterberg H; Blennow K; Andersen O; Nilsson S; Sundström P
  • Article: NATURE COMMUNICATIONS. 2023;14(1):6903
    Åkesson J; Hojjati S; Hellberg S; Raffetseder J; Khademi M; Rynkowski R; Kockum I; Altafini C; Lubovac-Pilav Z; Mellergård J; Jenmalm MC; Piehl F; Olsson T; Ernerudh J; Gustafsson M
  • Article: SCIENCE ADVANCES. 2023;9(20):eadg3032
    Thomas OG; Bronge M; Tengvall K; Akpinar B; Nilsson OB; Holmgren E; Hessa T; Gafvelin G; Khademi M; Alfredsson L; Martin R; Guerreiro-Cacais AO; Grönlund H; Olsson T; Kockum I
  • Article: NATURE COMMUNICATIONS. 2023;14(1):2709
    Ollila HM; Sharon E; Lin L; Sinnott-Armstrong N; Ambati A; Yogeshwar SM; Hillary RP; Jolanki O; Faraco J; Einen M; Luo G; Zhang J; Han F; Yan H; Dong XS; Li J; Zhang J; Hong S-C; Kim TW; Dauvilliers Y; Barateau L; Lammers GJ; Fronczek R; Mayer G; Santamaria J; Arnulf I; Knudsen-Heier S; Bredahl MKL; Thorsby PM; Plazzi G; Pizza F; Moresco M; Crowe C; Van den Eeden SK; Lecendreux M; Bourgin P; Kanbayashi T; Martínez-Orozco FJ; Peraita-Adrados R; Benetó A; Montplaisir J; Desautels A; Huang Y-S; FinnGen; Jennum P; Nevsimalova S; Kemlink D; Iranzo A; Overeem S; Wierzbicka A; Geisler P; Sonka K; Honda M; Högl B; Stefani A; Coelho FM; Mantovani V; Feketeova E; Wadelius M; Eriksson N; Smedje H; Hallberg P; Hesla PE; Rye D; Pelin Z; Ferini-Strambi L; Bassetti CL; Mathis J; Khatami R; Aran A; Nampoothiri S; Olsson T; Kockum I; Partinen M; Perola M; Kornum BR; Rueger S; Winkelmann J; Miyagawa T; Toyoda H; Khor S-S; Shimada M; Tokunaga K; Rivas M; Pritchard JK; Risch N; Kutalik Z; O'Hara R; Hallmayer J; Ye CJ; Mignot EJ
  • Article: CURRENT PROTOCOLS. 2023;3(4):e727
    Kockum I; Huang J; Stridh P
  • Article: NEUROLOGY-NEUROIMMUNOLOGY & NEUROINFLAMMATION. 2023;10(1):e200056
    Starvaggi Cucuzza C; Longinetti E; Ruffin N; Evertsson B; Kockum I; Jagodic M; Al Nimer F; Frisell T; Piehl F
  • Article: ANNALS OF THE RHEUMATIC DISEASES. 2022;81(8):1085-1095
    Saevarsdottir S; Stefansdottir L; Sulem P; Thorleifsson G; Ferkingstad E; Rutsdottir G; Glintborg B; Westerlind H; Grondal G; Loft IC; Sorensen SB; Lie BA; Brink M; Ärlestig L; Arnthorsson AO; Baecklund E; Banasik K; Bank S; Bjorkman LI; Ellingsen T; Erikstrup C; Frei O; Gjertsson I; Gudbjartsson DF; Gudjonsson SA; Halldorsson GH; Hendricks O; Hillert J; Hogdall E; Jacobsen S; Jensen DV; Jonsson H; Kastbom A; Kockum I; Kristensen S; Kristjansdottir H; Larsen MH; Linauskas A; Hauge E-M; Loft AG; Ludviksson BR; Lund SH; Markusson T; Masson G; Melsted P; Moore KHS; Munk H; Nielsen KR; Norddahl GL; Oddsson A; Olafsdottir TA; Olason PI; Olsson T; Ostrowski SR; Hørslev-Petersen K; Rognvaldsson S; Sanner H; Silberberg GN; Stefansson H; Sørensen E; Sørensen IJ; Turesson C; Bergman T; Alfredsson L; Kvien TK; Brunak S; Steinsson K; Andersen V; Andreassen OA; Rantapää-Dahlqvist S; Hetland ML; Klareskog L; Askling J; Padyukov L; Pedersen OB; Thorsteinsdottir U; Jonsdottir I; Stefansson K; Members of the DBDS Genomic Consortium; Danish RA Genetics Working Group; Swedish Rheumatology Quality Register Biobank Stud
  • Article: LANCET NEUROLOGY. 2022;21(3):246-257
    Benkert P; Meier S; Schaedelin S; Manouchehrinia A; Yaldizli Ö; Maceski A; Oechtering J; Achtnichts L; Conen D; Derfuss T; Lalive PH; Mueller C; Müller S; Naegelin Y; Oksenberg JR; Pot C; Salmen A; Willemse E; Kockum I; Blennow K; Zetterberg H; Gobbi C; Kappos L; Wiendl H; Berger K; Sormani MP; Granziera C; Piehl F; Leppert D; Kuhle J; NfL Reference Database in the Swiss Multiple Scler
  • Article: MOLECULAR PSYCHIATRY. 2021;26(8):4179-4190
    Forstner AJ; Awasthi S; Wolf C; Maron E; Erhardt A; Czamara D; Eriksson E; Lavebratt C; Allgulander C; Friedrich N; Becker J; Hecker J; Rambau S; Conrad R; Geiser F; McMahon FJ; Moebus S; Hess T; Buerfent BC; Hoffmann P; Herms S; Heilmann-Heimbach S; Kockum I; Olsson T; Alfredsson L; Weber H; Alpers GW; Arolt V; Fehm L; Fydrich T; Gerlach AL; Hamm A; Kircher T; Pané-Farré CA; Pauli P; Rief W; Ströhle A; Plag J; Lang T; Wittchen H-U; Mattheisen M; Meier S; Metspalu A; Domschke K; Reif A; Hovatta I; Lindefors N; Andersson E; Schalling M; Mbarek H; Milaneschi Y; de Geus EJC; Boomsma DI; Penninx BWJH; Thorgeirsson TE; Steinberg S; Stefansson K; Stefansson H; Müller-Myhsok B; Hansen TF; Børglum AD; Werge T; Mortensen PB; Nordentoft M; Hougaard DM; Hultman CM; Sullivan PF; Nöthen MM; Woldbye DPD; Mors O; Binder EB; Rück C; Ripke S; Deckert J; Schumacher J

Members and contact

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MS 3, Kockum research group
Kockum's research group