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Possible Chicken Pox Virus Link with MS Explored

Medical Update Memo
May 1996

A University of Manitoba neurologist's observations that Manitoba Hutterites' apparent lower rates of multiple sclerosis, chicken pox and shingles have led him to theorize there may be links between MS and the chicken pox virus (varicella zoster). Dr. Robert Ross and co-researchers Dr. Lindsay Nicolle and Mary Cheang searched the health records of more than 5,600 Hutterites and compared them with a matching group of non-Hutterites. During the survey period of 1985-1991, they found five cases of MS among Hutterites compared to 17 in the control group. Forty Hutterites reportedly had shingles (a later reoccurrence of chicken pox) compared to 76 people in the control group. Immunity to chicken pox -- which signifies a past infection -- was greater in the control group compared to the Hutterites, meaning that Hutterites experienced fewer cases of chicken pox.

What the significance of these observations means is not yet clear. Dr. William J. McIlroy, national medical advisor, pointed out that others have observed that Hutterites have much lower rates of MS, leading to speculation that something in their genetic make-up protects them from the disease. Hutterites in Canada trace their background to a close-knit religious group that originated in 16th century Austria. The largest populations of Hutterites in Canada are found in Manitoba and Alberta.

Dr. McIlroy also noted that over the years a number of viruses have been linked to MS, but none have definitely been shown to be the cause. Many researchers now think that MS may be triggered by any one of a number of common viruses in genetically susceptible individuals. Work is underway in Canada and elsewhere to determine if a process called molecular mimicry could explain how certain viruses might trigger the body's immune system to attack myelin, causing the signs and symptoms of MS.

Researchers theorize that the immune system mistakes components of myelin for the virus because they share similar structures on the molecular level. MS Society funded researchers who are exploring this theory include Drs. Lorne Kastrukoff and Eva Thomas, University of British Columbia, and Dr. Pierre Talbot, Institut Armand-Frappier, Montreal.

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