Article
A glucocorticoid receptor gene haplotype (TthIII1/ER22/23EK/9beta) is associated with a more aggressive disease course in multiple sclerosis.
The Journal of clinical endocrinology and metabolism - 1 Jun 2009
van Winsen Lisa M L, Manenschijn Laura, van Rossum Elisabeth F C, Crusius J Bart A, Crusius Bart A, Koper Jan Willem, Polman Chris H, Uitdehaag Bernard M J
Abstract excerpt
CONTEXT: In patients with multiple sclerosis (MS), glucocorticoids (GCs) might not be sufficiently able to restrain the immune system, possibly due to decreased GC sensitivity. This may be, at least partially, genetically determined. Previously, we reported a more aggressive disease course in patients with the glucocorticoid receptor (GR) gene ER22/23EK polymorphism, which has been shown to decrease GC...
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