Oral contraceptives and the risk of multiple sclerosis: A review of the epidemiologic evidence

被引:33
作者
Alonso, Alvaro [1 ,2 ]
Clark, Cari Jo [3 ]
机构
[1] Univ Minnesota, Div Epidemiol & Community Hlth, Sch Publ Hlth, Minneapolis, MN 55416 USA
[2] Univ Navarra, Dept Prevent Med & Publ Hlth, Sch Med, E-31080 Pamplona, Spain
[3] Univ Minnesota, Dept Med, Sch Med, Minneapolis, MN 55416 USA
关键词
Oral contraceptive; Multiple sclerosis; Epidemiology; Estrogens; EXPERIMENTAL AUTOIMMUNE ENCEPHALOMYELITIS; PRACTICE RESEARCH DATABASE; CENTRAL-NERVOUS-SYSTEM; DIAGNOSTIC-CRITERIA; PREGNANCY; CYTOKINE; MICE; RECRUITMENT; EXPRESSION; GUIDELINES;
D O I
10.1016/j.jns.2009.04.038
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Multiple sclerosis (MS) is more frequent in women than in men, suggesting that sex hormones could play a role in the development of MS. For this reason, several studies have assessed whether use of oral contraceptives modifies the risk of MS. In this article, we review the methodology and results of published epidemiologic studies addressing this issue. On the whole, the existing epidemiologic evidence does not support an important effect of oral contraceptive use on the risk of MS, though it does suggest that oral contraceptives might delay the onset of the disease. (C) 2009 Elsevier B.V. All rights reserved.
引用
收藏
页码:73 / 75
页数:3
相关论文
共 27 条
[1]   17β-estradiol inhibits class II major histocompatibility complex (MHC) expression:: Influence on histone modifications and CBP recruitment to the class II MHC promoter [J].
Adamski, J ;
Ma, ZD ;
Nozell, S ;
Benveniste, EN .
MOLECULAR ENDOCRINOLOGY, 2004, 18 (08) :1963-1974
[2]   Recent use of oral contraceptives and the risk of multiple sclerosis [J].
Alonso, A ;
Jick, SS ;
Olek, MJ ;
Ascherio, A ;
Jick, H ;
Hernán, MA .
ARCHIVES OF NEUROLOGY, 2005, 62 (09) :1362-1365
[3]   Temporal trends in the incidence of multiple sclerosis [J].
Alonso, Alvaro ;
Hernan, Miguel A. .
NEUROLOGY, 2008, 71 (02) :129-135
[4]   Low-dose estrogen therapy ameliorates experimental autoimmune encephalomyelitis in two different inbred mouse strains [J].
Bebo, BF ;
Fyfe-Johnson, A ;
Adlard, K ;
Beam, AG ;
Vandenbark, AA ;
Offner, H .
JOURNAL OF IMMUNOLOGY, 2001, 166 (03) :2080-2089
[5]   Rate of pregnancy-related relapse in multiple sclerosis [J].
Confavreux, C ;
Hutchinson, M ;
Hours, MM ;
Cortinovis-Tourniaire, P ;
Moreau, T .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 339 (05) :285-291
[6]   Preliminary studies of cytokine secretion patterns associated with pregnancy in MS patients [J].
Gilmore, W ;
Arias, M ;
Stroud, N ;
Stek, A ;
McCarthy, KA ;
Correale, J .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2004, 224 (1-2) :69-76
[7]   Cancer risk among users of oral contraceptives: cohort data from the Royal College of General Practitioners' oral contraception study [J].
Hannaford, Philip C. ;
Selvaraj, Sivasubramaniam ;
Elliott, Alison M. ;
Angus, Valerie ;
Iversen, Lisa ;
Lee, Amanda J. .
BRITISH MEDICAL JOURNAL, 2007, 335 (7621) :651-654A
[8]   Oral contraceptives and the incidence of multiple sclerosis [J].
Hernán, MA ;
Hohol, MJ ;
Olek, MJ ;
Spiegelman, D ;
Ascherio, A .
NEUROLOGY, 2000, 55 (06) :848-853
[9]   Recombinant hepatitis B vaccine and the risk of multiple sclerosis -: A prospective study [J].
Hernán, MA ;
Jick, SS ;
Olek, MJ ;
Jick, H .
NEUROLOGY, 2004, 63 (05) :838-842
[10]   Symptoms of multiple sclerosis in women in relation to sex steroid exposure [J].
Holmqvist, Per ;
Wallberg, Malin ;
Hammar, Mats ;
Landtblom, A. -M. ;
Brynhildsen, Jan .
MATURITAS, 2006, 54 (02) :149-153