Northern climates including Canada, fail to deliver adequate sunshine during many months of the year, negatively impacting vitamin D levels. Recent research reveals the need for supplementation of this important vitamin to reduce the risk of MS, especially in those genetically predisposed individuals.
Check out the following article from the Globe and Mail
Vitamin D helps control gene implicated in MS
Too little during pregnancy may increase child's risk of developing disease
By SHERYL UBELACKER
The Canadian Press
For the first time, researchers have found a direct link between vitamin D deficiency and the risk of developing multiple sclerosis in people with a genetic predisposition for the disease.
The study by a team of Canadian and British researchers suggests that too little of the "sunshine vitamin" in a mother during pregnancy and a child's early years may boost the risk of that child developing MS later in life.
The researchers found that proteins activated by vitamin D in the body bind to a particular stretch of DNA that lies next to a gene implicated in MS - called DRB1-1501 - and regulate what the gene does.
If there is a lack of vitamin D in the body, the gene may not function properly, the researchers say.
"We have known for a long time that genes and environment determine MS risk," said George Ebers, a neurologist at Oxford University in England. "Here we show that the main environmental risk candidate - vitamin D - and the main gene region are directly linked and interact."
MS, a degenerative neurological condition that causes the destruction of the myelin sheath that protects nerve cells in the brain and spinal cord, is most common in people who live in northern climes with low average sunlight levels.
Canada, with an estimated 55,000 to 75,000 people affected by the disease, has one of the highest MS rates in the world. More than 2.5 million people worldwide are thought to suffer from the condition.
Dr. Ebers and colleagues, whose research is published in this week's issue of the journal PLoS Genetics, believe vitamin D deficiency in mothers, or even in a previous generation, may lead to altered expression of the DRB1-1501 gene in children.
The team showed in a previous study that environmental factors can alter the gene region, increasing the risk of developing MS. Such changes are known as "epigenetic" effects and can be passed from one generation to another.
The effects of too little vitamin D could lead to such an alteration in genetically susceptible people, so Dr. Ebers advises that all Canadians take vitamin D supplements, especially in winter.
"If this is an epigenetic modification, then it's possible it could have occurred very early in life, it might have occurred in gestation, it could even have occurred in a previous generation," the Canadian-born Dr. Ebers said.
"So what you do may have absolutely no impact, but it might have an impact on your children or grandchildren."
Paul O'Connor, director of the MS program at the University of Toronto, called the study findings "significant and potentially important."
"What the paper actually says is that there's a receptor in the gene, this particular gene, which binds to vitamin D," he explained, "and that vitamin D affects the function of what we call this susceptibility gene."
But Dr. O'Connor, scientific and clinical adviser for the Multiple Sclerosis Society of Canada, advised caution in interpreting the findings in relation to taking vitamin D supplements.
"That theory of taking vitamin D in that preventive way is an interesting theory, and it may well be true," he said. "And there's nothing in these findings that contradicts that theory, but there's nothing in these findings that supports that theory either."
Dr. O'Connor said more research is needed to prove any cause-and-effect relationship.
Still, he believes those starved for sunlight because of geography should supplement their diet with vitamin D, which is safe, inexpensive and appears to have numerous health benefits. Among those benefits is a suggestion that the nutrient can reduce the risk of some cancers.
"So I think every Canadian, including MS patients, should make sure they're taking enough vitamin D," he said. "And this should start early in life."

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