How does genetic variation contribute to multiple sclerosis?

Dr Nicholas Blackburn

University of Tasmania, TAS

February 2023

Specialisation: Genetics, Epidemiology

focus area: Causes and Prevention

funding type: Fellowship

project type: Investigator Led Research

Summary

We know that a person’s genetics can influence their risk of developing multiple sclerosis (MS). However, we do not know exactly which genes, nor how they cause MS to begin or worsen. This research aims to identify and study genes potentially associated with MS.

Dr Nicholas Blackburn will study families where multiple members have MS. He will look for changes in genes that may lead to MS by comparing the genes of family members with MS to those who do not have MS. The changes may be rare in the general population but can be repeated in a single family because of shared genetics. After finding these changes, Dr Blackburn will identify how they contribute to MS development.

Dr Blackburn will study the changes that occur in MS families using laboratory-based cell models. This will help determine how these rare changes make the cells of people with MS act differently. These cell models will be made directly from cells donated by the family members with MS and, for comparison, their unaffected relatives, who do not have the genetic changes.

In addition, Dr Blackburn will look for rare genetic changes in thousands of unrelated people with MS. In these people, he will study the same genes found in the families, to see if other people with MS have the same or similar changes. He will also observe changes that are known to cause diseases that are like MS, to identify if some of the same genes might cause symptoms in people diagnosed with MS.

Outcome

Dr Blackburn’s research focused on rare changes in DNA that may have a larger effect on the risk of developing MS than more common genetic differences. By studying families where several people have MS, he compared the DNA of those with and without the disease to identify rare genetic changes that may help explain why MS can run in some families.

Across the fellowship, he completed detailed genetic analysis of 20 families affected by MS. This work identified several rare genetic changes and highlighted biological pathways that may play an important role in the disease. Importantly, the research showed that similar genes and pathways are affected across different families, strengthening confidence that these are relevant to MS.

This work also contributed to new insights into how these genetic changes may affect the body. As part of a broader research effort, the team identified changes in specialised cells that help maintain the blood–brain barrier, which protects the brain and spinal cord. They also showed that certain rare genetic changes can directly affect movement and inflammation in laboratory models. Together, these findings provide important clues about how MS develops in some people.

A key impact of this research is improved understanding of diagnosis. By analysing ANZgene data from more than 4,300 people with MS, Dr Blackburn showed that it is very rare for someone diagnosed with MS to instead have a different genetic condition with similar symptoms. This provides reassurance for people living with MS that their diagnosis is accurate, while also highlighting a small group of individuals who may benefit from more detailed genetic testing.

While this research is at an early stage and does not yet directly change clinical care, it lays important foundations for future progress. It has identified promising genes and biological pathways that could become targets for future research, helped build valuable laboratory models, and created a unique dataset of families affected by MS. These advances position the field to better understand the causes of MS and, over time, support the development of more precise approaches to diagnosis and treatment.

publications

  1. Blackburn NB, Motyer A, McComish BJ, Slimmer J, Leslie S, Broadley S, Jokubaitis VG, Van Der Walt A, Kermode A, Lechner-Scott J, Parnell GP, Fabis-Pedrini M, Scott RJ, Jackson S, Maltby V, Charlesworth JC, Burdon KP, Taylor BV, Kilpatrick TJ, Rubio JP. Rare variation in neurological disease genes and its role in multiple sclerosis mimicry and phenotype. Genome Medicine. 2025;17(1):149.
  2. Chen M, Motyer A, Taylor B, McComish BJ, Burdon KP, Charlesworth JC, Blackburn NB (2024) Multiple sclerosis polygenic risk is not enriched in three multi-case families in comparison to population-based cases. Human Mutation 2024: 1-8.

Updated 31 March 2026 

lead investigator

total funding

$225,000

start year

2023

duration

3 years

STATUS

Past project

Stages of the research process

Fundamental laboratory Research

Laboratory research that investigates scientific theories behind the possible causes, disease progression, ways to diagnose and better treat MS.

Lab to clinic timeline

10+ years

Translational Research

Research that builds on fundamental scientific research to develop new therapies, medical procedures or diagnostics and advances it closer to the clinic.

Lab to clinic timeline

5+ years

Clinical Studies and Clinical Trials

Clinical research is the culmination of fundamental and translational research turning those research discoveries into treatments and interventions for people with MS.

Lab to clinic timeline

3+ years

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How does genetic variation contribute to multiple sclerosis?