Masoud Amiri*

Amiri, J Clin Transl Res 2021; 7(1):12

Published online: February 17, 2021

Abstract 

Background: Multiple sclerosis (MS), as the most common neurologic disorder of the central nervous system (CNS), with growing incidence and prevalence worldwide and in the Middle East. This article aimed to find out the potential relationship between MS and air pollution in Iran.
Methods: By assessing the published articles on MS and air pollution in Iran, the situation of MS as well as air/soil pollution in Iran was clarified. Then, studies on air pollution and its potential effect on Iranian MS patients were checked until 2020.
Results: The MS prevalence is distributed across Iran provinces with highest rates in Isfahan, located in the center of Iran. The higher rates of MS in Isfahan and Tehran (the Metropolitan) might be due to industrial pollution of these cities, but this hypothesis is not true for non-industrial provinces. Based on the published atlas of MS in Iran, it seems that there is a high-risk ‘belt’ from northwest to southeast.
Conclusion: There are many risk factors of MS in Iran including age, gender, vitamin D deficiency, smoking, and air pollution. The potential main risk factor of MS might be air pollution considering Isfahan and Tehran provinces. However, Chahar Mahal and Bakhtiary Province, with non-industrial nature, has the second highest MS rates which does not follow this hypothesis.
Relevance for patients: By finding the air pollution as the main potential risk factor of MS in big provinces including Isfahan and Tehran, its effect of this factor can also be considered during diagnosis and treatment.

DOI: http://dx.doi.org/10.18053/jctres.07.202101.012

Author affiliation

Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands
Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center, Rotterdam, The Netherlands
Generation R Study Group, Erasmus Medical Center, Rotterdam, The Netherlands

*Corresponding author
Masoud Amiri
Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands
Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center, Rotterdam, The Netherlands
Generation R Study Group, Erasmus Medical Center, Rotterdam, The Netherlands
Email: m.amiri@erasmusmc.nl

Michal Heger
Department of Pharmaceutics, Utrecht University, the Netherlands
Department of Pharmaceutics, Jiaxing University Medical College, Zhejiang, China

Download

Epub ahead of print (627.6 KB)