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Can Genetics Predict How Severe Multiple Sclerosis Will Become? A Reality Check from Real-World Clinical Data
Can Genetics Predict How Severe Multiple Sclerosis Will Become? A Reality Check from Real-World Clinical Data

We’ve learned a lot about the genes that raise a person’s risk of developing multiple sclerosis (MS), but predicting how quickly disability might accumulate is a much harder—and far more personal—question. This post walks through a careful study from the South Wales MS Registry that put a widely discussed “MS severity” genetic signal (rs10191329) to the test using long-term, neurologist-confirmed disability scores and meaningful clinical milestones. The result is a grounded, human-centered takeaway: this particular variant did not reliably forecast disease course in a real-world cohort, while a couple of other candidate signals showed only modest effects—highlighting both the promise of genetics and the caution needed before turning early discoveries into individual predictions.

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