Development of multiple sclerosis (MS) is believed to involve genetic as we
ll as environmental factors. A complicating aspect to the study of aetiolog
ical factors in MS concerns the possible existence of genetically different
subtypes of the disease. In addition, a relatively large number of suscept
ibility genes could be involved. Most likely, the contribution of the singl
e genes to the susceptibility to MS is modest. However, interactions betwee
n different genes could result in a dramatic increase in disease susceptibi
lity (synergistic gene effects). In this short review we focus upon genetic
heterogeneity and gene interactions in MS. We also outline approaches to t
he genetic analysis of complex disease traits such as MS.