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The chemical driving the increase in Parkinson’s disease

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The chemical driving the increase in Parkinson’s disease

Research published in the Journal of Parkinson’s Disease on 14 March, 2023 suggests that a common chemical found in correction fluid, paint removers, gun cleaners, aerosol cleaning products, and dry cleaning may be a cause of the increase in Parkinson’s disease. 

An international team of researchers reviewed data suggesting that the chemical trichloroethylene (TCE) is associated with as much as a 500% increased risk for Parkinson’s disease.

TCE is found in consumer products listed above, and up until the 1970’s it was used to decaffeinate coffee. It also pollutes the air, taints groundwater, and contaminates indoor air. It is present in a substantial amount of groundwater in the US, and it evaporates from the soil and can enter buildings undetected. 

Animal studies showed that TCE caused “selective loss of dopaminergic neurons”, and Parkinson’s disease-related neuropathology was found in the substantia nigra of rodents exposed to TCE over time. Studies as early as 1960 were showing associations between TCE and Parkinson’s disease..

Commenting for Medscape Medical News, Rebecca Gilbert, MD, PhD, chief scientific officer, American Parkinson Disease Association (APDA), stated that the authors “are very frank about the limitations of this approach [illustrative cases] as proof of causation between Parkinson’s disease and TCE exposure.”

Another limitation is that TCE exposure is very common, “as argued in the paper”. But “most people with exposure do not develop Parkinson’s disease,” Gilbert pointed out. “By probing the TCE exposure of those who already have Parkinson’s disease, there is a danger of recall bias.”

Gilbert acknowledges that the authors “present their work as hypothesis and clearly state that more work is needed to understand the connection between TCE and Parkinson’s disease.”

In the meantime, however, there are “well-established health risks of TCE exposure, including development of various cancers,” she said. Therefore, the authors’ goals appear to be educating the public about known health risks; working to clean up known sites of contamination; and advocating to ban future use of TCE.

These goals “do not need to wait for [proof of] firm causation between TCE and Parkinson’s disease,” she stated.

(See our articles on Parkinson’s: Autoimmune Attack May Start Years Before Diagnosis and Parkinson’s Disease: Sniff Test Could Predict Risk Up To A Decade Earlier)

References

Dorsey ER, Zafar M, Lettenberger SE, Pawlik ME, Kinel D, Frissen M, Schneider RB, Kieburtz K, Tanner CM, De Miranda BR, Goldman SM, Bloem BR. Trichloroethylene: An Invisible Cause of Parkinson’s Disease? J Parkinsons Dis. 2023;13(2):203-218. doi: 10.3233/JPD-225047. PMID: 36938742; PMCID: PMC10041423.

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