La maladie de Parkinson au Canada (serveur d'exploration)

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Environmental and occupational risk factors for progressive supranuclear palsy: Case-control study.

Identifieur interne : 000265 ( PubMed/Checkpoint ); précédent : 000264; suivant : 000266

Environmental and occupational risk factors for progressive supranuclear palsy: Case-control study.

Auteurs : Irene Litvan [États-Unis] ; Peter S J. Lees [États-Unis] ; Christopher R. Cunningham [États-Unis] ; Shesh N. Rai [États-Unis] ; Alexander C. Cambon [États-Unis] ; David G. Standaert [États-Unis] ; Connie Marras [Canada] ; Jorge Juncos [États-Unis] ; David Riley [États-Unis] ; Stephen Reich [États-Unis] ; Deborah Hall [États-Unis] ; Benzi Kluger [États-Unis] ; Yvette Bordelon [États-Unis] ; David R. Shprecher [États-Unis]

Source :

RBID : pubmed:26854325

Abstract

The cause of progressive supranuclear palsy (PSP) is largely unknown. Based on evidence for impaired mitochondrial activity in PSP, we hypothesized that the disease may be related to exposure to environmental toxins, some of which are mitochondrial inhibitors.

DOI: 10.1002/mds.26512
PubMed: 26854325


Affiliations:


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<div type="abstract" xml:lang="en">The cause of progressive supranuclear palsy (PSP) is largely unknown. Based on evidence for impaired mitochondrial activity in PSP, we hypothesized that the disease may be related to exposure to environmental toxins, some of which are mitochondrial inhibitors.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The cause of progressive supranuclear palsy (PSP) is largely unknown. Based on evidence for impaired mitochondrial activity in PSP, we hypothesized that the disease may be related to exposure to environmental toxins, some of which are mitochondrial inhibitors.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This multicenter case-control study included 284 incident PSP cases of 350 cases and 284 age-, sex-, and race-matched controls primarily from the same geographical areas. All subjects were administered standardized interviews to obtain data on demographics, residential history, and lifetime occupational history. An industrial hygienist and a toxicologist unaware of case status assessed occupational histories to estimate past exposure to metals, pesticides, organic solvents, and other chemicals.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Cases and controls were similar on demographic factors. In unadjusted analyses, PSP was associated with lower education, lower income, more smoking pack-years, more years of drinking well water, more years living on a farm, more years living 1 mile from an agricultural region, more transportation jobs, and more jobs with exposure to metals in general. However, in adjusted models, only more years of drinking well water was significantly associated with PSP. There was an inverse association with having a college degree.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We did not find evidence for a specific causative chemical exposure; higher number of years of drinking well water is a risk factor for PSP. This result remained significant after adjusting for income, smoking, education and occupational exposures. This is the first case-control study to demonstrate PSP is associated with environmental factors. © 2016 International Parkinson and Movement Disorder Society.</AbstractText>
<CopyrightInformation>© 2016 International Parkinson and Movement Disorder Society.</CopyrightInformation>
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<AffiliationInfo>
<Affiliation>Movement Disorder Center, Department of Neurosciences, University of California San Diego, San Diego, California, USA.</Affiliation>
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