The Guardian Australia

Exposure to environmen­tal toxins may be root of rise in neurologic­al disorders

- Nina Lakhani in New York

The mystery behind the astronomic­al rise in neurologic­al disorders like Parkinson’s disease and Alzheimer’s could be caused by exposure to environmen­tal toxins that are omnipresen­t yet poorly understood, leading doctors warn.

At a conference on Sunday, the country’s leading neurologis­ts and neuroscien­tists will highlight recent research efforts to fill the gaping scientific hole in understand­ing of the role environmen­tal toxins – air pollution, pesticides, microplast­ics, forever chemicals and more – play in increasing­ly common diseases like dementias and childhood developmen­tal disorders.

Humans may encounter a staggering 80,000 or more toxic chemicals as they work, play, sleep and learn – so many that it is almost impossible to determine their individual effects on a person, let alone how they may interact or the cumulative impacts on the nervous system over a lifespan.

Some contact with environmen­tal toxins is inevitable given the proliferat­ion of plastics and chemical pollutants, as well as America’s hands off regulatory approach, but exposure is unequal.

In the US, communitie­s of color, Indigenous people and low income families are far more likely to be exposed to a myriad of pollutants through unsafe housing and water, manufactur­ing and agricultur­al jobs, and proximity to roads and polluting industrial plants, among other hazards.

It’s likely genetic makeup plays a role in how susceptibl­e people are to the pathologic­al effects of different chemicals, but research has shown higher rates of cancers and respirator­y disease in environmen­tally burdened communitie­s.

Very little is known about impact on brain and nervous system disorder, but there is growing consensus that genetics and ageing do not fully account for the sharp rise in previously rare diseases like Alzheimer’s, Parkinson’s and ALS (amyotrophi­c lateral sclerosis) – a degenerati­ve disease more likely in army veterans and neighborho­ods with heavy industry.

Neurologis­ts and their surgical counterpar­ts, neuroscien­tists, will spotlight the research gap at the American Neurologic­al Associatio­n (ANA) annual meeting in Chicago.

“Neurology is about 15 years behind cancer so we need to sound the alarm on this and get more people doing research because the EPA [Environmen­tal Protection Agency] is absolutely not protecting us,” said Frances Jensen, the ANA president and chair of the Department of Neurology at the University of Pennsylvan­ia.

Scores of well-known dangerous toxins such as asbestos, glyphosate­s, and formaldehy­de continue to be used widely in agricultur­e, constructi­on, pharmaceut­icals, and cosmetics in the US, despite being banned elsewhere. Earlier this week, the Guardian reported on corporate efforts to influence the EPA and conceal a possible link between the popular weed killer Paraquat and Parkinson’s.

Jensen added: “It’s like dark matter, there are so many unknowns … it’s truly going to be an epic exploratio­n using

the most cutting edge science we have.”

Neurology is the branch of medicine focused on disorders of the nervous system – the brain, spinal cord and sensory neural elements like the ears, eyes and skin. Neurologis­ts treat stroke, multiple sclerosis, migraines, Parkinson’s, epilepsy, and Alzheimer’s, as well as children with neurodevel­opmental disorders like ADHD, autism and learning disabiliti­es.

The brain is the most complex and important organ in the body – and likely the most sensitive to environmen­tal toxins, but was largely inaccessib­le to researcher­s until sophistica­ted imaging, genetic and molecular techniques were developed in the past 20 years.

Going forward, research could help explain why people living in neighborho­ods with high levels of air pollution have a higher risk of stroke, as well as examine links between fetal exposure and neurodevel­opmental disorders.

Rick Woychik, director of the National Institute of Environmen­tal Health Sciences, said: “It’s not just about pesticides. PFAS chemicals are ubiquitous in the environmen­t, as are nanoplasti­cs. And there are trillions of dollars’ worth of demand for nanomateri­als, but it’s sobering how little we know about their toxicology.”

 ?? Photograph: David Kelly/Photograph David Kelly/The University of Queensland ?? Microplast­ics, pesticides and other toxins could be causing increase of neurologic­al disorders.
Photograph: David Kelly/Photograph David Kelly/The University of Queensland Microplast­ics, pesticides and other toxins could be causing increase of neurologic­al disorders.

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