Environmental risk scores of persistent organic pollutants associate with higher ALS risk and shorter survival in a new Michigan case/control cohort

Details

• Alternative Title:
  J Neurol Neurosurg Psychiatry
• Personal Author:
  Goutman, Stephen A. ; Boss, Jonathan ; Jang, Dae-Gyu ; Mukherjee, Bhramar ; Richardson, Rudy J. ; Batterman, Stuart A. ; Feldman, Eva L.
• Description:
  Background:
  
  Amyotrophic lateral sclerosis (ALS) is a fatal, progressive neurogenerative disease caused by combined genetic susceptibilities and environmental exposures. Identifying and validating these exposures are of paramount importance to modify disease risk. We previously reported that persistent organic pollutants (POPs) associate with ALS risk and survival and aimed to replicate these findings in a new cohort.
  
  Methods:
  
  Participants with and without ALS recruited in Michigan provided plasma samples for POPs analysis by isotope dilution with triple quadrupole mass spectrometry. Odds ratios for risk models and hazard ratios for survival models were calculated for individual POPs. POP mixtures were represented by environmental risk scores (ERS), a summation of total exposures, to evaluate the association with risk (ERSrisk) and survival (ERSsurvival).
  
  Results:
  
  Samples from 164 ALS and 105 control participants were analyzed. Several individual POPs significantly associated with ALS, including 8 of 22 polychlorinated biphenyls (PCB) and 7 of 10 organochlorine pesticides (OCPs). ALS risk was most strongly represented by the mixture effects of OCPs alpha-hexachlorocyclohexane, hexachlorobenzene, trans-nonachlor and cis-nonachlor and an interquartile increase in ERSrisk enhanced ALS risk 2.58 times (p<0.001). ALS survival was represented by the combined mixture of all POPs and an interquartile increase in ERSsurvival enhanced ALS mortality rate 1.65 times (p=0.008).
  
  Conclusions:
  
  These data continue to support POPs as important factors for ALS risk and progression and replicate findings in a new cohort. Assessments of POPs in non-Michigan ALS cohorts are encouraged to better understand the global effect and the need for targeted disease risk reduction strategies.
  
  
• Subjects:
  Amyotrophic Lateral Sclerosis Environmental Pollutants Humans Hydrocarbons, Chlorinated Michigan Persistent Organic Pollutants Risk Factors
• Keywords:
  Amyotrophic Lateral Sclerosis Environmental Exposures Environmental Risk Scores ERS Organochlorine Pesticides Persistent Organic Pollutants
• Source:
  J Neurol Neurosurg Psychiatry. 95(3):241-248
• Pubmed ID:
  37758454
• Pubmed Central ID:
  PMC11060633
• Document Type:
  Journal Article
• Funding:
  R01 TS000289/TS/ATSDR CDC HHSUnited States/ ; R01TS000289/ACL/ACL HHSUnited States/ ; K23 ES027221/ES/NIEHS NIH HHSUnited States/ ; R01 ES030049/ES/NIEHS NIH HHSUnited States/ ; UL1 TR002240/TR/NCATS NIH HHSUnited States/ ; R01 NS127188/NS/NINDS NIH HHSUnited States/
• Volume:
  95
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:affa7e8639250b346f408d518593293a819c5a99de24a184fe52682af95f9a29735b32de89efc678964af220397589745e8556a7eb3c91e039d6ee13532c8a2c
• Download URL:
  https://stacks.cdc.gov/view/cdc/155115/cdc_155115_DS1.pdf
• File Type:
  [PDF - 630.69 KB ]