Environmental Epidemiology Division, Israel Ministry of Health, Jerusalem 9446724, Israel.
Negev Environmental Health Research Institute, Soroka University Medical Center, Beer-Sheva P.O. Box 651, Israel.
Int J Environ Res Public Health. 2023 Jan 27;20(3):2254. doi: 10.3390/ijerph20032254.
. Parkinson's disease (PD) is believed to develop from epigenetic modulation of gene expression through environmental factors that accounts for up to 85% of all PD cases. The main objective of this study was to examine the association between PD onset and a cumulative exposure to potentially modifiable ambient exposures. . The study population comprised 3343 incident PD cases and 31,324 non-PD controls in Southern Israel. The exposures were determined based on the monitoring stations and averaged per year. Their association with PD was modeled using a distributed lag non-linear model and presented as an effect of exposure to the 75th percentile as compared to the 50th percentile of each pollutant, accumulated over the span of 5 years prior to the PD. . We recorded an adverse effect of particulate matter of size ≤10 μm in diameter (PM) and solar radiation (SR) with odds ratio (OR) = 1.06 (95%CI: 1.02; 1.10) and 1.23 (95%CI: 1.08; 1.39), respectively. Ozone (O) was also adversely linked to PD, although with a borderline significance, OR: 1.12 (95%CI: 0.99; 1.25). Immigrants arriving in Israel after 1989 appeared to be more vulnerable to exposure to O and SR. The dose response effect of SR, non-existent for Israeli-born (OR = 0.67, 95%CI: 0.40; 1.13), moderate for immigrants before 1989 (OR = 1.17, 95%CI: 0.98; 1.40) and relatively high for new immigrants (OR = 1.25, 95%CI: 1.25; 2.38) indicates an adaptation ability to SR. . Our findings supported previous reports on adverse association of PD with exposure to PM and O. Additionally, we revealed a link of Parkinson's Disease with SR that warrants an extensive analysis by research groups worldwide.
帕金森病(PD)被认为是由于环境因素引起的基因表达的表观遗传调控而发展起来的,这些环境因素占所有 PD 病例的 85%。本研究的主要目的是研究 PD 发病与潜在可改变的环境暴露的累积暴露之间的关系。
研究人群包括以色列南部的 3343 例新发 PD 病例和 31324 例非 PD 对照。根据监测站确定暴露量,并按年平均。使用分布滞后非线性模型对其与 PD 的关系进行建模,并表示为与每种污染物的第 50 百分位相比,暴露于第 75 百分位的污染物的影响,在 PD 前 5 年内积累。
我们记录了直径≤10μm 的颗粒物(PM)和太阳辐射(SR)的不良影响,其比值比(OR)分别为 1.06(95%CI:1.02;1.10)和 1.23(95%CI:1.08;1.39)。臭氧(O)也与 PD 呈负相关,但具有边缘显著性,OR:1.12(95%CI:0.99;1.25)。1989 年后抵达以色列的移民似乎更容易受到 O 和 SR 的暴露。SR 的剂量反应效应对于以色列出生的人不存在(OR=0.67,95%CI:0.40;1.13),对于 1989 年前的移民为中等(OR=1.17,95%CI:0.98;1.40),对于新移民则相对较高(OR=1.25,95%CI:1.25;2.38),表明其对 SR 的适应能力。
我们的研究结果支持了先前关于 PD 与 PM 和 O 暴露不良关联的报告。此外,我们还发现了 PD 与 SR 之间的联系,这需要全球研究小组进行广泛分析。
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