Chan D K, Woo J, Ho S C, Pang C P, Law L K, Ng P W, Hung W T, Kwok T, Hui E, Orr K, Leung M F, Kay R
Department of Geriatric Medicine, Prince of Wales Hospital, Randwick, NSW, Australia.
J Neurol Neurosurg Psychiatry. 1998 Nov;65(5):781-4. doi: 10.1136/jnnp.65.5.781.
An epidemiological study of the environmental and genetic factors as well as the possible interplay between them was conducted among 215 patients with Parkinson's disease and 313 controls in a Chinese population in Hong Kong. In univariate analysis, a regular tea drinking habit was found to be a protective factor, which had not been reported before. Smoking (a protective factor), family history, duration of pesticide exposure (in years) in farming and pesticide exposure during farming in women (both risk factors) have been reported previously. In multivariate analysis, current smoking reached borderline significance at the 5% level and the variables, years exposed to pesticides and family history were significant at the 10% level. By contrast with the common occurrence of polymorphism of the CYP2D6 gene (a gene involved with xenobiotic metabolism) in white people, it is very rare in China and is not thought to be a significant factor contributing to Parkinson's disease in Chinese people.
在香港的中国人群中,对215名帕金森病患者和313名对照者进行了一项关于环境和遗传因素及其可能相互作用的流行病学研究。单因素分析发现,规律的饮茶习惯是一个保护因素,这是之前未报道过的。吸烟(一个保护因素)、家族史、从事农业时农药暴露时长(以年计)以及女性从事农业时的农药暴露(均为危险因素)此前已有报道。多因素分析中,当前吸烟在5%水平达到临界显著性,暴露于农药的年限和家族史这两个变量在10%水平具有显著性。与白人中常见的CYP2D6基因(一种参与异生物质代谢的基因)多态性相比,在中国非常罕见,且不被认为是中国人患帕金森病的重要因素。