학술논문

Meeting Report: Consensus Statement—Parkinson’s Disease and the Environment: Collaborative on Health and the Environment and Parkinson’s Action Network (CHE PAN) Conference 26–28 June 2007
Document Type
article
Source
Environmental Health Perspectives. 117(1)
Subject
Health Services and Systems
Biomedical and Clinical Sciences
Health Sciences
Brain Disorders
Neurodegenerative
Parkinson's Disease
Prevention
Genetics
Aging
Neurosciences
Aetiology
2.1 Biological and endogenous factors
2.2 Factors relating to the physical environment
2.3 Psychological
social and economic factors
Neurological
Cooperative Behavior
Environment
Environmental Pollutants
Humans
Parkinson Disease
Research
cholesterol
coffee
dairy products
diet
dopamine
fatty acids
metals
nonsteroidal anti-inflammatory drugs
Parkinson's disease
pesticides
polychlorinated biphenyls
smoking
statins
urate
Parkinson’s disease
Environmental Sciences
Medical and Health Sciences
Toxicology
Biomedical and clinical sciences
Environmental sciences
Health sciences
Language
Abstract
BackgroundParkinson's disease (PD) is the second most common neurodegenerative disorder. People with PD, their families, scientists, health care providers, and the general public are increasingly interested in identifying environmental contributors to PD risk.MethodsIn June 2007, a multidisciplinary group of experts gathered in Sunnyvale, California, USA, to assess what is known about the contribution of environmental factors to PD.ResultsWe describe the conclusions around which they came to consensus with respect to environmental contributors to PD risk. We conclude with a brief summary of research needs.ConclusionsPD is a complex disorder, and multiple different pathogenic pathways and mechanisms can ultimately lead to PD. Within the individual there are many determinants of PD risk, and within populations, the causes of PD are heterogeneous. Although rare recognized genetic mutations are sufficient to cause PD, these account for < 10% of PD in the U.S. population, and incomplete penetrance suggests that environmental factors may be involved. Indeed, interplay among environmental factors and genetic makeup likely influences the risk of developing PD. There is a need for further understanding of how risk factors interact, and studying PD is likely to increase understanding of other neurodegenerative disorders.