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Study shows link between TCE exposure,
Parkinsonism
Newswise — Industrial workers who worked with trichloroethylene (TCE)
may face a greater risk for parkinsonism, a
study by a team of University of Kentucky
researchers shows.
The team, led by Don M. Gash and John T. Slevin of the UK College
of Medicine, identified a number of
industrial workers who exhibited symptoms of
parkinsonism, a group of nervous disorders
with symptoms similar to Parkinson’s
disease.
The workers had experienced long-term exposure to TCE, a degreasing
agent widely used in industry that also has
been found in drinking water, surface water
and soil due to runoff from manufacturing
sites where it has been used.
The researchers report their findings in the online version of
Annals of Neurology, the official journal of
the American Neurological Association.
The workers were identified during a clinical trial of 10
Parkinson’s disease patients when one
patient expressed concern that his long-term
job-site exposure to TCE may have
contributed to the disease. The patient
noted some of his co-workers also had
developed Parkinson’s.
The other two individuals with Parkinson’s had at least 25 years of
occupational exposure to TCE, including both
inhalation and physical contact by
submerging unprotected arms and forearms in
a TCE vat or touching machine parts that had
been cleaned in the chemical.
Further examination of other co-workers who with long term exposure
to TCE identified 14 individuals with marked
parkinsonism symptoms, including significant
reductions in fine motor hand movements than
age-matched controls. Other individuals
showed milder features of the condition when
compared to the controls.
The researchers also used an animal model that showed reductions in
an enzyme important to energy production and
degenerative changes in certain dopamine
neurons following exposure to TCE.
The researchers acknowledge the study is not a large-scale
epidemiological investigation but assert
that the results demonstrate a strong
potential link between chronic TCE exposure
and parkinsonism.
"It will be important to follow the progression of movement
disorders … over the next decade to fully
assess the long-term health risks from
trichloroethylene exposure," they state.
"(TCE) is implicated as a principal risk factor for parkinsonism
based on its dopaminergic neurotoxicity in
animal models, the high levels of chronic
dermal and inhalation exposure … by the
three workers with Parkinson’s disease, the
motor slowing and clinical manifestations of
parkinsonism in co-workers clustered around
the trichloroethylene source, and the
mounting evidence of neurotoxic effects in
other reports of chronic trichloroethylene
exposure," the researchers assert.