Core Concepts
Pesticide exposure significantly increases ALS risk according to ERS study.
Abstract
TOPLINE:
Pesticide exposure linked to over twofold increased ALS risk.
ERS score determines individual ALS risk based on environmental toxins.
METHODOLOGY:
Participants recruited from University of Michigan ALS Clinic and healthy controls.
Blood samples analyzed for 36 persistent organic pollutants.
ERS created based on POPs, lifestyle, family history, and other factors.
TAKEAWAY:
Several POPs associated with ALS risk, especially pesticides.
High pesticide exposure doubles ALS risk.
24 POPs negatively impact ALS survival.
IN PRACTICE:
Blood test can assess ALS risk based on environmental toxin exposure.
SOURCE:
Study led by Stephen Goutman, published in Journal of Neurology.
LIMITATIONS:
Small sample size, control cohort demographics skewed.
DISCLOSURES:
Goutman has patents related to ALS therapeutics.
Stats
ALS risk was greatest among those with high exposure to a mixture of pesticides, with an odds ratio of 2.58 (P < .001).
Twenty-four of 36 POPs had a negative effect on ALS survival, with a hazard ratio of 1.65 (P = .008).
Quotes
"For the first time, we have a means of collecting a tube of blood and looking at a person's risk for ALS based on being exposed to scores of toxins in the environment." - Stephen Goutman