Summary: A new study reveals a possible link    between storing chemicals in home garages and an increased risk    of developing amyotrophic lateral sclerosis (ALS). Researchers    identified significant associations between ALS risk and the    residential storage of volatile chemicals such as pesticides,    gasoline, and paint.  
    The studys findings underscore the importance of the ALS    exposomea concept describing the cumulative exposure to    environmental toxins linked to ALS. Insights from the study    suggest interventions to minimize exposure and potentially    reduce ALS risk by modifying storage practices in homes.  
    Key Facts:  
    Source: University of Michigan  
    Over the last decade, researchers at University of    Michigan continue to find that exposure to environmental toxins     from pesticides used in agriculture to volatile organic    compounds in themanufacturing industry is linked    to the development of amyotrophic lateral sclerosis, or    ALS.  
    The buildup of exposures, which researchers call the ALS    exposome, is possibly associated with recreational activities    such as woodworking and gardening.  
    Now, a Michigan Medicine study finds thatstoring    chemicals in a garage at home may associate with an increased    risk of ALS.  
    The results are published inAmyotrophic Lateral    Sclerosis and Frontotemporal Degeneration.  
    Identifying disease-provoking exposures can inform and    motivate interventions to reduce exposure, risk and,    ultimately, the ALS burden, said first authorStephen    Goutman, M.D., M.S., director of thePranger ALS    Clinicand associate director of theALS Center of    Excellence at University of Michigan.  
    Exposures in the home setting are an important part of the ALS    exposome, as it is one place where behavior modifications could    possibly lessen ALS risk.  
    Storage containing volatile chemicals in garages is extremely    common, whether its in a car or motorcycle, equipment like    a chainsaw, or solvents, cleaners, paints and other    items.  
    Investigators assessed exposures in the residential setting    from a survey of more than 600 participants both with and    without ALS. Through statistical analysis, they found that the    storage of chemicals  including gasoline and gasoline powered    equipment, lawn care products, pesticides, paint and    woodworking supplies  were significantly associated with ALS    risk.  
    All of the reported chemicals linked to disease development    were volatile with toxic components. Most participants reported    storing several of the items in their attached garage.  
    Storing chemicals in a detached garage, however, did not show    as strong of an association with risk.  
    Researchers say the flow of air and airborne pollutants from    attached garages to the living space may explain the finding.      
    Especially in colder climates, air in the garage tends to rush    into the house when the entry door is opened, and air flows    occur more or less continuously through small cracks and    openings in walls and floors, said Stuart Batterman, Ph.D.,    senior author and professor of environmental health science at    the U-M School of Public Health.  
    Thus, it makes sense that keeping volatile chemicals in an    attached garage shows the stronger effect.  
    The latest building codes, Batterman notes, tackle this problem    by specifying measures to reduce or eliminate these air    flows.  
    We are beginning to see risk factors across multiple settings    that may associate with a greater ALS risk; we also see some    relationships across the studies, for example, woodworking and    woodworking supplies and gardening and lawn care supplies,    Goutman said.  
    This begs the question: is it the activities that associate    with ALS risk or the exposures to related products? This    requires further research.  
    In 2016, the research team found that people with ALS    hadhigher concentrations of pesticides in their    bloodcompared to people without the condition.  
    A subsequent study published in 2019 linked organochlorine    pesticides and polychlorinated biphenyls, or PCBS, to worsening    survival for ALS.  
    With each study, we better understand the types of    exposures that increase the risk of developing ALS, said    seniorauthor Eva Feldman, M.D.,    Ph.D.,director of the ALS Center of Excellence at U-M and    James W. Albers Distinguished University Professor at U-M.  
    We now need to build on these discoveries to understand how    these exposures increase ALS risk. In parallel, we must    continue to advocate to make ALS a reportable disease. Only    then we will fully understand the array of exposures that    increase disease risk.  
    Studies to understand how environmental exposures contribute to    the development of ALS and other neurodegenerative diseases,    both of peoplewithandwithoutfamily    history of the condition, are underway.   
    Additional authors:Include Jonathan    Boss, Ph.D., Dae Gyu Jang, Ph.D., Caroline Piecuch, Hasan    Farid, Madeleine Batra, Bhramar Mukherjee, Ph.D all of    University of Michigan.  
    Funding:This study was supported    by the National Institutes of Health, The National ALS    Registry/CDC/ATSDR, the ALS Association, the NeuroNetwork for    Emerging Therapies, the Robert and Katherine Jacobs    Environmental Health Initiative, the NeuroNetwork Therapeutic    Discovery Fund, the Peter R. Clark Fund for ALS Research,    theSinai Medical Staff Foundation, Scott L. Pranger, and    theUniversity of Michigan.  
    Author: Noah Fromson    Source: University of    Michigan    Contact: Noah Fromson  University of    Michigan    Image: The image is credited to Neuroscience    News  
    Original Research: Closed access.    Residential exposure    associations with ALS risk, survival, and phenotype: a    Michigan-based case-control study by Stephen Goutman et    al. Amyotrophic Lateral Sclerosis and Frontotemporal    Degeneration  
    Abstract  
    Residential exposure associations with ALS risk,    survival, and phenotype: a Michigan-based case-control    study  
    Background: Environmental exposures    impact amyotrophic lateral sclerosis (ALS) risk and    progression, a fatal and progressive neurodegenerative disease.    Better characterization of these exposures is needed to    decrease disease burden.  
    Objective: To identify exposures in    the residential setting that associate with ALS risk, survival,    and onset segment.  
    Methods: ALS and control participants    recruited from University of Michigan completed a survey that    ascertained exposure risks in the residential setting. ALS risk    was assessed using logistic regression models followed by    latent profile analysis to consider exposure profiles. A    case-only analysis considered the contribution of the    residential exposure variables via a Cox proportional hazards    model for survival outcomes and multinomial logistic regression    for onset segment, a polytomous outcome.  
    Results: This study included 367 ALS    and 255 control participants. Twelve residential variables were    associated with ALS risk after correcting for multiple    comparison testing, with storage in an attached garage of    chemical products including gasoline or kerosene (odds ratio    (OR)=1.14,padjusted<0.001),    gasoline-powered equipment (OR =    1.16,padjusted<0.001),    and lawn care products (OR =    1.15,padjusted<0.001)    representing the top three risk factors sorted    byadjusted.  
    Latent profile analysis indicated that storage of these    chemical products in both attached and detached garages    increased ALS risk. Although residential variables were not    associated with poorer ALS survival following multiple testing    corrections, storing pesticides, lawn care products, and    woodworking supplies in the home were associated with shorter    ALS survival using nominalpvalues. No    exposures were associated with ALS onset segment.  
    Conclusion: Residential exposures may    be important modifiable components of the ALS susceptibility    and prognosis exposome.  
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Paints and Pesticides Linked to ALS Risk - Neuroscience News