Latest Research News
The study involved 4,134 people (average age 59) who worked at the French national gas and electric company, of whom most worked at the company for their entire career. Their lifetime exposure to chlorinated solvents, petroleum solvents, benzene and non-benzene aromatic solvents was estimated, and they were given the Digit Symbol Substitution Test to assess cognitive performance. Cognitive impairment was defined as scoring below the 25th percentile. Most of the participants (88%) were retired.
For analysis, participants were divided into two groups based on whether they had less than a secondary school education or not. This revealed an interesting finding: higher rates of solvent exposure were associated with cognitive impairment, in a dose-dependent relationship — but only in those with less than a high school education. Recency of solvent exposure also predicted worse cognition among the less-educated (suggesting that at least some of the damage was recoverable).
However, among those with secondary education or higher, there was no significant association between solvent exposure (quantity or recency) and cognition.
Over half the participants (58%) had less than a high school education. Of those, 32% had cognitive impairment — twice the rate in those with more education.
The type of solvent also made a difference, with non-benzene aromatic solvents the most dangerous, followed by benzene solvents, and then chlorinated and petroleum solvents (the rates of cognitive impairment among highly-exposed less-educated, was 36%, 24%, and 14%, respectively).
The findings point to the value of cognitive reserve, but I have several caveats. (Unfortunately, this study appears in a journal to which I don’t have access, so it’s possible the first of this at least is answered in the paper.) The first is that those with less education had higher rates of exposure, which raises the question of a threshold effect. Second is that the cognitive assessment is only at one point of time, lacking both a baseline (do we know what sort of average score adults of this age and with this little education would achieve? A quick online search threw up no such appropriate normative data) and a time-comparison that would give a rate of decline. Third, is that the cognitive assessment is very limited, being based on only one test.
In other words, the failure to find an effect among those with at least a high school education may well reflect the lack of sensitivity in the test (designed to assess brain damage). More sensitive tests, and test comparisons over time, may well give a different answer.
On its own, then, this finding is merely another data-point. But accumulating data-points is how we do science! Hopefully, in due course there’ll be a follow-up that will give us more information.
Occupational Solvent Exposure and Cognition Does the Association Vary by Level of Education?. Neurology [Internet]. 2012 ;78(22):1754 - 1760. Available from: http://www.neurology.org/content/78/22/1754.
Data from the Nurses' Health Study Cognitive Cohort, involving 19,409 older women (70-81), has found that higher levels of long-term exposure to air pollution were associated with faster rates of cognitive decline over a four-year period.
For each 10 micrograms per cubic meter of air increase in pollutants, cognitive decline was comparable to two years of age-related decline.
Pollution exposure was estimated from geography. Cognition was tested by three telephone interviews, administered at roughly two-year intervals.
Air pollution linked to heart attack risk
Given the association between cardiovascular risk factors and cognitive decline (“What’s good for the heart is good for the brain”), it’s worth noting that a review of 34 studies has found that every main air pollutant, with the exception of ozone, was significantly associated with greater risk of heart attack. For most of the pollutants, an increase in concentration of 10 micrograms per cubic meter of air – barely noticeable – was associated with a 1-3% increase in the chance of having a heart attack in the next week.
The size of the risk is small compared with traditional risk factors such as smoking status or hypertension or diabetes, but is something that those with other cardiovascular risk factors may want to consider. There’s also growing evidence that high levels of pollution increase stroke risk.
Exposure to Particulate Air Pollution and Cognitive Decline in Older Women. Arch Intern Med [Internet]. 2012 ;172(3):219 - 227. Available from: http://archinte.ama-assn.org/cgi/content/abstract/172/3/219.
Main Air Pollutants and Myocardial Infarction A Systematic Review and Meta-Analysis. JAMA: The Journal of the American Medical Association [Internet]. 2012 ;307(7):713 - 721. Available from: http://jama.ama-assn.org/content/307/7/713
So-called ‘Gulf War syndrome’ is a poorly understood chronic condition associated with exposure to neurotoxic chemicals and nerve gas, and despite its name is associated with three main syndromes: impaired cognition (syndrome 1); confusion-ataxia (syndrome 2); central neuropathic pain (syndrome 3). Those with syndrome 2 are the most severely affected. Note that the use of the term ‘impaired cognition’ for syndrome 1 is not meant to indicate that the other syndromes show no impaired cognition; rather, it signals the absence of other primary symptoms such as ataxia and pain.
Symptoms of Gulf War syndrome include fatigue, neuropathic pain, memory and concentration deficits, balance disturbances and depression. Many of these symptoms suggest impairment of the hippocampus (among other regions, in particular the basal ganglia).
The new study follows up on an earlier study, with many of the same participants involved. A new, more sensitive, technique for assessing blood flow in the hippocampus was used to assess 35 patients with Gulf War syndromes and 13 controls. In the study of eleven years previous, those with syndrome 1 (impaired cognition) showed similar responses as the controls, while those with syndrome 2 (confusion-ataxia) showed abnormal blood flow in the right hippocampus.
In the present study, that abnormal hippocampal blood flow had progressed to the left hippocampus for those with syndrome 2 and to both hippocampi for those with syndrome 3. The results indicate that this alteration of hippocampal blood flow persists and can even worsen.
Around a quarter of U.S. military personnel deployed to the 1991 Persian Gulf War are estimated to be affected by Gulf War syndrome. Previous research has suggested genetic variation may underlie individuals’ vulnerability to neurotoxins.
Hippocampal Dysfunction in Gulf War Veterans: Investigation with ASL Perfusion MR Imaging and Physostigmine Challenge. Radiology [Internet]. 2011 ;261(1):218 - 225. Available from: http://radiology.rsna.org/content/261/1/218.abstract
In yet another study of the effects of pollution on growing brains, it has been found that children who grew up in Mexico City (known for its very high pollution levels) performed significantly worse on cognitive tests than those from Polotitlán, a city with a strong air quality rating.
The study involved 30 children aged 7 or 8, of whom 20 came from Mexico City, and 10 from Polotitlán. Those ten served as controls to the Mexico City group, of whom 10 had white matter hyperintensities in their brains, and 10 had not. Regardless of the presence of lesions, MC children were found to have significantly smaller white matter volumes in right parietal and bilateral temporal regions. Such reduced volumes were correlated with poorer performance on a variety of cognitive tests, especially those relating to attention, working memory, and learning.
It’s suggested that exposure to air pollution disturbs normal brain development, resulting in cognitive deficits.
Exposure to severe urban air pollution influences cognitive outcomes, brain volume and systemic inflammation in clinically healthy children. Brain and Cognition [Internet]. Submitted . Available from: http://www.sciencedirect.com/science/article/pii/S0278262611001850
In the first mouse study, when young and old mice were conjoined, allowing blood to flow between the two, the young mice showed a decrease in neurogenesis while the old mice showed an increase. When blood plasma was then taken from old mice and injected into young mice, there was a similar decrease in neurogenesis, and impairments in memory and learning.
Analysis of the concentrations of blood proteins in the conjoined animals revealed the chemokine (a type of cytokine) whose level in the blood showed the biggest change — CCL11, or eotaxin. When this was injected into young mice, they indeed showed a decrease in neurogenesis, and this was reversed once an antibody for the chemokine was injected. Blood levels of CCL11 were found to increase with age in both mice and humans.
The chemokine was a surprise, because to date the only known role of CCL11 is that of attracting immune cells involved in allergy and asthma. It is thought that most likely it doesn’t have a direct effect on neurogenesis, but has its effect through, perhaps, triggering immune cells to produce inflammation.
Exercise is known to at least partially reverse loss of neurogenesis. Exercise has also been shown to produce chemicals that prevent inflammation. Following research showing that exercise after brain injury can help the brain repair itself, another mouse study has found that mice who exercised regularly produced interleukin-6 (a cytokine involved in immune response) in the hippocampus. When the mice were then exposed to a chemical that destroys the hippocampus, the interleukin-6 dampened the harmful inflammatory response, and prevented the loss of function that is usually observed.
One of the actions of interleukin-6 that brings about a reduction in inflammation is to inhibit tumor necrosis factor. Interestingly, I previously reported on a finding that inhibiting tumor necrosis factor in mice decreased cognitive decline that often follows surgery.
This suggests not only that exercise helps protect the brain from the damage caused by inflammation, but also that it might help protect against other damage, such as that caused by environmental toxins, injury, or post-surgical cognitive decline. The curry spice cucurmin, and green tea, are also thought to inhibit tumor necrosis factor.
The ageing systemic milieu negatively regulates neurogenesis and cognitive function. Nature [Internet]. 2011 ;477(7362):90 - 94. Available from: http://dx.doi.org/10.1038/nature10357
Voluntary exercise protects hippocampal neurons from trimethyltin injury: Possible role of interleukin-6 to modulate tumor necrosis factor receptor-mediated neurotoxicity. Brain, Behavior, and Immunity [Internet]. 2011 ;25(6):1063 - 1077. Available from: http://www.sciencedirect.com/science/article/pii/S0889159111000808.
Following several recent studies pointing to the negative effect of air pollution on children’s cognitive performance (see this April 2010 news report and this May 2011 report), a study of public schools in Michigan has found that 62.5% of the 3660 schools in the state are located in areas with high levels of industrial pollution, and those in areas with the highest industrial air pollution levels had the lowest attendance rates and the highest proportions of students who failed to meet state educational testing standards in English and math. Attendance rates are a potential indicator of health levels.
Minority students were especially hit by this — 81.5% of African American and 62.1% of Hispanic students attend schools in the top 10% of the most polluted areas, compared to 44.4% of white students.
Almost all (95%) of the industrial air pollution around schools comes from 12 chemicals (diisocyanates, manganese, sulfuric acid, nickel, chlorine, chromium, trimethylbenzene, hydrochloric acid, molybdenum trioxide, lead, cobalt and glycol ethers) that are all implicated in negative health effects, including increased risk of respiratory, cardiovascular, developmental and neurological disorders, as well as cancer.
There are potentially two issues here: the first is that air pollution causes health issues which lower school attendance and thus impacts academic performance; the other is that the pollution also directly effects the brain, thus affecting cognitive performance.
A new mouse study looking at the effects of air pollution on learning and memory has now found that male mice exposed to polluted air for six hours a day, five days a week for 10 months (nearly half their lifespan), performed significantly more poorly on learning and memory tasks than those male mice living in filtered air. They also showed more signs of anxiety- and depressive-like behaviors.
These changes in behavior and cognition were linked to clear differences in the hippocampus — those exposed to polluted air had fewer dendritic spines in parts of the hippocampus (CA1 and CA3 regions), shorter dendrites and overall reduced cell complexity. Previous mouse research has also found that such pollution causes widespread inflammation in the body, and can be linked to high blood pressure, diabetes and obesity. In the present study, the same low-grade inflammation was found in the hippocampus. The hippocampus is particularly sensitive to damage caused by inflammation.
The level of pollution the mice were exposed to was equivalent to what people may be exposed to in some polluted urban areas.
Air Pollution Around Schools Is Linked To Poorer Student Health And Academic Performance. Health Affairs [Internet]. 2011 ;30(5):852 - 862. Available from: http://content.healthaffairs.org/content/30/5/852.abstract.
Air pollution impairs cognition, provokes depressive-like behaviors and alters hippocampal cytokine expression and morphology. Mol Psychiatry [Internet]. 2011 . Available from: http://dx.doi.org/10.1038/mp.2011.76.
A study in which mice were exposed to polluted air for three 5-hour sessions a week for 10 weeks, has revealed that such exposure damaged neurons in the hippocampus and caused inflammation in the brain. The polluted air was laden with particles collected from an urban freeway.
Another recent study found that, of 215 children, those whose cord blood showed high levels of combustion-related pollutants such as polycyclic aromatic hydrocarbons (PAH), had more attention (and anxiety) problems at ages 5 and 7. The children were born to nonsmoking African-American and Dominican women residing in New York City.
Glutamatergic Neurons in Rodent Models Respond to Nanoscale Particulate Urban Air Pollutants In Vivo and In Vitro. Environmental Health Perspectives [Internet]. 2011 . Available from: http://ehp03.niehs.nih.gov/article/info:doi/10.1289/ehp.1002973
PAH/Aromatic DNA Adducts in Cord Blood and Behavior Scores in New York City Children. Environmental Health Perspectives [Internet]. 2011 . Available from: http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3Adoi%2F10.1289%2Fehp.1002705.
Increased awareness and changes in diagnostic criteria can’t entirely explain the massive increase in autism — the U.S. Centers for Disease Control reported a 57% increase between 2002 and 2006. Another factor may involve environmental pollutants.
A Californian study involving 304 autism cases and 259 typically developing controls has found that living within 309 meters of a freeway at birth or during the third trimester was associated with a two-fold increase in autism risk. This association held after adjustment for gender, ethnicity, parental education, maternal age, or prenatal smoking. The researchers found no consistent pattern of association of autism with proximity to a major road.
The finding is consistent with other evidence that oxidative stress and inflammation are involved in the pathogenesis of autism. This is likely to be only one of many environmental factors that are involved.
Residential Proximity to Freeways and Autism in the CHARGE study. Environmental Health Perspectives [Internet]. 2010 . Available from: http://ehp03.niehs.nih.gov/article/info%3Adoi%2F10.1289%2Fehp.1002835.
Manganese exposure in the workplace is known to have neurotoxic effects, but manganese occurs naturally in soil and sometimes in groundwater. One region where the groundwater contains naturally high levels of manganese is Quebec. A study involving 362 Quebec children, aged 6-13, has measured both the concentrations of metals (manganese, iron, copper, lead, zinc, arsenic, magnesium and calcium) in their tap water, and their cognitive abilities.
Although manganese concentrations were well below current guidelines, the average IQ of those whose tap water was in the upper 20% was 6.2 points below children whose water contained little or no manganese. The association was more marked for Performance IQ than Verbal IQ (Performance IQ reflects perceptual organization and processing speed). The analysis took into account factors such as family income, maternal intelligence, maternal education, and the presence of other metals in the water. No association was found between manganese in their food and IQ.
Intellectual Impairment in School-Age Children Exposed to Manganese from Drinking Water. Environmental Health Perspectives [Internet]. 2010 . Available from: http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3Adoi%2F10.1289%2Fehp.1002321.
A study following over 300 Mexican-American children living in an agricultural community has found that their prenatal exposure to organophosphate pesticides (measured by metabolites in the mother’s urine during pregnancy) was significantly associated with attention problems at age 5. This association was stronger among boys, and stronger with age (at 3 ½ the association, although present, did not reach statistical significance — perhaps because attention disorders are much harder to recognize in toddlers). Based on maternal report, performance on attention tests, and a psychometrician’s report, 8.5% of 5-year-olds were classified as having ADHD symptoms. Each tenfold increase in prenatal pesticide metabolites was linked to having five times the odds of scoring high on the computerized tests at age 5. The child’s own level of phosphate metabolites was not linked with attention problems.
Organophosphate pesticides disrupt acetylcholine, which is important for attention and short-term memory. While the exposure of these children to pesticides is presumably higher and more chronic than that of the general U.S. population, food is a significant source of pesticide exposure among the general population.
Marks AR, Harley K, Bradman A, Kogut K, Barr DB, Johnson C, et al. 2010. Organophosphate Pesticide Exposure and Attention in Young Mexican-American Children. Environ Health Perspect :-. doi:10.1289/ehp.1002056
Full text available at http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3...
A five-year study involving 214 children born to healthy, non-smoking Caucasian women in Krakow, Poland, has found that those prenatally exposed to high levels of polycyclic aromatic hydrocarbons (PAHs) had a significant reduction in scores on a standardized test of reasoning ability and intelligence at age 5 (an estimated average decrease of 3.8 IQ points). The mothers wore small backpack personal air monitors for 48 hours during pregnancy to estimate their babies' PAH exposure. The finding persisted after mother’s intelligence, secondhand smoke exposure, lead and dietary PAH were taken into account. Previously, prenatal exposure to PAHs was found to adversely affect children's IQ at age 5 in children of nonsmoking African American and Dominican American women in New York City. PAHs are released into the air from the burning of fossil fuels.
Prenatal Exposure to Airborne Polycyclic Aromatic Hydrocarbons and Children’s Intelligence at Age 5 in a Prospective Cohort Study in Poland. Environmental Health Perspectives [Internet]. 2010 . Available from: http://ehsehplp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3Adoi%2F10.1289%2Fehp.0901070
Older news items (pre-2010) brought over from the old website
Prenatal exposure to urban air pollutants affects cognitive development
A study of 183 three-year-old children of non-smoking African-American and Dominican women residing in New York City has found that exposure during pregnancy to combustion-related urban air pollutants (specifically, polycyclic aromatic hydrocarbons) was linked to significantly lower scores on mental development tests and more than double the risk of developmental delay at age three.
Effect of Prenatal Exposure to Airborne Polycyclic Aromatic Hydrocarbons on Neurodevelopment in the First 3 Years of Life among Inner-City Children. Environmental Health Perspectives [Internet]. 2006 ;114(8):1287 - 1292. Available from: http://ehsehplp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3Adoi%2F10.1289%2Fehp.9084
Full text available at http://www.ehponline.org/members/2006/9084/9084.pdf
Prenatal exposure to secondhand smoke increases risk of developmental delay
A new study funded by the National Institute of Environmental Health Sciences has found that children whose mothers are exposed during pregnancy to second-hand smoke have reduced scores on tests of cognitive development at age two, when compared to children from smoke-free homes. In addition, the children exposed to second-hand smoke during pregnancy are approximately twice as likely to have developmental scores below 80, which is indicative of developmental delay. These differences were magnified for children whose mothers lived in inadequate housing or had insufficient food or clothing during pregnancy. The combined effect results in a developmental deficit of about seven points in tests of cognitive performance.
Rauh, V.A., Whyatt, R.M., Garfinkel, R., Andrews, H., Hoepner, L., Reyes, A., Diaz, D., Camann, D. & Perera, F.P. 2004. Developmental effects of exposure to environmental tobacco smoke and material hardship among inner-city children. Neurotoxicology and Teratology, 26 (3), 373-385.