Evidence map›Paper›PMID 36938742›Full record

ReviewJournal of Parkinson's disease2023

Trichloroethylene: An Invisible Cause of Parkinson's Disease?

E Ray Dorsey, Maryam Zafar, Samantha E Lettenberger, Meghan E Pawlik, Dan Kinel, Myrthe Frissen, Ruth B Schneider, Karl Kieburtz, Caroline M Tanner, Briana R De Miranda and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of Parkinson's disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
15.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Human Neurotoxicity of Trichloroethylene: A Biomarker Approach.Journal of applied toxicology : JAT · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. A PLAN to address the Parkinson pandemic.Journal of Parkinson's disease · 2025
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

E Ray DorseyCenter for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
Maryam ZafarCenter for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
Samantha E LettenbergerCenter for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
Meghan E PawlikCenter for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
Dan KinelCenter for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
Myrthe FrissenRadboud University Medical Centre; Donders Institute for Brain, Cognition and Behaviour; Department of Neurology; Centre of Expertise for Parkinson & Movement Disorders; Nijmegen, the Netherlands.
Ruth B SchneiderCenter for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
Karl KieburtzCenter for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
Caroline M TannerWeill Institute for Neurosciences, Department of Neurology, University of California-San Francisco, San Francisco, CA, USA.
Briana R De MirandaCenter for Neurodegeneration and Experimental Therapeutics, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.
Samuel M GoldmanDivision of Occupational and Environmental Medicine, San Francisco Veterans Affairs Health Care System, School of Medicine, University of California-San Francisco, San Francisco, CA, USA.
Bastiaan R BloemRadboud University Medical Centre; Donders Institute for Brain, Cognition and Behaviour; Department of Neurology; Centre of Expertise for Parkinson & Movement Disorders; Nijmegen, the Netherlands.
University of Rochester Medical Center · USCentre for Movement Disorders · CAUniversity of California, San Francisco · USUniversity of Alabama at Birmingham · US

Funding

Environmental Mitochondrial Toxicants Cause LRRK2 Activation in Parkinson's DiseaseR00ES029986 · NIEHS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DE MIRANDA, BRIANA · 2020 to 2022
$747k
NIEHS NIH HHS R00 ES029986
6 · The paper itself

Abstract

The etiologies of Parkinson's disease (PD) remain unclear. Some, such as certain genetic mutations and head trauma, are widely known or easily identified. However, these causes or risk factors do not account for the majority of cases. Other, less visible factors must be at play. Among these is a widely used industrial solvent and common environmental contaminant little recognized for its likely role in PD: trichloroethylene (TCE). TCE is a simple, six-atom molecule that can decaffeinate coffee, degrease metal parts, and dry clean clothes. The colorless chemical was first linked to parkinsonism in 1969. Since then, four case studies involving eight individuals have linked occupational exposure to TCE to PD. In addition, a small epidemiological study found that occupational or hobby exposure to the solvent was associated with a 500% increased risk of developing PD. In multiple animal studies, the chemical reproduces the pathological features of PD.Exposure is not confined to those who work with the chemical. TCE pollutes outdoor air, taints groundwater, and contaminates indoor air. The molecule, like radon, evaporates from underlying soil and groundwater and enters homes, workplaces, or schools, often undetected. Despite widespread contamination and increasing industrial, commercial, and military use, clinical investigations of TCE and PD have been limited. Here, through a literature review and seven illustrative cases, we postulate that this ubiquitous chemical is contributing to the global rise of PD and that TCE is one of its invisible and highly preventable causes. Further research is now necessary to examine this hypothesis.

Indexed as

Parkinson DiseaseTrichloroethyleneAnimalsRisk FactorsSolventsSolventsTrichloroethyleneAir pollutionchemical water pollutionenvironmentindoor air pollutionParkinson’s diseasesolventstetrachloroethylenetrichloroethylenewater pollution

Identifiers

PMID36938742
PMCPMC10041423
OpenAlexW4324138245

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.