Evidence map›Paper›PMID 40427878›Full record

ArticleInternational journal of environmental research and public health2025

Life Course Exposure to Cyanobacteria and Amyotrophic Lateral Sclerosis Survival.

Stuart A Batterman, Md Kamrul Islam, Dae Gyu Jang, Eva L Feldman, Stephen A Goutman

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Development of Life Course Exposure Estimates Using Geospatial Data and Residence History.International journal of environmental research and public health · 2025
    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

5 authors.

Stuart A BattermanDepartment of Environmental Health Sciences, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0001-9894-5325
Md Kamrul IslamDepartment of Environmental Health Sciences, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0002-5401-5529
Dae Gyu JangDepartment of Neurology, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0009-0009-7966-1322
Eva L FeldmanDepartment of Neurology, University of Michigan, Ann Arbor, MI 48109, USA.
Stephen A GoutmanDepartment of Neurology, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0001-8780-6637

Funding

Strategic Vision & Impact on Environmental HealthP30ES017885 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Dana Dolinoy · 2011 to 2026
$21.3M
Mapping the ALS Exposome to Gain New Insights into Disease Risk and PathogenesisR01ES030049 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BATTERMAN, STUART A, FELDMAN, EVA LUCILLE · 2020 to 2024
$3.5M
Developing novel strategies for personalized treatment and prevention of ALS: Leveraging the global exposome, genome, epigenome, metabolome, and inflammasome with data science in a case/control cohortR01NS127188 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BATTERMAN, STUART A, FELDMAN, EVA LUCILLE · 2021 to 2024
$3.4M
Impact of Geospatial Factors and Environmental Pollutants on Amyotrophic Lateral Sclerosis in the State of MichiganK23ES027221 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GOUTMAN, STEPHEN · 2017 to 2021
$1.0M
Andrea and Lawrence Wolfe Brain Health Initiative (no number)ATSDR CDC HHS R01 TS000344Coleman Therapeutic Discovery Fund (no number)NeuroNetwork for Emerging Therapies (no number)NIEHS NIH HHS K23 ES027221NIEHS NIH HHS P30 ES017885NIEHS NIH HHS R01 ES030049NIH HHS 1K23ES027221-02D2NIH HHS 1R01ES030049-03A3NIH HHS 1R01NS127188-04D4NIH HHS 3P30ES017885-03D3NINDS NIH HHS R01 NS127188Robert and Katherine Jacobs Environmental Health Initiative Fund (no number)Scott L. Pranger ALS Clinic Fund (no number)
6 · The paper itself

Abstract

Cyanobacterial harmful algal blooms (cyanoHABs) occur worldwide and can cause ingestion and inhalation exposure to microcystin and other potent toxins. This study develops life course exposure measures for cyanobacteria for application in population studies and then associates these measures with the survival of individuals with amyotrophic lateral sclerosis (ALS). The exposure measures utilize an individual's residence history, date of disease onset, and satellite data from the Cyanobacteria Assessment Network. Residence duration for selected exposure windows referenced to disease onset date was used to weight cyanobacteria concentrations in water bodies within 0.25 to 10 km of each residence. Different concentration metrics, buffer sizes, and exposure windows were evaluated. The 2.5 and 5 km buffers best balanced the likelihood and plausibility of exposure while still resolving exposure contrasts. Over their lifetime, most study participants lived within 5 km of cyanobacteria blooms, and the exposure was associated with up to 0.89 years shorter survival, with significant interactions for individuals reporting swimming, fishing, and private wells. Our findings suggest a new and modifiable risk factor for ALS survival, and a need to confirm exposures and epidemiological findings. These cyanoHAB exposure estimates can facilitate population studies that can discover new relationships with neurodegenerative and other diseases.

Indexed as

Amyotrophic Lateral SclerosisCyanobacteriaEnvironmental ExposureHarmful Algal BloomMicrocystinsAdultAgedFemaleHumansMaleMiddle AgedMicrocystinscyanobacteriaenvironmental exposuregeostatisticsharmful algae bloomneurological degenerative diseaseresidencesurvivalwater

Identifiers

PMID40427878
PMCPMC12110991

What OpenQuestion holds

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LicenceCC BY
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.