Dorsey · The Lancet. Neurology 2025 · narrative review · n=?

Environmental toxicants and Parkinson's disease: recent evidence, risks, and prevention opportunities.

Cited 35 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review without systematic search methodology or meta-analytic pooling.

PubMed 41109237 · doi:10.1016/S1474-4422(25)00287-X · record verified 2026-08-28

What was done

Narrative review synthesizing evidence on the role of environmental toxicant exposures—specifically pesticides, dry-cleaning solvents (trichloroethylene and perchloroethylene), and air pollution—in Parkinson's disease pathogenesis and prevention.

What was found

The abstract reports no quantitative metrics, effect estimates, or exposure concentrations. It qualitatively states that environmental factors play a dominant role in etiology, that these toxicants impair mitochondrial and lysosomal function, and that the disease may be largely preventable.

Why it matters

Identifies major modifiable chemical drivers of Parkinson's disease, framing prevention as achievable through targeted toxicant monitoring, exposure reduction, and regulatory policy changes.

Limits

As a narrative review, it lacks a systematic search protocol or quantitative pooling. Dose-response relationships, exposure timing and routes, gene-environment interactions, mixture effects, and microbiome contributions remain unquantified.

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