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Source:  Viartis
PARKINSON'S DISEASE NEWS
                                                                             
                                                 16th September 2008 - New 
review
                                                                             
                                                                             
                                                                        FUNGICIDE 
AS A CAUSE OF PARKINSON'S DISEASE
Maneb is a fungicide that contains manganese. The major active element of 
Maneb is manganese ethylene-bis-dithiocarbamate. Pesticides are known to be 
associated with an increased rate of Parkinson's Disease [3].

Common means : Maneb is used as a fungicide. There is a greatly increased 
likelihood of developing symptoms by people involved in horticulture and 
agriculture [2].

Means of toxicity : As Maneb contains manganese it is possible that it 
causes Parkinson's Disease symptoms via the same means as manganese, which 
is by inhibiting tyrosine hydroxylation, which is essential for the 
formation of dopamine. It would thereby lower dopamine levels. The effects 
of Maneb are potentiated when there is simultaneous exposure to the 
pesticide Paraquat [4-8].

Symptoms of toxicity : Plastic rigidity with cogwheel phenomenon, headache, 
fatigue, nervousness, memory complaints, and sleepiness, other neurologic 
signs, such as postural tremor, cerebellar signs, and bradykinesia [1]; 
damaging effects on the dopaminergic system [4-8], that it can, quite 
unusually, even affect prior to birth [4-8]. This suggests that somebody 
could be affected by fungicide because of their Mothers exposure to it 
during their pregnancy.

References : [1] Neurology [1988] 38 (4) : 550-553 (H.B.Ferraz, 
P.H.Bertolucci, J.S.Pereira, J.G.Lima, L.A.Andrade), [2] Scandinavian 
journal of work, environment & health. [2000] 26 (4) : 359-362 (F.Tuchsen, 
A.A.Jensen), [3] Neurology [1998] 50 (5) : 1346-1350 (J.M.Gorell, 
C.C.Johnson, B.A.Rybicki, E.L.Peterson, R.J.Richardson), [4] Birth defects 
research. Part A, Clinical and molecular teratology [2005] 73 (3) : 136-139 
(D.A.Cory-Slechta, M.Thiruchelvam, E.K.Richfield, B.K.Barlow, A.I.Brooks), 
[5] Developmental neuroscience [2004] 26 (1) : 11-23 (B.K.Barlow, 
E.K.Richfield, D.A.Cory-Slechta, M.Thiruchelvam), [6] The European journal 
of neuroscience [2003] 18 (3) : 589-600 (M.Thiruchelvam, A.McCormack, 
E.K.Richfield, R.B.Baggs, A.W.Tank, D.A.Di Monte, D.A.Cory-Slechta), [7] 
Neurotoxicology [2002] 23 (4-5) : 621-633 (M.Thiruchelvam, E.K.Richfield, 
B.M.Goodman, R.B.Baggs, D.A.Cory-Slechta), [8] The Journal of neuroscience 
[2000] 20 (24) : 9207-9214 (M.Thiruchelvam, E.K.Richfield, R.B.Baggs, 
A.W.Tank, D.A.Cory-Slechta)

Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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