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Hello:
We absolutly do see blacks with PD....not as many as other ethnic groups but
there out there.  Chinese also get less pd then whites and tend to fit in
between whites and blacks....this trend follows approx. levels of skin
pigmentation.  Whites have the least skin melanin and get the most
pd....blacks have the most skin mel. and have the least pd, orientals fall
in between.  This is not a new observation.  Neither is the eye color story.
The best available hypothesis is that the skin pigment acts as a trap for
neurotoxins known and unkown, MPTP is the best example.  MPTP and manganese
target the nigra by binding to the neuromelanin.  Now, very few (ca. 1000)
people ever got pd from mptp exposure, however, according to the model,
there are believed to be other neurotoxins capable of this same sort of
melanin binding.  What concerns me is that if one wanted to get a grant to
identify a new carcinogen in tobacco smoke that scientist would have little
trouble getting funded....its a low risk project....low risk because one
would probably succeed at adding to a list of many hundreds of cancer
causing substances in tobacco and tobacco smoke.  Try to get a grant to
identify the chemicals in rural well water that may account for the
epidemiological observation that there is a significant association between
drinking rural well water and getting PD.  It would be very tough going.  Oh
well....back to pigmentation.  The melanin in the skin is made from the
amino acid tyrosine, not dopamine as it is in the brain.  Even so, it has an
outstanding capacity to bing the same substances as nigral melanin, hence it
may afford some protection against PD (not a new hypothesis at all).
Regarding associations of pd with vitiligo....this is very interesting,
however I know of no studies to substantiate a relationship.  Should one be
conducted?  You bet.  Will one be conducted?  FUNDING is the limiting factor.
 
Jeffrey M. Tosk, Ph.D. ([log in to unmask])