Fungal-contaminated grass and well water and sporadic amyotrophic lateral sclerosis

Peter William French1, Russell Ian Ludowyke2, Gilles J Guillemin3

  • 1School of Medicine, University of New South Wales, Sydney, NSW, Australia.

Insights

Fungal infections, particularly from drinking water, may cause sporadic amyotrophic lateral sclerosis (ALS). This environmental link to ALS could offer new treatment avenues for this motor neurone disease.

Area of Science:

  • Environmental microbiology
  • Neuroscience
  • Infectious diseases

Background:

  • Fungi are significant infectious agents, yet their role as environmental disease factors is often underestimated.
  • Amyotrophic lateral sclerosis (ALS), a motor neurone disease, has an unknown etiology in approximately 90% of sporadic cases.
  • Previous research suggested grass or soil fungi as potential causes of sporadic ALS.

Purpose of the Study:

  • To review evidence supporting a potential fungal origin for sporadic amyotrophic lateral sclerosis (ALS).
  • To extend the hypothesis to include water-associated fungi as a cause of ALS.
  • To propose mechanisms linking environmental fungal exposure to neurodegeneration in ALS.

Main Methods:

  • Review of existing scientific literature on fungal contamination in water and its potential link to ALS.
  • Examination of evidence for neurotoxic mycotoxins produced by common waterborne fungi.
  • Correlation analysis between well water distribution and sporadic ALS cases in the United States.

Main Results:

  • Various fungi, including Aspergillus and Fusarium, are found in drinking water and can produce neurotoxins.
  • Drinking water is not routinely tested for fungal contamination.
  • A correlation exists between well water sources and sporadic ALS incidence in the US.

Conclusions:

  • Environmental fungal exposure, particularly through contaminated water, may be a significant factor in sporadic ALS.
  • Opportunistic fungal infections could lead to long-term neuronal damage characteristic of ALS.
  • Confirmation of this link could pave the way for novel therapeutic strategies for ALS.

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