Study Shows Link Between Air Pollution and Motor Neurone Disease
Stephen Hawking, the renowned scientist who battled amyotrophic lateral sclerosis (ALS) for 55 years, was one of the longest-surviving individuals with this condition. ALS, also known as motor neurone disease, typically progresses rapidly, leading to the unfortunate passing of many patients within two to five years of diagnosis. Despite extensive research, there is still no cure for this debilitating disease, with genetics accounting for only about 10% of cases.
A recent study published in the journal JAMA Neurology has shed light on a potential contributor to the development and progression of motor neurone disease: air pollution. The study, conducted by a team of researchers, examined the levels of nitrogen dioxide and particulate matter at the home addresses of 10,000 participants for up to ten years before their diagnosis.
Particulate matter, consisting of tiny airborne particles, is categorized by size, with PM2.5, PM10, and PM2.5-10 being common classifications. The study revealed that long-term exposure to even low levels of air pollution was associated with a 20–30% increased risk of developing motor neurone disease. Furthermore, individuals exposed to higher levels of PM10 and nitrogen dioxide faced a greater risk of mortality or the need for respiratory support.
These pollutants, primarily generated by road traffic, have a more significant impact when emitted in close proximity to residential areas. The study also found that air pollution was linked to faster disease progression, particularly affecting motor and respiratory function.
Implications and Future Research
The study’s findings raise questions about the varying vulnerability of different parts of the nervous system to pollution-related damage. Additionally, the association between air pollution and chronic lung diseases may contribute to the poorer outcomes observed in ALS patients.
While the study accounted for various factors that could influence both air pollution exposure and motor neurone disease risk, such as income, education, and urban versus rural living, there are still unanswered questions. Further research is needed to explore the mechanisms underlying the relationship between air pollution and motor neurone disease.
Aside from advancing our understanding of ALS, these findings underscore the broader impact of air pollution on public health. As evidence continues to mount regarding the harmful effects of air pollution, efforts to reduce emissions and improve air quality could have significant benefits for overall well-being.
Jing Wu, a Postdoctoral Researcher specializing in Integrative Epidemiology at the Karolinska Institutet, co-authored this study. The article was originally published on The Conversation and is republished under a Creative Commons license.

