Aluminium and calcium in soil and food from Guam, Palau and Jamaica: Implications for amyotrophic lateral sclerosis and parkinsonism-dementia syndromes of Guam

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Abstract
Low calcium and high aluminium concentrations in the soils, waters and native foods have been hypothesised as environmental factors contributing to the unusually high incidence of amyotrophic lateral sclerosis and parkinsonism with dementia (ALS-PD) found on the island of Guam. The amounts of elemental aluminium and calcium were measured in foods of the native diet of the Chamorro people of Guam. The amount of aluminium eluted from topsoil by water at pH 7 at 22 °C was also measured. For comparison, food, water and soil samples were collected from two islands which have not reported a high incidence of ALS-PD syndromes: Palau and Jamaica. Compared with agricultural soils of Jamaica or Palau, the agricultural soils of Guam averaged 42-fold higher yield of elutable aluminium. The food data, however, do not indicate a differentially high exposure to elemental aluminium or low calcium intake in the diet of any one population. While this study did not detect an unusually high dietary aluminium or low dietary calcium content, the soils and possibly the dusts of Guam may be a major source of aluminium entering the body of the native people, particularly through the respiratory epithelium. Since iipid soluble organic ligands of aluminium more readily penetrate epithelial membranes, further study of soil aluminium ligands is required.