<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article">
 <front>
  <journal-meta>
   <journal-id journal-id-type="publisher-id">
    jbbs
   </journal-id>
   <journal-title-group>
    <journal-title>
     Journal of Behavioral and Brain Science
    </journal-title>
   </journal-title-group>
   <issn pub-type="epub">
    2160-5866
   </issn>
   <issn publication-format="print">
    2160-5874
   </issn>
   <publisher>
    <publisher-name>
     Scientific Research Publishing
    </publisher-name>
   </publisher>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="doi">
    10.4236/jbbs.2024.147012
   </article-id>
   <article-id pub-id-type="publisher-id">
    jbbs-134610
   </article-id>
   <article-categories>
    <subj-group subj-group-type="heading">
     <subject>
      Articles
     </subject>
    </subj-group>
    <subj-group subj-group-type="Discipline-v2">
     <subject>
      Biomedical 
     </subject>
     <subject>
       Life Sciences, Medicine 
     </subject>
     <subject>
       Healthcare
     </subject>
    </subj-group>
   </article-categories>
   <title-group>
    Glyphosate Exposure Associated with Human Neurodegenerative Disorders: A Scoping Review
   </title-group>
   <contrib-group>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Hannah
      </surname>
      <given-names>
       Hutchins
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       David M.
      </surname>
      <given-names>
       Compton
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Kris
      </surname>
      <given-names>
       Dougherty
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff2"> 
      <sup>2</sup>
     </xref>
    </contrib>
   </contrib-group> 
   <aff id="aff1">
    <addr-line>
     aBehavioral Neuroscience Program, Palm Beach Atlantic University, West Palm Beach, Florida, USA
    </addr-line> 
   </aff> 
   <aff id="aff2">
    <addr-line>
     aDepartment of Biology, Palm Beach Atlantic University, West Palm Beach, Florida, USA
    </addr-line> 
   </aff> 
   <pub-date pub-type="epub">
    <day>
     08
    </day> 
    <month>
     07
    </month>
    <year>
     2024
    </year>
   </pub-date> 
   <volume>
    14
   </volume> 
   <issue>
    07
   </issue>
   <fpage>
    187
   </fpage>
   <lpage>
    209
   </lpage>
   <history>
    <date date-type="received">
     <day>
      7,
     </day>
     <month>
      June
     </month>
     <year>
      2024
     </year>
    </date>
    <date date-type="published">
     <day>
      15,
     </day>
     <month>
      June
     </month>
     <year>
      2024
     </year> 
    </date> 
    <date date-type="accepted">
     <day>
      15,
     </day>
     <month>
      July
     </month>
     <year>
      2024
     </year> 
    </date>
   </history>
   <permissions>
    <copyright-statement>
     © Copyright 2014 by authors and Scientific Research Publishing Inc. 
    </copyright-statement>
    <copyright-year>
     2014
    </copyright-year>
    <license>
     <license-p>
      This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/
     </license-p>
    </license>
   </permissions>
   <abstract>
    Chemically engineered agricultural products such as pesticides, insecticides, and herbicides, although used considerably for both industrialized and personal agricultural use, have recently been associated with a number of serious human health disorders. This rapid literature review aims to accumulate and analyze research from the last ten years, focusing specifically on the effects of exposure to glyphosate-based herbicide products such as Roundup as associated with the formation of various neurological disorders. Specifically, this review focuses on laboratory research using animal models or human cell cultures as well as human population-based epidemiological studies. It associates exposure to glyphosate or glyphosate-based products with the formation or exacerbation of neurological disorders such as Parkinson’s disease, Alzheimer’s disease, seizures, and autism spectrum disorder. In addition, it examines the correlation between the gut-brain axis, exposure to glyphosate, and neurodegeneration. 
   </abstract>
   <kwd-group> 
    <kwd>
     Herbicide
    </kwd> 
    <kwd>
      Glyphosate
    </kwd> 
    <kwd>
      Roundup
    </kwd> 
    <kwd>
      Neurodegeneration
    </kwd> 
    <kwd>
      Neurodegenerative Disorder
    </kwd> 
    <kwd>
      Parkinson’s Disease
    </kwd> 
    <kwd>
      Alzheimer’s Disease
    </kwd> 
    <kwd>
      Seizures
    </kwd> 
    <kwd>
      Autism Spectrum Disorder
    </kwd> 
    <kwd>
      Gut-Brain Axis 
    </kwd>
   </kwd-group>
  </article-meta>
 </front>
 <body>
  <sec id="s1">
   <title>1. Introduction</title>
   <p>The use of chemically engineered products for the commercial growth and maintenance of crops is essential to agricultural research and industry. In addition, these agricultural products are consumed extensively for personal use in lawns and gardens. Such products include a wide variety of different herbicides, fungicides, pesticides, insecticides, and fertilizers. The United States consumes pesticides at the second highest rate in the world behind China, and herbicides are among the most widely used of these products <xref ref-type="bibr" rid="scirp.134610-1">
     [1]
    </xref>. However, recent research has begun demonstrating serious health consequences associated with exposure to various types of these widely used products. One of the products that has raised significant concerns is Roundup and associated products (e.g., Glyphomax Plus, Glyphos, Touchdown IQ, Touchdown 5) containing its active ingredient glyphosate.</p>
   <p>N-(phosphonomethyl) glycine chemical, known by its common name glyphosate, is an amino acid substitute, and its action in destroying plant life stems from its ability to inhibit the EPSPS enzyme in plant metabolism <xref ref-type="bibr" rid="scirp.134610-2">
     [2]
    </xref>. This creates severe consequences for the function of the shikimic acid pathway <xref ref-type="bibr" rid="scirp.134610-3">
     [3]
    </xref>. While it is intended that the toxic action of glyphosate-containing agricultural products be selectively aimed at the pathways in plant systems, there has been developing concern that glyphosate may also interfere with pathways in mammals, including humans who are exposed to and consumed products containing trace amounts of these substances. In addition, those who work in the agricultural industry would experience a greater degree of exposure, leading to an increase in complications associated with such exposure. Recent research conducted by Connolly et al. <xref ref-type="bibr" rid="scirp.134610-4">
     [4]
    </xref> demonstrates that the half-life of glyphosate in the human body, as calculated from human urine samples, is about 3.5 to 14.5 hours. Soares et al. <xref ref-type="bibr" rid="scirp.134610-5">
     [5]
    </xref> demonstrated that glyphosate residues existed in popular food items, such as honey, fruit juice, wheat products (cereals and bread), vegetables, beans, meats, and fish.</p>
   <p>Research has demonstrated various diseases and disorders that have been suggested to be associated with glyphosate-containing herbicide exposure, such as exposure to Roundup. For example, glyphosate exposure in children and adolescents is associated with liver inflammation, which has been further linked with cancer, diabetes, and heart disease formation <xref ref-type="bibr" rid="scirp.134610-6">
     [6]
    </xref>. Other studies have directly correlated glyphosate and glyphosate-containing herbicide exposure with cancer, such as non-Hodgkins lymphoma and reproductive issues <xref ref-type="bibr" rid="scirp.134610-7">
     [7]
    </xref> <xref ref-type="bibr" rid="scirp.134610-8">
     [8]
    </xref>. Thus, it has been established that glyphosate is of substantial concern to human health.</p>
   <p>This systematic review seeks to investigate the neurological effects of exposure to agricultural herbicides containing the chemical glyphosate as their primary ingredient. Numerous studies have demonstrated that herbicides containing the chemical glyphosate can be implicated in the formation of a variety of different disorders associated with neurotoxicity and neurodegeneration <xref ref-type="bibr" rid="scirp.134610-9">
     [9]
    </xref>-<xref ref-type="bibr" rid="scirp.134610-12">
     [12]
    </xref>. One of the well-documented neurologically-based associations is between glyphosate-containing Roundup herbicide and the formation of Parkinson’s disease <xref ref-type="bibr" rid="scirp.134610-11">
     [11]
    </xref>. Other research, however, has begun to surface, investigating the association between glyphosate exposure and the formation of other neurological disorders, such as Alzheimer’s disease, seizures, and autism spectrum disorder. In addition, the connection between the gut microbiome, the brain, and exposure to glyphosate has recently been analyzed, with implications of the gut-brain axis as being a potential pathway through which glyphosate acts in the human body.</p>
  </sec><sec id="s2">
   <title>2. Rapid Literature Review Methodology</title>
   <p>This rapid literature review seeks to consolidate and analyze articles examining the correlation of both pure glyphosate and glyphosate-based herbicide exposure with the formation and/or exacerbation of neurological disorders. This review concentrates on the correlation between glyphosate and glyphosate-based herbicide exposure with the formation of Parkinson’s disease, Alzheimer’s disease, seizures or convulsive behavior, and autism spectrum disorder. Pathogenesis of each disorder is briefly addressed, followed by a review of literature investigating glyphosate or glyphosate-containing herbicide exposure in animal models or population cohorts. For particular neurological disorders, the animal models expressed the pathogenic behavior associated with the target disease, and population cohorts were previously diagnosed with the disorder. In addition to this, the literature review discusses the gut-brain axis and the influence of alterations to the gut microbiota on the formation of neurological disorders as associated with exposure to glyphosate or glyphosate-containing herbicides. The literature cohort spans research conducted over the last ten years and includes articles that collected research through animal models or human cell cultures as well as through epidemiological studies. The primary animal models investigated were mice, rats, C. elegans, lambs and poultry. Laboratory research articles were conducted in the United States as well as in international locations in Europe, Asia, and South America including South Korea, Japan, Mexico, Brazil, Argentina, Spain, France, Finland, and Italy. Epidemiological studies were conducted both in the United States and in South Korea. This review excludes research published before January 2014, as well as literature reviews, case studies, and computational models.</p>
  </sec><sec id="s3">
   <title>3. Areas of Research Focus &amp; Relevant Findings</title>
   <sec id="s3_1">
    <title>3.1. Parkinson’s Disease</title>
    <p>
     <xref ref-type="bibr" rid="scirp.134610-"></xref>Parkinson’s disease is a major neurocognitive disorder categorized by motor symptoms such as tremors, stiffness, and reduced coordination <xref ref-type="bibr" rid="scirp.134610-13">
      [13]
     </xref>. Parkinson’s disease pathology has been associated with the death of dopaminergic neurons as well as with the accumulation of α-Synuclein (α-Syn) protein structures within Lewy bodies protein deposits <xref ref-type="bibr" rid="scirp.134610-14">
      [14]
     </xref>. Degradation of neurons in the pathological process of Parkinson’s disease can also lead to dementia symptoms, which may be associated with the presence of Lewy bodies <xref ref-type="bibr" rid="scirp.134610-15">
      [15]
     </xref>.</p>
    <p>1) Dopaminergic Neurons</p>
    <p>Dopaminergic neurons are essential in the brain for emotional processes, such as those involved in mood and stress regulation as well as for voluntary movement processes <xref ref-type="bibr" rid="scirp.134610-16">
      [16]
     </xref>. Death of dopaminergic neurons, particularly those located in the substantia nigra, has been associated with the formation of Parkinson’s disease <xref ref-type="bibr" rid="scirp.134610-16">
      [16]
     </xref>. Damier et al. <xref ref-type="bibr" rid="scirp.134610-17">
      [17]
     </xref> investigated this phenomenon using brain samples of five patients who died of Parkinson’s disease as compared with brain samples from individuals with no neuropsychiatric disease of any kind. Based on charts created of the dopaminergic neurons in both the diseased and the healthy patients, it was determined that there was a 64% decrease in dopamine neurons in the diseased patients. These were concentrated in several areas, including the substantia nigra <xref ref-type="bibr" rid="scirp.134610-17">
      [17]
     </xref>.</p>
    <p>2) Alpha-Synuclein (α-Syn) Protein Structures and Lewy Bodies</p>
    <p>α-Syn accumulation has also been implicated in the formation of Parkinson’s disease <xref ref-type="bibr" rid="scirp.134610-18">
      [18]
     </xref>. Alpha-synuclein is a presynaptic protein, whose formation has been associated with a mutation in the SNCA gene <xref ref-type="bibr" rid="scirp.134610-18">
      [18]
     </xref>. The accumulations of α-Syn are partial constituents of Lewy bodies, which are neuronal inclusions in the brain associated with the development of Parkinson’s disease <xref ref-type="bibr" rid="scirp.134610-19">
      [19]
     </xref> <xref ref-type="bibr" rid="scirp.134610-20">
      [20]
     </xref>. Gruden et al. <xref ref-type="bibr" rid="scirp.134610-21">
      [21]
     </xref> exposed adult male C57Bl/6 mice to either a saline solution control, an α-Syn oligomeric aggregate solution, or an α-Syn oligomeric aggregate and fibril combined solution and were subsequently administered behavioral tests that measured Parkinsonian symptoms. Their results demonstrated that although the saline solution control and the α-Syn oligomeric aggregate solution demonstrated no significant difference in performance on the behavioral tests, the α-Syn oligomeric aggregate and fibril combined treatment demonstrated a significant reduction in locomotor activity <xref ref-type="bibr" rid="scirp.134610-21">
      [21]
     </xref>.</p>
    <p>The association between glyphosate exposure and the formation of Parkinson’s disease is one of the most well-documented correlations among neurodegenerative disorders (e.g., <xref ref-type="bibr" rid="scirp.134610-11">
      [11]
     </xref> <xref ref-type="bibr" rid="scirp.134610-12">
      [12]
     </xref>). Various studies have demonstrated glyphosate to be associated with the formation or exacerbation of Parkinsonian pathology.</p>
    <p>For example, Hernández-Plata et al. <xref ref-type="bibr" rid="scirp.134610-22">
      [22]
     </xref> used male Sprague-Dawley rats to demonstrate the effect of acute glyphosate exposure on dopaminergic neurons and on the formation of visible symptoms associated with locomotion. Glyphosate was administered to the rats using six injections over two weeks at 50, 100, or 150 mg, as compared to a purely saline solution. Their results demonstrated significant decreases in locomotion immediately and extending into the two days following glyphosate exposure as compared with the saline solution <xref ref-type="bibr" rid="scirp.134610-22">
      [22]
     </xref>. It was also demonstrated that the D1 dopamine receptors had reduced binding in the nucleus accumbens as associated with decreased locomotion. The final significant discovery was that glyphosate exposure effects were absent at sixteen days following exposure, demonstrating a short-term effect <xref ref-type="bibr" rid="scirp.134610-22">
      [22]
     </xref>. However, this study did not investigate what impact repeated glyphosate exposure may have on the formation of long-term effects.</p>
    <p>Pu et al. <xref ref-type="bibr" rid="scirp.134610-23">
      [23]
     </xref> examined adult male C57BL/6 mice who were exposed to Roundup Maxload at a 0.098% concentration or pure water control through their drinking water. Mice were also administered either MPTP, which produces dopaminergic neurotoxicity, or saline control, leading to a total of four study groups: water and saline, water and MPTP, glyphosate and saline, and glyphosate and MPTP. Their results demonstrated that, as expected, MPTP resulted in reduced dopamine transporter immunoreactivity as compared with the saline control. In addition to this, mice which had been exposed both to MPTP and glyphosate demonstrated a significant exacerbation in reduced dopamine transporter immunoreactivity <xref ref-type="bibr" rid="scirp.134610-23">
      [23]
     </xref>.</p>
    <p>Additional research combined investigations of pure glyphosate and glyphosate herbicide exposure on formation of Parkinsonian abnormalities by using adult female Sprague-Dawley rats exposed both to 98% pure glyphosate as well as Roundup herbicide containing glyphosate <xref ref-type="bibr" rid="scirp.134610-24">
      [24]
     </xref>. The target for investigation in this study was dopaminergic release in the rat striatum. Behavior and motor performance were assessed following exposure, as well as striatal dopamine release. The investigator’s results demonstrated that rats treated with glyphosate exhibited significantly poorer performance than their control counterparts on rotarod and Bonferroni motor tests up to 24 hours following treatment <xref ref-type="bibr" rid="scirp.134610-24">
      [24]
     </xref>. In addition to this, an unusual finding was discovered in that a significant increase in release of dopamine in the rat striatum was noted for both the pure glyphosate and the Roundup treatment groups <xref ref-type="bibr" rid="scirp.134610-24">
      [24]
     </xref>. While this may seem contradictory, a study conducted by Zhang et al. <xref ref-type="bibr" rid="scirp.134610-25">
      [25]
     </xref>, who used electrophysiological recordings of a Parkinsonian primate, demonstrated dopamine overflow similar to the finding of Costas-Ferreria et al. <xref ref-type="bibr" rid="scirp.134610-24">
      [24]
     </xref>. In addition to this, Costas-Ferreria et al. <xref ref-type="bibr" rid="scirp.134610-26">
      [26]
     </xref> conducted a further study investigating this unusual phenomenon and, using adult female Sprague-Dawley rats exposed to glyphosate intrastriatally, demonstrated that glyphosate’s influence on increasing dopamine levels through modification of the dopaminergic transporter is mediated by voltage-dependent calcium levels.</p>
    <p>An epidemiological study of deceased individuals in Washington state, where residential pesticide exposure was analyzed using spatial analyses and a crop-exposure matrix, was informative as well <xref ref-type="bibr" rid="scirp.134610-27">
      [27]
     </xref>. Here, mapping demonstrated the correlation between Parkinson’s disease and spatial land-use data of glyphosate and Paraquat. Results demonstrated that Paraquat exposure was not correlated significantly with premature death. Conversely, glyphosate was correlated with Parkinson’s disease premature death, with the link directly correlated with an increase in glyphosate exposure <xref ref-type="bibr" rid="scirp.134610-27">
      [27]
     </xref>.</p>
    <p>Diverse literature exists that correlates Parkinson’s disease formation with exposure to glyphosate and glyphosate-containing herbicides <xref ref-type="bibr" rid="scirp.134610-22">
      [22]
     </xref>-<xref ref-type="bibr" rid="scirp.134610-24">
      [24]
     </xref> <xref ref-type="bibr" rid="scirp.134610-26">
      [26]
     </xref> <xref ref-type="bibr" rid="scirp.134610-27">
      [27]
     </xref>. This literature ranges from laboratory research to epidemiological studies investigating pure glyphosate exposure and glyphosate-containing Roundup exposure. Both factors demonstrated significant symptoms in test subjects. In addition to this, impacts were implicated in the death of dopaminergic neurons. Research had previously been conducted investigating the correlation between α-Syn associated with Parkinsonian symptoms and glyphosate exposure, demonstrating mixed results; however, these studies did not meet the criteria for this review as they were published before 2014.</p>
   </sec>
   <sec id="s3_2">
    <title>3.2. Alzheimer’s Disease</title>
    <p>Alzheimer’s disease is another major neurocognitive disorder characterized by detrimental physiological and psychological abnormalities. These include death of the neurons in the brain as well as severe loss of memory and cognition (<xref ref-type="bibr" rid="scirp.134610-28">
      [28]
     </xref>, pp. 602-605). Ultimately, brain damage becomes so severe that it results in fatality. The primary brain abnormalities that have been demonstrated to be associated with the formation of amyloid-beta plaques leading to the formation of Alzheimer’s disease include the amyloid-beta precursor protein, the APOe4 mutation of the APOE gene, and tumor necrosis factor α (TNFα) <xref ref-type="bibr" rid="scirp.134610-29">
      [29]
     </xref>-<xref ref-type="bibr" rid="scirp.134610-31">
      [31]
     </xref>.</p>
    <p>1) Amyloid Precursor Protein (APP)</p>
    <p>The APP is essential in the proper functioning of neurons, including the formation of synapses and cellular regulation <xref ref-type="bibr" rid="scirp.134610-29">
      [29]
     </xref>. The irregular functions of this protein can cause disruption in protein transport and neurotoxic effects on neuronal cells <xref ref-type="bibr" rid="scirp.134610-29">
      [29]
     </xref>. One abnormality in the APP associated with the formation of Alzheimer’s disease is a particular mutation of the protein called the amyloid-beta precursor protein <xref ref-type="bibr" rid="scirp.134610-32">
      [32]
     </xref>. This leads to the formation and deposition of extracellular amyloid-beta peptide plaques by giving rise to changes in amyloid-beta cleavage <xref ref-type="bibr" rid="scirp.134610-32">
      [32]
     </xref> <xref ref-type="bibr" rid="scirp.134610-33">
      [33]
     </xref>. These changes result in cleavage by β- and γ-secretases rather than the normal α- and γ-secretases <xref ref-type="bibr" rid="scirp.134610-33">
      [33]
     </xref>. Masuda et al. <xref ref-type="bibr" rid="scirp.134610-34">
      [34]
     </xref> examined the toxicity of the APP using the mouse model App-KI. Their findings were consistent with behavioral abnormalities associated with individuals suffering from Alzheimer’s disease. As compared with the wild-type mice, the APP-KI mouse model demonstrated deficits in spatial learning and attention as well as place avoidance <xref ref-type="bibr" rid="scirp.134610-34">
      [34]
     </xref>.</p>
    <p>2) Apolipoprotein Gene (APOE)</p>
    <p>In addition to the APP, the apolipoprotein gene (APOE) has also been linked to the formation of Alzheimer’s disease. Certain mutations of the APOE gene have been implicated in exacerbated formation of the amyloid-beta precursor protein <xref ref-type="bibr" rid="scirp.134610-30">
      [30]
     </xref>. The APOe4 mutation of this gene has been associated with increased deposition of amyloid-beta peptide plaques, indicating regulatory dysfunction associated with the APP <xref ref-type="bibr" rid="scirp.134610-30">
      [30]
     </xref>. This occurs due to alterations in lipid transportation, as seen in the APOe4 mutation but not the APOe3 and APOe2 mutations <xref ref-type="bibr" rid="scirp.134610-35">
      [35]
     </xref>. In another investigation <xref ref-type="bibr" rid="scirp.134610-36">
      [36]
     </xref>, the impact of the e4 allele on the APOE gene associated with cognitive decline in mice that mimicked Alzheimer’s disease pathogenesis was explored. The results demonstrated significantly poorer performance in APOe4 mice on the radial arm maze as associated with the use of working memory, but not on the Morris Water Maze <xref ref-type="bibr" rid="scirp.134610-36">
      [36]
     </xref>. Similarly, Schmitt et al. <xref ref-type="bibr" rid="scirp.134610-37">
      [37]
     </xref> examined the role of the APOe4 gene in causing deterioration of cognitive function in knock-in APOe4 mice compared to knock-in APOe3 mice. Their results demonstrated a significant decrease in cognitive flexibility of APOe4 mice at the 6-month-old mark compared to APOe3 mice.</p>
    <p>3) Tumor Necrosis Factor α (TNF-α)</p>
    <p>In addition to the APP and the APOe4 gene, TNF-α has been associated with the formation of Alzheimer’s disease <xref ref-type="bibr" rid="scirp.134610-31">
      [31]
     </xref>. TNF-α has been implicated in the formation and deposition of amyloid-beta plaques as well as inflammation in the brain and the formation of neurofibrillary tangles, all of which have been implicated in Alzheimer’s disease pathogenesis <xref ref-type="bibr" rid="scirp.134610-31">
      [31]
     </xref>. For example, McAlpine et al. <xref ref-type="bibr" rid="scirp.134610-38">
      [38]
     </xref> investigated the impact of blocking TNF-α in 3xTgAD mice models that demonstrated Alzheimer’s disease pathogenesis. Their results demonstrated that blocking of the TNF-α reduced the number of amyloid-beta plaques detected. Thus, it has been recognized that TNF-α is another major contributor to Alzheimer’s disease pathogenesis.</p>
    <p>The association between glyphosate exposure and Alzheimer’s disease has only recently been evaluated, and thus, it is not currently well documented. However, it is important to note that a few recent studies have found correlations implicating the potential for glyphosate exposure to impact the formation of Alzheimer’s disease risk factors.</p>
    <p>For example, Winstone et al. <xref ref-type="bibr" rid="scirp.134610-39">
      [39]
     </xref> conducted a study in which non-transgenic C57BL/6J mouse models were orally administered varying levels of pure glyphosate (125, 250, and 500 mg/kg/day) prepared at 0.107 g/L in 1.89 M sodium hydroxide. Glyphosate levels were measured in urine samples collected from the mice as well as in brain tissue using UPLC-MS and in blood plasma to assess an increase in TNF-α. The results of their study demonstrated that glyphosate could cross the blood-brain barrier, making Winstone et al. the first to use an in vivo model to demonstrate this phenomenon. In addition to this, a significant increase in the expression of TNF-α in the APP/PS1 primary cortical neurons was demonstrated, a phenomenon associated with cellular death as well as the increase in Aβ<sub>40-42</sub> as associated with the formation of Alzheimer’s disease <xref ref-type="bibr" rid="scirp.134610-39">
      [39]
     </xref>.</p>
    <p>Similarly, the effects of glyphosate exposure on producing oxidative stress in dopaminergic human neuroblastoma SH-SY5Y cells were evaluated <xref ref-type="bibr" rid="scirp.134610-40">
      [40]
     </xref>. Within this study, the effect of glyphosate exposure on changing the folding of various proteins was assessed, demonstrating a modification of several genes associated with normal neuronal development and functioning <xref ref-type="bibr" rid="scirp.134610-40">
      [40]
     </xref>. Among the proteins evaluated was the APP, but it was not found to undergo a protein alteration following exposure and thus demonstrated no potential for gene alteration. However, it was discovered that pro-inflammatory IL6 and TNF-α were significantly upregulated <xref ref-type="bibr" rid="scirp.134610-40">
      [40]
     </xref>. This, as previously demonstrated, can be correlated with the potential for formation of Alzheimer’s disease.</p>
    <p>Recently, an epidemiological study was conducted to evaluate glyphosate exposure in humans and assessed the presence of behaviors associated with Alzheimer’s disease using an Alzheimer’s disease memory test. In this study, Hsiao et al. <xref ref-type="bibr" rid="scirp.134610-41">
      [41]
     </xref> conducted a human subjects investigation in which a representative sample of the population had urinary samples analyzed for glyphosate. Subsequently, participants 60 years and older were subjected to a variety of tests including the Consortium to Establish a Registry for Alzheimer's Disease Word List Memory Test (CERAD-WLT) <xref ref-type="bibr" rid="scirp.134610-41">
      [41]
     </xref>. The results of their study demonstrated a significant negative correlation between urinary glyphosate levels and the test scores obtained on the CERAD-WLT, suggesting a relationship between cognitive decline and greater long-term exposure to glyphosate. Ultimately, this finding indicates a possible implication for the association of glyphosate exposure with formation of Alzheimer’s disease pathogenesis in humans.</p>
    <p>In summary, research on the impact of exposure to glyphosate and glyphosate-containing products in the formation of Alzheimer’s disease is clearly still deficient. Recent studies have implicated a possible correlation between exposure and the upregulation of TNFα, an Alzheimer’s disease pathogenesis factor. However, no literature was found that examined the correlation between glyphosate exposure and the mutation of APOe4 or between glyphosate exposure and APP. Since a potential correlation to Alzheimer’s disease has been suggested by the limited sources available, a greater body of literature needs to be accumulated that investigates the correlation between factors influencing amyloid-beta plaque formation (APP, APOe4, &amp; TNF-α) and glyphosate exposure, with the goal of eliminating irrelevant factors.</p>
   </sec>
   <sec id="s3_3">
    <title>3.3. Convulsive Disorder and Seizure</title>
    <p>Convulsions and seizures have much broader pathological causes as compared with Parkinson’s and Alzheimer’s disease. Seizures are most often associated with the condition of epilepsy <xref ref-type="bibr" rid="scirp.134610-42">
      [42]
     </xref>. However, other triggers have been associated with the formation of seizures, including high fever, infection or illness, certain medications or drugs, and a head trauma or brain injury <xref ref-type="bibr" rid="scirp.134610-42">
      [42]
     </xref>. One of the major neurotransmitter systems in the brain associated with seizure behavior is the GABAergic system.</p>
    <p>1) GABAergic System</p>
    <p>Gamma-aminobutyric acid (GABA) is one of the primary neurotransmitters in the body and serves as an inhibitory neurotransmitter both in the brain and the spinal cord <xref ref-type="bibr" rid="scirp.134610-43">
      [43]
     </xref>. It has been associated with a variety of different neurologic and psychiatric disorders, including seizures and epilepsy <xref ref-type="bibr" rid="scirp.134610-43">
      [43]
     </xref>. According to Macdonald et al. <xref ref-type="bibr" rid="scirp.134610-44">
      [44]
     </xref>, mutations in the GABA-A receptor have been correlated with the formation of epilepsy. In addition to this, Petroff et al. <xref ref-type="bibr" rid="scirp.134610-45">
      [45]
     </xref>, who investigated seizure control in patients with complex partial seizures, correlated low seizure control with low levels of GABA neurotransmitter in the brain.</p>
    <p>The correlation between glyphosate exposure and seizures is incredibly novel. Several case studies have previously investigated the correlation between glyphosate and seizure behavior, with unclear results. Naraine et al. <xref ref-type="bibr" rid="scirp.134610-46">
      [46]
     </xref> were the first to demonstrate a glyphosate and seizure correlation in the laboratory using the C. elegans model.</p>
    <p>Recently, a study was conducted investigating seizures in 464 individuals who ingested one or more mouthfuls of pesticide with the intention of committing suicide <xref ref-type="bibr" rid="scirp.134610-47">
      [47]
     </xref>. These pesticides included the following categories: glufosinate ammonium, pyrethroid, glyphosate, paraquat, organophosphate, and others. The highest number of seizures was seen in those who ingested glufosinate ammonium (31.5% instance of seizures), while only a 5.4% instance of seizures was demonstrated in those who ingested glyphosate <xref ref-type="bibr" rid="scirp.134610-47">
      [47]
     </xref>. Thus, it was unclear from this study whether a strong correlation existed between glyphosate exposure and the formation of seizures.</p>
    <p>In a population epidemiological study conducted by Requena et al. <xref ref-type="bibr" rid="scirp.134610-48">
      [48]
     </xref>, people living with epilepsy, as compared with control subjects, were investigated for pesticide exposure, including pesticides such as paraquat, diquat, glyphosate, glufosinate, and lufenuron. Their results demonstrated that areas with high pesticide concentrations were correlated with epilepsy incidence and risk. However, it is important to note that the study needed to elaborate on which pesticides contribute more than others. Thus, it cannot be determined if glyphosate was a prominent contributor to this result.</p>
    <p>In a recent study <xref ref-type="bibr" rid="scirp.134610-46">
      [46]
     </xref>, the goal was to examine convulsant behavior in C. elegans models following exposure to glyphosate-containing Roundup using an electroshock convulsion assay. Results from this study demonstrated that a 0.1 mM concentration of glyphosate followed by the electroshock assay resulted in convulsions in the C. elegans models and a non-recovery phenotype. In addition, it was noted that introducing a GABA-A antagonist with a subeffective glyphosate dose resulted in a threefold increase in nonrecovery <xref ref-type="bibr" rid="scirp.134610-46">
      [46]
     </xref>. Of note, when the C. elegans were administered the antiepileptic drug sodium valproate; however, it was noted that the duration of seizures was significantly reduced, and every worm demonstrated recovery. The GABAergic mechanism, which has been implicated in seizure pathology of humans, was thus implicated as the potential pathway affected by the glyphosate exposure and subsequent convulsion assay <xref ref-type="bibr" rid="scirp.134610-46">
      [46]
     </xref>.</p>
    <p>All research prior to the study reported above had been conducted to investigate the correlation between seizures and glyphosate exposure but were unable to demonstrate distinct results. As with any epidemiological study, studies attempting to draw correlations from neighborhood or work-related glyphosate exposure to subsequent population increases in seizure formation could have been subject to confounding variables associated with other toxins or lifestyle choices relevant to the area studied. With the research conducted by Naraine et al. <xref ref-type="bibr" rid="scirp.134610-46">
      [46]
     </xref>, more unambiguous evidence now exists for a correlation between seizures and glyphosate-containing herbicide exposure. Further research should seek to confirm this correlation, using multiple different animal models. In addition, research should be conducted on pure glyphosate to determine whether the glyphosate or another component in the Roundup herbicide resulted in the seizure behavior.</p>
   </sec>
   <sec id="s3_4">
    <title>3.4. Autism Spectrum Disorder</title>
    <p>Unlike the previously discussed neurological disorders, the pathology of autism spectrum disorder is still not well known. However, it has been suggested that a combination of genetic and environmental factors, especially ones implicating prenatal exposure, can be associated with the formation of autism. In addition, associations have been made with biological mechanisms, including the Wnt/Ca<sup>2+</sup> pathway, corpus callosum agenesis, and proinflammatory cytokines.</p>
    <p>1) Wnt/Ca<sup>2+</sup> Pathway</p>
    <p>The Wnt/Ca<sup>2+</sup> pathway plays critical roles in the development of humans, ranging from effects on the formation of the head and neuron patterns as well as different bodily organs <xref ref-type="bibr" rid="scirp.134610-49">
      [49]
     </xref>. Abnormalities in the Wnt/Ca<sup>2+</sup> system could cause major effects on neuronal signaling and have been implicated in the formation of autism spectrum disorder <xref ref-type="bibr" rid="scirp.134610-49">
      [49]
     </xref>. For example, Sowers et al. <xref ref-type="bibr" rid="scirp.134610-50">
      [50]
     </xref> demonstrated that Prickle2 mutant mice, a mutation that leads to a mutation in the Wnt signaling protein, displayed abnormalities associated with autism spectrum disorder including alterations in learning and social behavior. In addition, the investigators reported a decrease in the size of synaptic currents.</p>
    <p>2) Agenesis of the Corpus Callosum</p>
    <p>Agenesis of the corpus callosum is a congenital cerebral malformation in which there is either a complete or a partial deficiency in corpus callosum brain matter <xref ref-type="bibr" rid="scirp.134610-51">
      [51]
     </xref>. This malformation has been associated with a variety of different factors, including maternal alcohol use, phenylketonuria, Chiari II malformation, and several genetic and chromosomal factors <xref ref-type="bibr" rid="scirp.134610-51">
      [51]
     </xref>. Past research has demonstrated that among individuals with brain malformations, including agenesis of the corpus callosum, autism screening was positive for 45% of children, 35% of adolescents, and 18% of adults in the study <xref ref-type="bibr" rid="scirp.134610-52">
      [52]
     </xref>.</p>
    <p>3) Proinflammatory Cytokines</p>
    <p>Proinflammatory cytokines are found in the human immune system following the activation of macrophages <xref ref-type="bibr" rid="scirp.134610-53">
      [53]
     </xref>. Further, they include IL-1β, IL-6, and TNF-α and are released to increase the inflammatory reaction of the body <xref ref-type="bibr" rid="scirp.134610-53">
      [53]
     </xref>. Last, both IL-6 and TNF-α, previously discussed in correlation with amyloid-beta plaques and Alzheimer’s disease, are located within the nervous system <xref ref-type="bibr" rid="scirp.134610-53">
      [53]
     </xref>. More recently, research discovered that patients with autism spectrum disorder demonstrated upregulation of both IL-6 and TNF-α <xref ref-type="bibr" rid="scirp.134610-54">
      [54]
     </xref>. In addition to this, maternal stress, including exposure to infections and pollution, has been associated with prenatal complications leading to the upregulation of proinflammatory cytokines and the formation of autism spectrum disorder in the child <xref ref-type="bibr" rid="scirp.134610-55">
      [55]
     </xref>.</p>
    <p>Since autism spectrum disorder has been associated with environmental factors in conjunction with genetic abnormalities (see, <xref ref-type="bibr" rid="scirp.134610-50">
      [50]
     </xref>), glyphosate has been investigated as a potential exacerbator of autism. Several studies have been conducted which link glyphosate exposure with various autism risk factors.</p>
    <p>For example, research was conducted to investigate glyphosate exposure associated with the formation of autism spectrum disorder in both mother mice and juvenile offspring <xref ref-type="bibr" rid="scirp.134610-56">
      [56]
     </xref>. In the study, pregnant mice were administered 1% Roundup in drinking water over the span of E5 to P21 (pup weaning). The results demonstrated that prenatal exposure to Roundup mimics the behavior of autism spectrum disorder in newborn pups. In addition, it was discovered that the sHE protein, which has been associated with autism spectrum behavior, was upregulated in juveniles exposed to Roundup prenatally as compared with the control group. Finally, a decrease in parvalbumin immunoreactivity was noted in the prenatally exposed juveniles compared to the control group <xref ref-type="bibr" rid="scirp.134610-56">
      [56]
     </xref>.</p>
    <p>A follow-up study by the same research group was conducted but Roundup was replaced with pure glyphosate and examined in pregnant mice <xref ref-type="bibr" rid="scirp.134610-57">
      [57]
     </xref>. A formula of 0.098% glyphosate was administered to the pregnant ddY mice (embryo 9 - 10 weeks old) between E5 and P21 (weaning). When this study was compared to the previous report <xref ref-type="bibr" rid="scirp.134610-56">
      [56]
     </xref>, the results suggested similarities between the two, in which juveniles exhibited autism spectrum behaviors following exposure as compared with the control group. Thus, based on the combined results from both studies, it is likely that the glyphosate itself, and not any other ingredient in the Roundup herbicide contributed to the formation of autism-like behaviors in the juveniles.</p>
    <p>Conducted in California, a relevant population epidemiological study investigated individuals who were born in the area under consideration and had been diagnosed while residing there <xref ref-type="bibr" rid="scirp.134610-58">
      [58]
     </xref>. Using an open-source geocoder called CA-PUR in combination with a land use survey, the investigation included examination of the application of such pesticides as glyphosate, chlorpyrifos, diazinon, acephate, malathion, permethrin, bifenthrin, methyl bromide, imidacloprid, avermectin, and myclobutanil both individually and in multi-pesticide models. Results demonstrated a significantly greater number of males with autism spectrum disorder as compared with females, and the mothers of those individuals were relatively older <xref ref-type="bibr" rid="scirp.134610-58">
      [58]
     </xref>. In addition, it was demonstrated that the odds of children developing autism spectrum disorder in the first year were significantly increased for most of the pesticides, including glyphosate. Last, for the combination of autism spectrum disorder and intellectual disability, increased odds were significantly marked in individuals exposed to glyphosate and permethrin <xref ref-type="bibr" rid="scirp.134610-58">
      [58]
     </xref>.</p>
    <p>Coullery et al. <xref ref-type="bibr" rid="scirp.134610-59">
      [59]
     </xref> examined the development of hippocampal neurons associated with exposure to glyphosate, particularly in the Wnt5a pathway, which, as previously discussed, has been implicated in the formation of autism spectrum disorder. As the authors noted, the Wnt5a pathway is particularly associated with axonal branching, sympathetic neuron growth, as well as other types of neuronal development. Hippocampal pyramidal neuron cell cultures were prepared from Wistar rats followed by exposure to glyphosate, and these cultures contained recombinant protein Wnt5a. Results demonstrated that the glyphosate did not kill any of the neurons but did affect the polarization of the neurons and neuronal development such as delayed axon differentiation and dendrite growth in the Wnt5a pathway <xref ref-type="bibr" rid="scirp.134610-59">
      [59]
     </xref>.</p>
    <p>In 2020, Coullery et al. conducted a second study which also investigated the association of glyphosate exposure in the Wnt5a-CaMKII pathway <xref ref-type="bibr" rid="scirp.134610-60">
      [60]
     </xref>. This study investigated the ingestion of glyphosate as compared with administration directly to the neuronal cells, and it combined assessment of the Wnt5a-CaMKII pathway with behavioral tests. Pregnant female Wistar rats were administered either glyphosate in 25 mg/kg or 35 mg/kg as compared to a control, and pups were subjected either to a behavioral test, the Morris Water Maze, or the Conditioned Fear Test <xref ref-type="bibr" rid="scirp.134610-60">
      [60]
     </xref>. In addition, the activity of the Wnt5a-CaMKII pathway was analyzed from hippocampal homogenates using electrophoresis and Western Blot. Their results demonstrated that glyphosate-exposed pups spent less time in the target quadrant of the probe trial of the Morris Water Maze and displayed impaired contextual fear. In addition, it demonstrated that exposure to the higher dose of glyphosate resulted in decreased expression of Wnt5a, which forms synaptic structures, and an overall downregulation of Wnt-CaMKII signaling <xref ref-type="bibr" rid="scirp.134610-59">
      [59]
     </xref>. Since Wnt is correlated with the formation of autism spectrum disorder, these two studies conducted by Coullery et al. suggest that glyphosate plays a significant role in altering the Wnt pathway and associated neurons, which can be further correlated with the potential of glyphosate to impact autism spectrum disorder formation.</p>
    <p>Other research models have also been utilized. For example, Alarcón et al. investigated the Wnt system by studying glyphosate exposure in prepubertal ewe lambs <xref ref-type="bibr" rid="scirp.134610-61">
      [61]
     </xref>. Female Friesian lambs were exposed to either a saline solution or a commercial glyphosate formula, with no exposure in the pasture and drinking water as controlled variables. Blood samples and uterine transverse sections were collected from the lambs and analyzed. Their results revealed that the ewe lambs who ingested glyphosate demonstrated that Wnt5a and Wnt7a expression were significantly decreased <xref ref-type="bibr" rid="scirp.134610-61">
      [61]
     </xref>. As mentioned previously, the Wnt pathway has been associated with the formation of autism spectrum disorder, and Alacrón et al. <xref ref-type="bibr" rid="scirp.134610-61">
      [61]
     </xref> demonstrated that glyphosate not only affected the Wnt5a pathway, as demonstrated by Coullery et al. <xref ref-type="bibr" rid="scirp.134610-60">
      [60]
     </xref> but also caused alterations to the Wnt7a pathway.</p>
    <p>Thus, a growing body of literature is being accumulated that correlates glyphosate and glyphosate-containing herbicide exposure with autism spectrum disorder. In particular, the research mentioned above has suggested that prenatal exposure to glyphosate is significant in determining the impact of glyphosate on the formation of autism in an individual. Glyphosate was positively correlated with alterations in the Wnt pathway and upregulation of proinflammatory cytokines, which are both implicated in prenatal development as associated with pregnant mother exposure. No research has been found that links glyphosate exposure with agenesis of the corpus callosum.</p>
   </sec>
   <sec id="s3_5">
    <title>3.5. Gut-Brain Axis and Gut Microbiome</title>
    <p>More recently, the association between the gut microbiome and the brain system has become a significant focus in research regarding neurodegenerative disorders. This system, known as the gut-brain axis, connects the enteric nervous system and central nervous system physically but also includes connections with other systems, including the endocrine system and the immune system <xref ref-type="bibr" rid="scirp.134610-62">
      [62]
     </xref>. The gut-brain axis has been associated with influences both on emotional health, including state and regulation, as well as on physical brain health, including neuronal growth and cognitive function <xref ref-type="bibr" rid="scirp.134610-62">
      [62]
     </xref>. In addition to this, the gut-brain axis is associated with the release of metabolites including neurotransmitters and hormones which have been further associated with neurodegenerative disorders such as Parkinson’s and Alzheimer’s disease <xref ref-type="bibr" rid="scirp.134610-62">
      [62]
     </xref>. A growing body of literature has been released that has begun to examine the association of the gut-brain axis with the ingestion of herbicides such as those containing glyphosate.</p>
    <p>A relevant example can be found in the report of a study investigating the microbiome, brain plasticity and behavior of pregnant female rats following exposure to pure glyphosate and Roundup <xref ref-type="bibr" rid="scirp.134610-63">
      [63]
     </xref>. The pregnant Sprague-Dawley rats were examined for changes in behavior, and brain, synapse, and fecal microbiome analyses were conducted. The results demonstrated that the rats who ingested both the pure glyphosate and the glyphosate formula in Roundup experienced changes in maternal licking behavior and neurogenesis, with effects including a greater number of immature neurons in the dentate gyrus and alterations to synaptophysin <xref ref-type="bibr" rid="scirp.134610-63">
      [63]
     </xref>. In addition to this, results showed that Roundup exposure caused a significant decrease in Firmicutes bacteria and a significant increase in Bacteroidetes bacteria. However, this result was not demonstrated for the formulation of pure glyphosate, which indicates that either another chemical besides glyphosate or the interaction between glyphosate and the other chemicals in the formulation contributed to this result <xref ref-type="bibr" rid="scirp.134610-63">
      [63]
     </xref>. As these investigators noted, it also shows the potential for Roundup to contribute to neurodegenerative diseases as well as psychiatric disorders, as any dysregulation of the microbiota can result in significant changes in the function of the central nervous system.</p>
    <p>Another study, reported by Del Castilo et al. <xref ref-type="bibr" rid="scirp.134610-64">
      [64]
     </xref>, investigated low-dose glyphosate-containing herbicide exposure on the gut microbiome and behavior of mice. In order to demonstrate the effects of chronic exposure as compared with acute exposure, the mice were exposed to Roundup from pregnancy to adulthood. Analyses were conducted which analyzed gut microbiome, intestinal alterations, and behavioral changes. The relevant results demonstrated an alteration in behavior with Roundup exposure, including increased behavioral repetitions and decreased social interest, especially in male mice <xref ref-type="bibr" rid="scirp.134610-64">
      [64]
     </xref>. This finding suggests a correlation with autism spectrum disorder, as previously discussed, since these behavioral alterations are consistent with the formation of autism. Of considerable import, significant alterations in bacterial levels such as Proteobacteria, Desulfobacterota, and Bacteroideta. In addition, other gut changes were demonstrated, including increased mucus cells, lymphocyte differentiation, and alterations of adhesion molecules <xref ref-type="bibr" rid="scirp.134610-64">
      [64]
     </xref>. Thus, this research indicates a correlation between glyphosate-containing herbicide exposure, alterations to the gut microbiome, and the formation of autism spectrum disorder, and it could also, as previously suggested by Dechartres et al. <xref ref-type="bibr" rid="scirp.134610-63">
      [63]
     </xref>, indicate the pathway through which individuals develop other neurodegenerative disorders.</p>
    <p>In a similar study conducted using an avian model the impact of glyphosate-containing herbicides on gut microbiome and reproductive hormones was assessed <xref ref-type="bibr" rid="scirp.134610-65">
      [65]
     </xref>. Japanese quails fed either Roundup-treated organic feed or just the organic feed as a control were analyzed for glyphosate residue in the liver as well as subjected to fecal microbiome analysis and oxidative stress analysis. The research also included consideration of the impact of long-term exposure, subjecting the poultry to Roundup over the course of 52 weeks, as compared to an acute exposure model. Results showed no evidence of damage associated with oxidative stress and no effect associated with acetylcholinesterase activity, which was novel compared to rodent models. However, dysbiosis of the gut microbiome was significantly noted, with a particular decrease in the growth of bacteria such as Firmicutes and an increase in Actinobacteria <xref ref-type="bibr" rid="scirp.134610-65">
      [65]
     </xref>. Further, the change was especially notable with increases in age and in the female poultry <xref ref-type="bibr" rid="scirp.134610-65">
      [65]
     </xref>. Therefore, although this study did not discover any correlation with the neurological system directly, nor was it able to link Roundup exposure with alterations to neurotransmitter systems such as that which is associated with acetylcholinesterase, it did demonstrate, as with previously listed studies, a significant alteration to the gut microbiome as associated with the Roundup exposure, which has been further associated with central nervous system alterations.</p>
    <p>In another study of low-dose glyphosate-based herbicide exposure as well as pure glyphosate exposure, the impact of such exposure on Sprague-Dawley female rats and both male and female pups <xref ref-type="bibr" rid="scirp.134610-66">
      [66]
     </xref>. Females were exposed to glyphosate-based herbicide or pure glyphosate through drinking water from gestation to weaning, and male and female pups were exposed to the herbicide in utero and through drinking their mother’s milk. Metabolomics was analyzed through urine and feces samples. Results demonstrated that glyphosate-based herbicide exposure and the pure glyphosate exposure resulted in alterations in metabolomic biomarkers in both the females and the pups as investigated in urine samples <xref ref-type="bibr" rid="scirp.134610-66">
      [66]
     </xref>. This included an increase in homocysteine which suggests a reduction in the activity of Prevotella bacteria. This finding is significant because a reduction in microbiota such as Prevotella has been implicated in the formation of autism spectrum disorder <xref ref-type="bibr" rid="scirp.134610-66">
      [66]
     </xref>.</p>
    <p>Last, Mesnage et al. <xref ref-type="bibr" rid="scirp.134610-67">
      [67]
     </xref> investigated the impact of glyphosate or Roundup exposure on the gut microbiota system and serum metabolome, investigating in particular the shikimate pathway. Sprague-Dawley female rats were treated for 90 days with pure glyphosate, Roundup, or control and were subsequently investigated with metabolomics, shikimic acid, and bacterial growth analysis, as well as shotgun metagenomics. Their results demonstrated through metabolomic studies that glyphosate exposure resulted in metabolite changes, which implicated an inhibitory reaction with the shikimate pathway of the gut microbiome <xref ref-type="bibr" rid="scirp.134610-67">
      [67]
     </xref>. This, as previously mentioned, further suggests a correlation between glyphosate exposure and microbiome alterations that can have greater impacts on the nervous systems and ultimately the formation of neurodegenerative disorders.</p>
    <p>The research discussed above demonstrates correlations between Roundup exposure and alterations to the gut microbiome, suggesting significant implications for the gut-brain axis and the formation of neurologic disorders. The most well-documented association between the gut-brain axis and the formation of a previously mentioned neurological disorder, as discussed in the above literature, was the correlation with autism spectrum disorder. The association between the gut-brain axis, glyphosate exposure, and neurodegenerative disorders such as Alzheimer’s disease and Parkinson’s disease was less direct. However, since changes in the gut microbiome were demonstrated in correlation with glyphosate and glyphosate-containing herbicides and gut microbiome alterations have been associated with changes in the central nervous system, this suggests the gut microbiome is a potential pathway through which glyphosate and glyphosate-containing herbicides impact the formation of neurodegenerative disorders.</p>
   </sec>
  </sec><sec id="s4">
   <title>4. Literature Analysis</title>
   <p>The body of research considered for this literature review suggests a significant correlation between the formation of human neurodegenerative disorders and exposure to glyphosate or glyphosate-containing herbicide products. This research suggests that exposure can occur both through dermal absorption and through ingestion, with implications for interactions with both individual neurological systems, such as TNF-α as associated with the formation of Alzheimer’s disease or the Wnt pathway as associated with the formation of autism spectrum disorder. In addition, the research considered here suggests a potential correlation between exposure to glyphosate and glyphosate-containing herbicides with the recently investigated gut-brain axis and alterations to the gut microbiome. It is important to note, however, that the literature alludes to larger associations for some neurodegenerative disorders as compared with others, and significant limitations are evident in the existing body of literature. These limitations should be addressed in further research in order to establish more concrete correlations between the formation of these disorders and exposure to glyphosate or glyphosate-containing herbicides.</p>
   <p>A common limitation noted in the laboratory experiments discussed in this literature review, which correlate glyphosate and glyphosate-containing herbicide exposure directly with the formation of neurological disorders, is the lack of establishment of specific chemical pathways contributing to the interaction of the glyphosate chemical with the targeted brain system. This is especially true of glyphosate-containing herbicides, where it is unclear whether glyphosate or another chemical compound in the herbicide contributes to alterations in the targeted brain systems. Pu et al. <xref ref-type="bibr" rid="scirp.134610-23">
     [23]
    </xref>, combined with Pu et al. <xref ref-type="bibr" rid="scirp.134610-57">
     [57]
    </xref> as well as Costas-Ferreira et al. <xref ref-type="bibr" rid="scirp.134610-24">
     [24]
    </xref> <xref ref-type="bibr" rid="scirp.134610-26">
     [26]
    </xref> are an exception in that they investigated both Roundup and pure glyphosate in correlation with the targeted neurodegenerative disorder, demonstrating similar results for both formulations. A similar limitation exists for epidemiological studies, where it is unclear whether the glyphosate-containing herbicide as an environmental factor was the sole contributor to pathogenesis. Other contributors could exist including other pesticides, herbicides, and insecticides as well as additional environmental pollutants or toxins, both chemically engineered and naturally formed. The glyphosate chemical may become altered as it interacts with other chemicals in the formulation of glyphosate-containing herbicides, which could alter the toxicity and function of glyphosate in the human body. For more established bodies of literature, such as that which exists for Parkinson’s disease and autism spectrum disorder, these limitations are a less significant issue. This is because the combined body of literature examines both pure glyphosate and glyphosate-containing herbicides, demonstrating significant correlations to neurodegenerative risk factors for both formulations. This suggests a greater likelihood that the chemical glyphosate itself may be a contributing factor. By comparison, the literature investigating Alzheimer’s disease and especially the literature investigating seizures have not accumulated to a significant extent. In these areas, research is either limited or nonexistent which investigates pure glyphosate exposure and associated outcomes compared with glyphosate-containing herbicides. Therefore, it is unknown whether another chemical or changes in the glyphosate chemical during formulation may contribute to the formation of the pathogenesis observed in the research.</p>
   <p>Among the disorders examined in this review, it was noted that the greatest body of literature currently exists that correlates glyphosate and glyphosate-containing herbicide exposure with the formation and/or exacerbation of Parkinson’s disease as well as autism spectrum disorder. The correlation between glyphosate and Alzheimer’s disease has been investigated to a lesser extent, with critical pathways such as APOe4 not yet examined and limited research existing for potential mutations of apolipoprotein (APP). Seizure behavior associated with glyphosate exposure is an incredibly novel discovery, with the first significant research study conducted only recently <xref ref-type="bibr" rid="scirp.134610-46">
     [46]
    </xref>. Other previous research conducted which investigated seizure behavior associated with glyphosate exposure were epidemiological studies, and it was unclear whether the glyphosate-containing herbicide or another environmental factor contributed to the reported seizures. Based on the research discussed in this review, it is essential that further research directions investigate, to a greater extent, the association between seizures or convulsive behavior and glyphosate or glyphosate-containing herbicide exposure, with a deeper examination of the pathways that might underly such a finding. In addition to this, a greater body of literature needs to be collected for Alzheimer’s disease-related abnormalities, specifically those associated with the APO4 gene and mutations of the apolipoprotein (APP) which lead to the formation of amyloid-beta plaques in the brain.</p>
   <p>An increasing body of literature has associated gut health and the gut microbiome with neurological and psychiatric alterations. Since this literature review demonstrates a correlation between glyphosate-containing herbicide exposure and alterations to the gut microbiome, this suggests a potential pathway through which these glyphosate-containing herbicides alter the human neurological system. It is important to note, however, that unlike the studies that individually discussed correlations with particular neurological disorders, several studies investigating both pure glyphosate and glyphosate-containing herbicides, such as Roundup, have demonstrated that only the Roundup causes alterations to the gut microbiome. The pure glyphosate in these studies showed no change. Thus, it is possible that a different chemical in the herbicide or the formulation of glyphosate with the other chemicals in the herbicide results in a microbiome change. This may also suggest that the gut-brain axis is being impacted by glyphosate-containing herbicide exposure in a manner independent of the action of the glyphosate chemical for individual disorders such as the alterations found in TNF-α associated with Alzheimer’s disease or the Wnt pathway associated with autism spectrum disorder. Further research should be conducted to investigate the potential for other chemicals in glyphosate-based herbicides or the modifications to glyphosate in the herbicide formulation process to cause significant alterations to the gut microbiome.</p>
  </sec><sec id="s5">
   <title>5. Conclusion</title>
   <p>Due to the widespread popularity of the use of glyphosate-containing herbicide products such as Roundup and the associated health concerns recent research has established, it has become imperative that such conditions be investigated and pathways be targeted. Literature has demonstrated that Roundup has the potential to be carcinogenic and cause diseases such as non-Hodgkin’s lymphoma. In addition, it has recently been associated with the formation of major neurodegenerative disorders. The primary of these which was previously studied was Parkinson’s disease, but a growing body of literature now demonstrates implications for the formation of other such neurological disorders. This rapid literature review sought to accumulate and analyze current studies which investigate the potential for formation of Parkinson’s disease, Alzheimer’s disease, seizures, and autism spectrum disorder following exposure to glyphosate or glyphosate-containing herbicides such as Roundup. It was discovered that literature exists which suggests glyphosate as an environmental trigger for particular pathways implicated in Parkinson’s disease, Alzheimer’s disease, and autism spectrum disorder pathogenesis. The only significant literature that exists to date addressing seizures as a potential factor was a study conducted by Naraine et al. <xref ref-type="bibr" rid="scirp.134610-46">
     [46]
    </xref>, thus making seizures the most important factor for continued study to this point. The final aspect investigated in this review was the gut-brain axis, glyphosate exposure, and implications for the formation of neurological disorders, which was suggested by the literature reviewed in this paper as a potential pathway for glyphosate’s action on the brain. A timely and more comprehensive review can be found elsewhere <xref ref-type="bibr" rid="scirp.134610-68">
     [68]
    </xref>. At any rate, since discovering a link between glyphosate and neurodegenerative disorders has crucial implications for the agricultural industry and human health, it is essential that the literature on this topic, which is increasingly becoming substantial, be investigated to a greater extent.</p>
  </sec><sec id="s6">
   <title>Acknowledgements</title>
   <p>This paper was supported by a grant from the SUGAR Summer Undergraduate Academic Research Internship of the School of Liberal Arts &amp; Sciences, Palm Beach Atlantic University awarded to the first author. Hannah Hutchins is currently enrolled in the Master of Health Sciences program. Last, the authors wish to thank the reviewers for their excellent commentary.</p>
  </sec>
 </body><back>
  <ref-list>
   <title>References</title>
   <ref id="scirp.134610-ref1">
    <label>1</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Pathak, V.M., Verma, V.K., Rawat, B.S., Kaur, B., Babu, N., Sharma, A., et al. (2022) Current Status of Pesticide Effects on Environment, Human Health and It’s Eco-Friendly Management as Bioremediation: A Comprehensive Review. Frontiers in Microbiology, 13, Article 962619. 
     <u>&gt;https://doi.org/10.3389/fmicb.2022.962619</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref2">
    <label>2</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Hartzler, B. (2001) Glyphosate—A Review. Iowa Soybean Digest. Iowa State University Extension and Outreach. 
     <u>&gt;https://crops.extension.iastate.edu/encyclopedia/glyphosate-review</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref3">
    <label>3</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Henderson, A.M., Gervais, J.A., Luukinen, B., Buhl, K., Stone, D., Cross, A. and Jenkins, J. (2010) Glyphosate General Fact Sheet. National Pesticide Information Center, Oregon State University Extension Services. 
     <u>&gt;http://npic.orst.edu/factsheets/glyphogen.html</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref4">
    <label>4</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Connolly, A., Jones, K., Basinas, I., Galea, K.S., Kenny, L., McGowan, P., et al. (2019) Exploring the Half-Life of Glyphosate in Human Urine Samples. International Journal of Hygiene and Environmental Health, 222, 205-210. 
     <u>&gt;https://doi.org/10.1016/j.ijheh.2018.09.004</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref5">
    <label>5</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Soares, D., Silva, L., Duarte, S., Pena, A. and Pereira, A. (2021) Glyphosate Use, Toxicity and Occurrence in Food. Foods, 10, Article 2785. 
     <u>&gt;https://doi.org/10.3390/foods10112785</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref6">
    <label>6</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Eskenazi, B., Gunier, R.B., Rauch, S., Kogut, K., Perito, E.R., Mendez, X., et al. (2023) Association of Lifetime Exposure to Glyphosate and Aminomethylphosphonic Acid (AMPA) with Liver Inflammation and Metabolic Syndrome at Young Adulthood: Findings from the CHAMACOS Study. Environmental Health Perspectives, 131, Article ID: 37001. 
     <u>&gt;https://doi.org/10.1289/ehp11721</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref7">
    <label>7</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Jarrell, Z.R., Ahammad, M.U. and Benson, A.P. (2020) Glyphosate-Based Herbicide Formulations and Reproductive Toxicity in Animals. Veterinary and Animal Science, 10, Article ID: 100126. 
     <u>&gt;https://doi.org/10.1016/j.vas.2020.100126</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref8">
    <label>8</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Zhang, L., Rana, I., Shaffer, R.M., Taioli, E. and Sheppard, L. (2019) Exposure to Glyphosate-Based Herbicides and Risk for Non-Hodgkin Lymphoma: A Meta-Analysis and Supporting Evidence. Mutation Research/Reviews in Mutation Research, 781, 186-206. 
     <u>&gt;https://doi.org/10.1016/j.mrrev.2019.02.001</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref9">
    <label>9</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Cattani, D., Cesconetto, P.A., Tavares, M.K., Parisotto, E.B., De Oliveira, P.A., Rieg, C.E.H., et al. (2017) Developmental Exposure to Glyphosate-Based Herbicide and Depressive-Like Behavior in Adult Offspring: Implication of Glutamate Excitotoxicity and Oxidative Stress. Toxicology, 387, 67-80. 
     <u>&gt;https://doi.org/10.1016/j.tox.2017.06.001</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref10">
    <label>10</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Chang, E.T., Odo, N.U. and Acquavella, J.F. (2022) Systematic Literature Review of the Epidemiology of Glyphosate and Neurological Outcomes. International Archives of Occupational and Environmental Health, 96, 1-26. 
     <u>&gt;https://doi.org/10.1007/s00420-022-01878-0</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref11">
    <label>11</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Costas-Ferreira, C., Durán, R. and Faro, L.R.F. (2022) Toxic Effects of Glyphosate on the Nervous System: A Systematic Review. International Journal of Molecular Sciences, 23, Article 4605. 
     <u>&gt;https://doi.org/10.3390/ijms23094605</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref12">
    <label>12</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Rubio-Tomás, T. and Tavernarakis, N. (2022) Lipid Metabolism and Ageing in Caenorhabditis Elegans: A Complex Interplay. Biogerontology, 23, 541-557. 
     <u>&gt;https://doi.org/10.1007/s10522-022-09989-4</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref13">
    <label>13</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     NIH National Institute on Aging (2022) Parkinson’s Disease: Causes, Symptoms, and Treatments. National Institutes of Health. 
     <u>&gt;https://www.nia.nih.gov/health/parkinsons-disease/parkinsons-disease-causes-symptoms-and-treatments</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref14">
    <label>14</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Kouli, A., Torsney, K.M. and Kuan, W.L. (2018) Parkinson’s Disease: Etiology, Neuropathology, and Pathogenesis. Parkinson’s Disease: Pathogenesis and Clinical Aspects. Brisbane (AU): Codon Publications. 
     <u>&gt;https://doi.org/10.15586/codonpublications.parkinsonsdisease.2018.ch1</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref15">
    <label>15</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Goetz, C.G., Emre, M. and Dubois, B. (2009) Parkinson’s Disease Dementia: Definitions, Guidelines, and Research Perspectives in Diagnosis. Annals of Neurology, 64, S81-S92. 
     <u>&gt;https://doi.org/10.1002/ana.21455</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref16">
    <label>16</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Chinta, S.J. and Andersen, J.K. (2005) Dopaminergic Neurons. The International Journal of Biochemistry&amp;Cell Biology, 37, 942-946. 
     <u>&gt;https://doi.org/10.1016/j.biocel.2004.09.009</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref17">
    <label>17</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Damier, P., Hirsch, E.C., Agid, Y. and Graybiel, A.M. (1999) The Substantia Nigra of the Human Brain. Brain, 122, 1437-1448. 
     <u>&gt;https://doi.org/10.1093/brain/122.8.1437</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref18">
    <label>18</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Stefanis, L. (2011) α-Synuclein in Parkinson’s Disease. Cold Spring Harbor Perspectives in Medicine, 2, a009399. 
     <u>&gt;https://doi.org/10.1101/cshperspect.a009399</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref19">
    <label>19</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Shults, C.W. (2006) Lewy Bodies. Proceedings of the National Academy of Sciences of the United States of America, 103, 1661-1668. 
     <u>&gt;https://doi.org/10.1073/pnas.0509567103</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref20">
    <label>20</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Spillantini, M.G., Schmidt, M.L., Lee, V.M.Y., Trojanowski, J.Q., Jakes, R. and Goedert, M. (1997) α-Synuclein in Lewy Bodies. Nature, 388, 839-840. 
     <u>&gt;https://doi.org/10.1038/42166</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref21">
    <label>21</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Gruden, M.A., Davydova, T.V., Narkevich, V.B., Fomina, V.G., Wang, C., Kudrin, V.S., et al. (2014) Intranasal Administration of α-Synuclein Aggregates: A Parkinson’s Disease Model with Behavioral and Neurochemical Correlates. Behavioural Brain Research, 263, 158-168. 
     <u>&gt;https://doi.org/10.1016/j.bbr.2014.01.017</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref22">
    <label>22</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Hernández-Plata, I., Giordano, M., Díaz-Muñoz, M. and Rodríguez, V.M. (2015) The Herbicide Glyphosate Causes Behavioral Changes and Alterations in Dopaminergic Markers in Male Sprague-Dawley Rat. NeuroToxicology, 46, 79-91. 
     <u>&gt;https://doi.org/10.1016/j.neuro.2014.12.001</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref23">
    <label>23</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Pu, Y., Chang, L., Qu, Y., Wang, S., Tan, Y., Wang, X., et al. (2020) Glyphosate Exposure Exacerbates the Dopaminergic Neurotoxicity in the Mouse Brain after Repeated Administration of MPTP. Neuroscience Letters, 730, Article ID: 135032. 
     <u>&gt;https://doi.org/10.1016/j.neulet.2020.135032</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref24">
    <label>24</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Costas-Ferreira, C., Durán, R. and Faro, L.F. (2023) Neurotoxic Effects of Exposure to Glyphosate in Rat Striatum: Effects and Mechanisms of Action on Dopaminergic Neurotransmission. Pesticide Biochemistry and Physiology, 193, Article ID: 105433. 
     <u>&gt;https://doi.org/10.1016/j.pestbp.2023.105433</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref25">
    <label>25</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Zhang, S., Song, Y., Wang, M., Xiao, G., Gao, F., Li, Z., et al. (2018) Real-Time Simultaneous Recording of Electrophysiological Activities and Dopamine Overflow in the Deep Brain Nuclei of a Non-Human Primate with Parkinson’s Disease Using Nano-Based Microelectrode Arrays. Microsystems&amp;Nanoengineering, 4, Article No. 17070. 
     <u>&gt;https://doi.org/10.1038/micronano.2017.70</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref26">
    <label>26</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Costas-Ferreira, C., Silva, A.C.d.J., Hage-Melim, L.I.d.S. and Faro, L.R.F. (2023) Role of Voltage-Dependent Calcium Channels on the Striatal in vivo Dopamine Release Induced by the Organophosphorus Pesticide Glyphosate. Environmental Toxicology and Pharmacology, 104, Article ID: 104285. 
     <u>&gt;https://doi.org/10.1016/j.etap.2023.104285</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref27">
    <label>27</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Caballero, M., Amiri, S., Denney, J.T., Monsivais, P., Hystad, P. and Amram, O. (2018) Estimated Residential Exposure to Agricultural Chemicals and Premature Mortality by Parkinson’s Disease in Washington State. International Journal of Environmental Research and Public Health, 15, Article 2885. 
     <u>&gt;https://doi.org/10.3390/ijerph15122885</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref28">
    <label>28</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     American Psychiatric Association (2022) Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. 
     <u>&gt;https://doi.org/10.1176/appi.books.9780890425596</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref29">
    <label>29</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Bayer, T.A., Cappai, R., Masters, C.L., Beyreuther, K. and Multhaup, G. (1999) It All Sticks Together—The App-Related Family of Proteins and Alzheimer’s Disease. Molecular Psychiatry, 4, 524-528. 
     <u>&gt;https://doi.org/10.1038/sj.mp.4000552</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref30">
    <label>30</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Liu, C., Kanekiyo, T., Xu, H. and Bu, G. (2013) Apolipoprotein E and Alzheimer Disease: Risk, Mechanisms and Therapy. Nature Reviews Neurology, 9, 106-118. 
     <u>&gt;https://doi.org/10.1038/nrneurol.2012.263</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref31">
    <label>31</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Plantone, D., Pardini, M., Righi, D., Manco, C., Colombo, B.M. and De Stefano, N. (2023) The Role of TNF-α in Alzheimer’s Disease: A Narrative Review. Cells, 13, Article 54. 
     <u>&gt;https://doi.org/10.3390/cells13010054</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref32">
    <label>32</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Murphy, M.P. and LeVine, H. (2010) Alzheimer’s Disease and the Amyloid-β Peptide. Journal of Alzheimer’s Disease, 19, 311-323. 
     <u>&gt;https://doi.org/10.3233/jad-2010-1221</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref33">
    <label>33</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Qing, H., Li, N., Liu, K., Qiu, Y., Zhang, H. and Nakanishi, H. (2019) Mutations of β-Amyloid Precursor Protein Alter the Consequence of Alzheimer’s Disease Pathogenesis. Neural Regeneration Research, 14, 658-665. 
     <u>&gt;https://doi.org/10.4103/1673-5374.247469</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref34">
    <label>34</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Masuda, A., Kobayashi, Y., Kogo, N., Saito, T., Saido, T.C. and Itohara, S. (2016) Cognitive Deficits in Single App Knock-In Mouse Models. Neurobiology of Learning and Memory, 135, 73-82. 
     <u>&gt;https://doi.org/10.1016/j.nlm.2016.07.001</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref35">
    <label>35</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Sienski, G., Narayan, P., Bonner, J.M., Kory, N., Boland, S., Arczewska, A.A., et al. (2021) APOE4 Disrupts Intracellular Lipid Homeostasis in Human iPSC-Derived Glia. Science Translational Medicine, 13, eaaz4564. 
     <u>&gt;https://doi.org/10.1126/scitranslmed.aaz4564</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref36">
    <label>36</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Hartman, R.E., Wozniak, D.F., Nardi, A., Olney, J.W., Sartorius, L. and Holtzman, D.M. (2001) Behavioral Phenotyping of GFAP-apoE3 and-apoE4 Transgenic Mice: apoE4 Mice Show Profound Working Memory Impairments in the Absence of Alzheimer’s-Like Neuropathology. Experimental Neurology, 170, 326-344. 
     <u>&gt;https://doi.org/10.1006/exnr.2001.7715</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref37">
    <label>37</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Schmitt, J., Paradis, A., Boucher, M., Andrieu, L., Barnéoud, P. and Rondi-Reig, L. (2021) Flexibility as a Marker of Early Cognitive Decline in Humanized Apolipoprotein E ε4 (ApoE4) Mice. Neurobiology of Aging, 102, 129-138. 
     <u>&gt;https://doi.org/10.1016/j.neurobiolaging.2021.01.013</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref38">
    <label>38</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     McAlpine, F.E., Lee, J., Harms, A.S., Ruhn, K.A., Blurton-Jones, M., Hong, J., et al. (2009) Inhibition of Soluble TNF Signaling in a Mouse Model of Alzheimer’s Disease Prevents Pre-Plaque Amyloid-Associated Neuropathology. Neurobiology of Disease, 34, 163-177. 
     <u>&gt;https://doi.org/10.1016/j.nbd.2009.01.006</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref39">
    <label>39</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Winstone, J.K., Pathak, K.V., Winslow, W., Piras, I.S., White, J., Sharma, R., et al. (2022) Glyphosate Infiltrates the Brain and Increases Pro-Inflammatory Cytokine TNFα: Implications for Neurodegenerative Disorders. Journal of Neuroinflammation, 19, Article No. 193. 
     <u>&gt;https://doi.org/10.1186/s12974-022-02544-5</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref40">
    <label>40</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Martínez, M., Rodríguez, J., Lopez-Torres, B., Martínez, M., Martínez-Larrañaga, M., Maximiliano, J., et al. (2020) Use of Human Neuroblastoma SH-SY5Y Cells to Evaluate Glyphosate-Induced Effects on Oxidative Stress, Neuronal Development and Cell Death Signaling Pathways. Environment International, 135, Article ID: 105414. 
     <u>&gt;https://doi.org/10.1016/j.envint.2019.105414</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref41">
    <label>41</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Hsiao, C.C., Yang, A., Wang, C. and Lin, C. (2023) Association between Glyphosate Exposure and Cognitive Function, Depression, and Neurological Diseases in a Representative Sample of US Adults: NHANES 2013-2014 Analysis. Environmental Research, 237, Article ID: 116860. 
     <u>&gt;https://doi.org/10.1016/j.envres.2023.116860</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref42">
    <label>42</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Mayo Clinic (2023) Seizures. 
     <u>&gt;https://www.mayoclinic.org/diseases-conditions/seizure/symptoms-causes/syc-20365711</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref43">
    <label>43</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Jewett, B.E. and Sharma, S. (2023) GABA. StatPearls. 
     <u>&gt;https://www.ncbi.nlm.nih.gov/books/NBK513311/</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref44">
    <label>44</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Macdonald, R.L., Kang, J. and Gallagher, M.J. (2010) Mutations in GABA
     <sub>A</sub> Receptor Subunits Associated with Genetic Epilepsies. The Journal of Physiology, 588, 1861-1869. 
     <u>&gt;https://doi.org/10.1113/jphysiol.2010.186999</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref45">
    <label>45</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Petroff, O.A.C., Rothman, D.L., Behar, K.L. and Mattson, R.H. (1996) Low Brain GABA Level Is Associated with Poor Seizure Control. Annals of Neurology, 40, 908-911. 
     <u>&gt;https://doi.org/10.1002/ana.410400613</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref46">
    <label>46</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Naraine, A.S., Aker, R., Sweeney, I., Kalvey, M., Surtel, A., Shanbhag, V., et al. (2022) Roundup and Glyphosate’s Impact on GABA to Elicit Extended Proconvulsant Behavior in Caenorhabditis Elegans. Scientific Reports, 12, Article No. 13655. 
     <u>&gt;https://doi.org/10.1038/s41598-022-17537-w</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref47">
    <label>47</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Park, S., Kim, D., Park, S., Gil, H. and Hong, S. (2017) Seizures in Patients with Acute Pesticide Intoxication, with a Focus on Glufosinate Ammonium. Human&amp;Experimental Toxicology, 37, 331-337. 
     <u>&gt;https://doi.org/10.1177/0960327117705427</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref48">
    <label>48</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Requena, M., Parrón, T., Navarro, A., García, J., Ventura, M.I., Hernández, A.F., et al. (2018) Association between Environmental Exposure to Pesticides and Epilepsy. NeuroToxicology, 68, 13-18. 
     <u>&gt;https://doi.org/10.1016/j.neuro.2018.07.002</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref49">
    <label>49</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Komiya, Y. and Habas, R. (2008) Wnt Signal Transduction Pathways. Organogenesis, 4, 68-75. 
     <u>&gt;https://doi.org/10.4161/org.4.2.5851</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref50">
    <label>50</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Sowers, L.P., Loo, L., Wu, Y., Campbell, E., Ulrich, J.D., Wu, S., et al. (2013) Erratum: Disruption of the Non-Canonical WNT Gene PRICKLE2 Leads to Autism-Like Behaviors with Evidence for Hippocampal Synaptic Dysfunction. Molecular Psychiatry, 19, 742-742. 
     <u>&gt;https://doi.org/10.1038/mp.2013.143</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref51">
    <label>51</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Das, J. and Geetha, R. (2023) Corpus Callosum Agenesis. StatPearls. 
     <u>&gt;https://www.ncbi.nlm.nih.gov/books/NBK540986/</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref52">
    <label>52</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Lau, Y.C., Hinkley, L.B.N., Bukshpun, P., Strominger, Z.A., Wakahiro, M.L.J., Baron-Cohen, S., et al. (2012) Autism Traits in Individuals with Agenesis of the Corpus Callosum. Journal of Autism and Developmental Disorders, 43, 1106-1118. 
     <u>&gt;https://doi.org/10.1007/s10803-012-1653-2</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref53">
    <label>53</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Zhang, J. and An, J. (2007) Cytokines, Inflammation, and Pain. International Anesthesiology Clinics, 45, 27-37. 
     <u>&gt;https://doi.org/10.1097/aia.0b013e318034194e</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref54">
    <label>54</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Nadeem, A., Ahmad, S.F., Al-Harbi, N.O., AL-Ayadhi, L.Y., Sarawi, W., Attia, S.M., et al. (2022) Imbalance in Pro-Inflammatory and Anti-Inflammatory Cytokines Milieu in B Cells of Children with Autism. Molecular Immunology, 141, 297-304. 
     <u>&gt;https://doi.org/10.1016/j.molimm.2021.12.009</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref55">
    <label>55</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Beversdorf, D.Q., Stevens, H.E., Margolis, K.G. and Van de Water, J. (2020) Prenatal Stress and Maternal Immune Dysregulation in Autism Spectrum Disorders: Potential Points for Intervention. Current Pharmaceutical Design, 25, 4331-4343. 
     <u>&gt;https://doi.org/10.2174/1381612825666191119093335</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref56">
    <label>56</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Pu, Y., Yang, J., Chang, L., Qu, Y., Wang, S., Zhang, K., et al. (2020) Maternal Glyphosate Exposure Causes Autism-Like Behaviors in Offspring through Increased Expression of Soluble Epoxide Hydrolase. Proceedings of the National Academy of Sciences of the United States of America, 117, 11753-11759. 
     <u>&gt;https://doi.org/10.1073/pnas.1922287117</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref57">
    <label>57</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Pu, Y., Ma, L., Shan, J., Wan, X., Hammock, B.D. and Hashimoto, K. (2021) Autism-Like Behaviors in Male Juvenile Offspring after Maternal Glyphosate Exposure. Clinical Psychopharmacology and Neuroscience, 19, 554-558. 
     <u>&gt;https://doi.org/10.9758/cpn.2021.19.3.554</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref58">
    <label>58</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     von Ehrenstein, O.S., Ling, C., Cui, X., Cockburn, M., Park, A.S., Yu, F., et al. (2019) Prenatal and Infant Exposure to Ambient Pesticides and Autism Spectrum Disorder in Children: Population Based Case-Control Study. BMJ, 364, L962. 
     <u>&gt;https://doi.org/10.1136/bmj.l962</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref59">
    <label>59</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Coullery, R.P., Ferrari, M.E. and Rosso, S.B. (2016) Neuronal Development and Axon Growth Are Altered by Glyphosate through a WNT Non-Canonical Signaling Pathway. NeuroToxicology, 52, 150-161. 
     <u>&gt;https://doi.org/10.1016/j.neuro.2015.12.004</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref60">
    <label>60</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Coullery, R., Pacchioni, A.M. and Rosso, S.B. (2020) Exposure to Glyphosate during Pregnancy Induces Neurobehavioral Alterations and Downregulation of Wnt5a-CaMKII Pathway. Reproductive Toxicology, 96, 390-398. 
     <u>&gt;https://doi.org/10.1016/j.reprotox.2020.08.006</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref61">
    <label>61</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Alarcón, R., Rivera, O.E., Ingaramo, P.I., Tschopp, M.V., Dioguardi, G.H., Milesi, M.M., et al. (2020) Neonatal Exposure to a Glyphosate-Based Herbicide Alters the Uterine Differentiation of Prepubertal Ewe Lambs. Environmental Pollution, 265, Article ID: 114874. 
     <u>&gt;https://doi.org/10.1016/j.envpol.2020.114874</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref62">
    <label>62</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Appleton, J. (2018) The Gut-Brain Axis: Influence of Microbiota on Mood and Mental Health. Integrative Medicine, 17, 28-32. 
     <u>&gt;https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469458/pdf/imcj-17-28.pdf</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref63">
    <label>63</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Dechartres, J., Pawluski, J.L., Gueguen, M., Jablaoui, A., Maguin, E., Rhimi, M., et al. (2019) Glyphosate and Glyphosate-Based Herbicide Exposure during the Peripartum Period Affects Maternal Brain Plasticity, Maternal Behaviour and Microbiome. Journal of Neuroendocrinology, 31, e12731. 
     <u>&gt;https://doi.org/10.1111/jne.12731</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref64">
    <label>64</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Del Castilo, I., Neumann, A.S., Lemos, F.S., De Bastiani, M.A., Oliveira, F.L., Zimmer, E.R., et al. (2022) Lifelong Exposure to a Low-Dose of the Glyphosate-Based Herbicide Roundup® Causes Intestinal Damage, Gut Dysbiosis, and Behavioral Changes in Mice. International Journal of Molecular Sciences, 23, Article 5583. 
     <u>&gt;https://doi.org/10.3390/ijms23105583</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref65">
    <label>65</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Ruuskanen, S., Rainio, M.J., Gómez-Gallego, C., Selenius, O., Salminen, S., Collado, M.C., et al. (2020) Glyphosate-Based Herbicides Influence Antioxidants, Reproductive Hormones and Gut Microbiome But Not Reproduction: A Long-Term Experiment in an Avian Model. Environmental Pollution, 266, Article ID: 115108. 
     <u>&gt;https://doi.org/10.1016/j.envpol.2020.115108</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref66">
    <label>66</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Hu, J., Lesseur, C., Miao, Y., Manservisi, F., Panzacchi, S., Mandrioli, D., et al. (2021) Low-Dose Exposure of Glyphosate-Based Herbicides Disrupt the Urine Metabolome and Its Interaction with Gut Microbiota. Scientific Reports, 11, Article No. 3265. 
     <u>&gt;https://doi.org/10.1038/s41598-021-82552-2</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref67">
    <label>67</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Mesnage, R., Teixeira, M., Mandrioli, D., Falcioni, L., Ducarmon, Q.R., Zwittink, R.D., et al. (2021) Use of Shotgun Metagenomics and Metabolomics to Evaluate the Impact of Glyphosate or Roundup MON 52276 on the Gut Microbiota and Serum Metabolome of Sprague-Dawley Rats. Environmental Health Perspectives, 129, Article ID: 017005. 
     <u>&gt;https://doi.org/10.1289/ehp6990</u>
    </mixed-citation>
   </ref>
   <ref id="scirp.134610-ref68">
    <label>68</label>
    <mixed-citation publication-type="other" xlink:type="simple">
     Chávez-Reyes, J., Gutiérrez-Reyes, C.D., Hernández-Cuellar, E. and Marichal-Cancino, B.A. (2024) Neurotoxicity of Glyphosate: Focus on Molecular Mechanisms Probably Associated with Alterations in Cognition and Behavior. Environmental Toxicology and Pharmacology, 106, Article ID: 104381. 
     <u>&gt;https://doi.org/10.1016/j.etap.2024.104381</u>
    </mixed-citation>
   </ref>
  </ref-list>
 </back>
</article>