Amyotrophic lateral sclerosis

Handb Clin Neurol. 2023:196:203-229. doi: 10.1016/B978-0-323-98817-9.00031-4.

Abstract

The scientific landscape surrounding amyotrophic lateral sclerosis has shifted immensely with a number of well-defined ALS disease-causing genes, each with related phenotypical and cellular motor neuron processes that have come to light. Yet in spite of decades of research and clinical investigation, there is still no etiology for sporadic amyotrophic lateral sclerosis, and treatment options even for those with well-defined familial syndromes are still limited. This chapter provides a comprehensive review of the genetic basis of amyotrophic lateral sclerosis, highlighting factors that contribute to its heritability and phenotypic manifestations, and an overview of past, present, and upcoming therapeutic strategies.

Keywords: ALS; Anterior horn cell; Disease-causing genes; Disease-modifying therapy; Familial ALS; Genetic vulnerability; Motor neuron.

Publication types

  • Review

MeSH terms

  • Amyotrophic Lateral Sclerosis* / genetics
  • Amyotrophic Lateral Sclerosis* / therapy
  • Humans
  • Motor Neurons
  • Syndrome