It's amazing what they can do now with scientific research, and every bit helps. But in this case I am not so sure that this is going to shed that much light on
ALS. They have found more information about how the SOD1 mutation that causes some forms of familial
ALS can lead to the so-called aggregates of the SOD1 protein, which are thought to be toxic and harmful to the cell. I have seen several researchers proposing that this form of protein aggregation (many protein molecules sticking together) may be a unifying concept behind the diseases mentioned, like Alzheimer's and Parkinson's. I've also seen Huntington's Disease inclued, a bad one that causes early dementia.
It is an attractive theory that all these different diseases may have the same underlying mechanism. But I am not so sure it works for
ALS. I don't think it is known whether most cases of sporadic
ALS have protein aggregates. There are a lot of things going wrong in a neuron sick with
ALS but protein aggregation is not always observed, from what I understand.
I am worried that the elegance of this theory may tempt researchers to pursue a path which will ultimately not be that helpful to the majority of
ALS patients. Only 2% of PALS have the SOD1 gene mutation that is known to lead to these SOD1 aggregates being studied here.
100% of
ALS mice have SOD1 gene mutations, because that is how they were made. They all have these SOD1 protein aggregates. You can take a healthy strain of mice, introduce the bad SOD1 gene, and they all get
ALS. So it does appear that SOD1 aggregates are SUFFICIENT to cause
ALS. But that does not mean that SOD1 aggregates or protein aggregates in general are NECESSARY to cause
ALS. It could well be that the majority of us with
ALS have no significant protein aggregation problem. Focusing too hard on this concept as a "magic bullet" to cure AD, PD, HD and
ALS in one fell swoop is so tempting that I fear it is going to draw in research dollars, but I am afraid it won't work, at least not for
ALS.
Of course, merely learning how SOD1 aggregation causes
ALS in mice and in the 2% of PALS who have it would be a great step forward. Every new discovery is another piece of the puzzle. Plus being able to cure even 2% of PALS would be a miraculous result at this point. But I just hope that researchers don't get too sucked into this protein aggregation theory as the cure-all, at least until they can establish that something like this is going on in sporadic
ALS.