Environmental insults: critical triggers for amyotrophic lateral sclerosis

Abstract Background Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterised by a rapid loss of lower and upper motor neurons. As a complex disease, the ageing process and complicated gene-environment interactions are involved in the majority of cases. Main body Signifi...

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Main Authors: Bing Yu, Roger Pamphlett
Format: Article
Language:English
Published: BMC 2017-06-01
Series:Translational Neurodegeneration
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40035-017-0087-3
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author Bing Yu
Roger Pamphlett
author_facet Bing Yu
Roger Pamphlett
author_sort Bing Yu
collection DOAJ
description Abstract Background Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterised by a rapid loss of lower and upper motor neurons. As a complex disease, the ageing process and complicated gene-environment interactions are involved in the majority of cases. Main body Significant advances have been made in unravelling the genetic susceptibility to ALS with massively parallel sequencing technologies, while environmental insults remain a suspected but largely unexplored source of risk. Several studies applying the strategy of Mendelian randomisation have strengthened the link between environmental insults and ALS, but none so far has proved conclusive. We propose a new ALS model which links the current knowledge of genetic factors, ageing and environmental insults. This model provides a mechanism as to how ALS is initiated, with environmental insults playing a critical role. Conclusion The available evidence has suggested that inherited defect(s) could cause mitochondrial dysfunction, which would establish the primary susceptibility to ALS. Further study of the underlying mechanism may shed light on ALS pathogenesis. Environmental insults are a critical trigger for ALS, particularly in the aged individuals with other toxicant susceptible genes. The identification of ALS triggers could lead to preventive strategies for those individuals at risk.
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spelling doaj.art-9df7fa7005d84516af6f4cd0b8d82f582022-12-21T19:43:55ZengBMCTranslational Neurodegeneration2047-91582017-06-016111010.1186/s40035-017-0087-3Environmental insults: critical triggers for amyotrophic lateral sclerosisBing Yu0Roger Pamphlett1Sydney Medical School (Central), The University of SydneyDiscipline of Pathology, Brain and Mind Centre, The University of SydneyAbstract Background Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterised by a rapid loss of lower and upper motor neurons. As a complex disease, the ageing process and complicated gene-environment interactions are involved in the majority of cases. Main body Significant advances have been made in unravelling the genetic susceptibility to ALS with massively parallel sequencing technologies, while environmental insults remain a suspected but largely unexplored source of risk. Several studies applying the strategy of Mendelian randomisation have strengthened the link between environmental insults and ALS, but none so far has proved conclusive. We propose a new ALS model which links the current knowledge of genetic factors, ageing and environmental insults. This model provides a mechanism as to how ALS is initiated, with environmental insults playing a critical role. Conclusion The available evidence has suggested that inherited defect(s) could cause mitochondrial dysfunction, which would establish the primary susceptibility to ALS. Further study of the underlying mechanism may shed light on ALS pathogenesis. Environmental insults are a critical trigger for ALS, particularly in the aged individuals with other toxicant susceptible genes. The identification of ALS triggers could lead to preventive strategies for those individuals at risk.http://link.springer.com/article/10.1186/s40035-017-0087-3Amyotrophic lateral sclerosisEnvironmental risk factorsMendelian randomisationMitochondrial dysfunctionTriggerInitiation
spellingShingle Bing Yu
Roger Pamphlett
Environmental insults: critical triggers for amyotrophic lateral sclerosis
Translational Neurodegeneration
Amyotrophic lateral sclerosis
Environmental risk factors
Mendelian randomisation
Mitochondrial dysfunction
Trigger
Initiation
title Environmental insults: critical triggers for amyotrophic lateral sclerosis
title_full Environmental insults: critical triggers for amyotrophic lateral sclerosis
title_fullStr Environmental insults: critical triggers for amyotrophic lateral sclerosis
title_full_unstemmed Environmental insults: critical triggers for amyotrophic lateral sclerosis
title_short Environmental insults: critical triggers for amyotrophic lateral sclerosis
title_sort environmental insults critical triggers for amyotrophic lateral sclerosis
topic Amyotrophic lateral sclerosis
Environmental risk factors
Mendelian randomisation
Mitochondrial dysfunction
Trigger
Initiation
url http://link.springer.com/article/10.1186/s40035-017-0087-3
work_keys_str_mv AT bingyu environmentalinsultscriticaltriggersforamyotrophiclateralsclerosis
AT rogerpamphlett environmentalinsultscriticaltriggersforamyotrophiclateralsclerosis