What causes amyotrophic lateral sclerosis (ALS)?

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  1. Johns Hopkins Medicine
     

    Unfortunately, doctors are not sure what causes ALS (commonly known as Lou Gehrig's disease). There is some indication that in families where more than one member suffers from ALS, there may be a mutation in a particular gene. However, only about 5 percent of all ALS cases appear to have a genetic linkage.

    Aside from this one unique connection, most patients don't have anything else in common that would suggest a specific reason that this occurs.

    Fortunately, while there are very few clues, scientists are working on several promising theories to explain the nerve damage associated with ALS.

    More Related Answers from Johns Hopkins Medicine
    Unfortunately, doctors are not sure what causes ALS (commonly known as Lou Gehrig's disease). There is some indication that in families where more than one member suffers from ALS, there may be a mutation in a particular gene. However, only about 5... More
  2. Discovery Health
     
    Discovery Health answered:
    The exact cause of ALS is not yet known, but researchers are constantly learning more about the disease. In the vast majority of the cases-somewhere between 90 to 95 percent-there is no known cause, and is deemed as being sporadic ALS.

    In the remaining 5 to 10 percent of cases, the disease is called familial ALS because it is passed down through families. A child born to someone with familial ALS has a 50-50 chance of getting the disease, as well.

    In 1993, researchers made a huge breakthrough regarding the gene responsible for familial ALS. They discovered a change, or mutation, in a gene called superoxide dismutase (SOD1), which is the gene responsible for familial ALS.

    When the gene is normal, it protects the motor neurons from by damage by directing the production of an enzyme to guard against free radicals. When the gene is mutated, however, the enzyme is unable to protect the motor neurons, which then are vulnerable to the free radicals.

    An estimated 20 percent of the people who have familial ALS also have the SOD1 gene mutation. Researchers continue to search for other genes that might be involved.

    Researchers think some other possible causes for ALS might include:

        • An autoimmune response, in which the body attacks its motor neurons by mistake
        • An exposure to viruses or toxic substances
        • An abnormality of the immune system that leads to inflammation in the spinal cord and the brain
        • A diet lacking in certain nutrients
        • Trauma

    However, there is a lack of scientific evidence to prove any of these theories.
    More Related Answers from Discovery Health
    The exact cause of ALS is not yet known, but researchers are constantly learning more about the disease. In the vast majority of the cases-somewhere between 90 to 95 percent-there is no known cause, and is deemed as being sporadic ALS.In the... More