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Updated: Aug 24, 2026

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Published on: February 17, 2026
Gene therapy for ALS delivers
Séverine Boillée1, Don W Cleveland
1Ludwig Institute for Cancer Research and Departments of Cellular and Molecular Medicine and Neurosciences, University of California, 9500 Gilman Drive, La Jolla, CA 92093-0670, USA.
Abstract:
Amyotrophic lateral sclerosis (ALS) is a fatal, progressive neurodegenerative disease that kills motor neurons. Despite a long disappointing history of human trials with neurotrophins, including insulin-like growth factor 1 (IGF-1), Kaspar and colleagues have successfully slowed disease in transgenic ALS mice by forcing motor neurons to produce IGF-1 following retrograde delivery of recombinant adeno-associated virus (AAV) injected into muscle. With the clinical safety of both IGF-1 and AAV already established, this provides real hope for an effective treatment of ALS.
Insights
Researchers slowed amyotrophic lateral sclerosis (ALS) progression in mice by using adeno-associated virus (AAV) to deliver insulin-like growth factor 1 (IGF-1) directly to motor neurons. This gene therapy approach offers new hope for treating this devastating neurodegenerative disease.
Area of Science:
- Neuroscience
- Genetics
- Molecular Biology
Background:
- Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by motor neuron loss.
- Previous attempts using neurotrophins like insulin-like growth factor 1 (IGF-1) in human trials have yielded disappointing results.
- Developing effective therapeutic strategies for ALS remains a significant challenge.
Purpose of the Study:
- To investigate the potential of gene therapy for ALS treatment.
- To determine if targeted delivery of IGF-1 to motor neurons can slow disease progression.
- To evaluate the efficacy of recombinant adeno-associated virus (AAV) for gene delivery in an ALS mouse model.
Main Methods:
- Utilized a transgenic mouse model of ALS.
- Administered recombinant adeno-associated virus (AAV) vector carrying the IGF-1 gene via retrograde delivery into muscle tissue.
- Forced motor neurons to produce IGF-1.
Main Results:
- Successfully slowed disease progression in ALS transgenic mice.
- Demonstrated effective gene expression and protein production of IGF-1 in motor neurons.
- Observed a therapeutic benefit in the animal model.
Conclusions:
- Retrograde delivery of AAV to induce motor neuron production of IGF-1 is a viable strategy for slowing ALS progression.
- The established clinical safety of IGF-1 and AAV vectors supports the potential for human application.
- This approach offers a promising new avenue for the development of effective ALS therapies.
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