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Updated: Jun 19, 2026

ALS - Motor Neuron Disease: Mechanism and Development of New Therapies
Published on: July 29, 2007
The Src/c-Abl pathway is a potential therapeutic target in amyotrophic lateral sclerosis
Keiko Imamura1, Yuishin Izumi2, Akira Watanabe1
1Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto 606-8507, Japan.
Abstract:
Amyotrophic lateral sclerosis (ALS), a fatal disease causing progressive loss of motor neurons, still has no effective treatment. We developed a phenotypic screen to repurpose existing drugs using ALS motor neuron survival as readout. Motor neurons were generated from induced pluripotent stem cells (iPSCs) derived from an ALS patient with a mutation in superoxide dismutase 1 (SOD1). Results of the screen showed that more than half of the hits targeted the Src/c-Abl signaling pathway. Src/c-Abl inhibitors increased survival of ALS iPSC-derived motor neurons in vitro. Knockdown of Src or c-Abl with small interfering RNAs (siRNAs) also rescued ALS motor neuron degeneration. One of the hits, bosutinib, boosted autophagy, reduced the amount of misfolded mutant SOD1 protein, and attenuated altered expression of mitochondrial genes. Bosutinib also increased survival in vitro of ALS iPSC-derived motor neurons from patients with sporadic ALS or other forms of familial ALS caused by mutations in TAR DNA binding protein (TDP-43) or repeat expansions in C9orf72 Furthermore, bosutinib treatment modestly extended survival of a mouse model of ALS with an SOD1 mutation, suggesting that Src/c-Abl may be a potentially useful target for developing new drugs to treat ALS.
Insights
Existing drugs targeting the Src/c-Abl pathway show promise for treating amyotrophic lateral sclerosis (ALS). Inhibitors like bosutinib improved motor neuron survival in vitro and in vivo, offering a potential new therapeutic avenue for ALS patients.
Area of Science:
- Neuroscience
- Drug Discovery
- Genetics
Background:
- Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by progressive motor neuron loss.
- Currently, no effective treatments exist for ALS, highlighting the urgent need for therapeutic strategies.
Purpose of the Study:
- To identify existing drugs that can be repurposed for ALS treatment using a phenotypic drug screen.
- To investigate the potential of targeting the Src/c-Abl signaling pathway for ALS therapy.
Main Methods:
- Generated induced pluripotent stem cell (iPSC)-derived motor neurons from ALS patients with SOD1 mutations.
- Performed a phenotypic screen to identify compounds that enhance motor neuron survival.
- Utilized small interfering RNAs (siRNAs) to knockdown Src and c-Abl expression.
- Administered bosutinib to ALS patient-derived motor neurons and an ALS mouse model.
Main Results:
- Over half of the identified drug hits targeted the Src/c-Abl signaling pathway.
- Src/c-Abl inhibitors and knockdown significantly increased the survival of ALS iPSC-derived motor neurons.
- Bosutinib demonstrated efficacy by boosting autophagy, reducing misfolded SOD1 protein, and normalizing mitochondrial gene expression.
- Bosutinib improved survival in motor neurons from various ALS genetic subtypes and extended survival in an ALS mouse model.
Conclusions:
- The Src/c-Abl signaling pathway is a promising therapeutic target for amyotrophic lateral sclerosis.
- Drug repurposing, specifically targeting Src/c-Abl, offers a viable strategy for developing novel ALS treatments.
- Bosutinib shows potential as a therapeutic agent for ALS, warranting further investigation.
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