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The human body has a sophisticated thermoregulation system that employs negative feedback mechanisms to maintain an optimal core temperature. When the core temperature drops, peripheral and central thermoreceptors send signals to the hypothalamus, activating the heat-promoting center. This center triggers several responses aimed at increasing the core temperature. First, vasoconstriction reduces the flow of warm blood from internal organs to the skin so that the heat is not lost from the skin,...
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Thermoregulation in amyotrophic lateral sclerosis.

Luc Dupuis1, Åsa Petersen2, Patrick Weydt3

  • 1Faculty of Medicine, University of Strasbourg, Strasbourg, France.

Handbook of Clinical Neurology
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PubMed
Summary

Amyotrophic lateral sclerosis (ALS), a motor neuron disease, shows links to thermoregulation issues. Further research is needed to explore body temperature changes as potential biomarkers for ALS progression.

Keywords:
PGC-1αSOD1TDP-43amyotrophic lateral sclerosisbody temperaturebrown adipose tissuedyneinenergy homeostasisfrontotemporal dementiaskeletal musclesympathetic nervous system

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Area of Science:

  • Neuroscience
  • Physiology

Background:

  • Amyotrophic lateral sclerosis (ALS) is a primary adult-onset motor neuron disease.
  • ALS shares clinical, pathological, and genetic links with frontotemporal dementia, a leading cause of dementia.
  • Thermoregulation is a critical homeostatic function involving complex neural and physiological systems.

Purpose of the Study:

  • To review existing evidence connecting thermoregulation and amyotrophic lateral sclerosis (ALS).
  • To highlight the potential role of thermoregulatory dysfunction in ALS pathogenesis and progression.
  • To advocate for direct investigation into body temperature regulation in ALS.

Main Methods:

  • Literature review of studies on ALS and thermoregulation.
  • Analysis of the impact of ALS progression on brain regions controlling body temperature.
  • Examination of thermoregulatory disturbances in animal models of ALS.

Main Results:

  • ALS progression affects key brain areas governing body temperature control.
  • Dysfunctional thermoregulation is observed in animal models of ALS, linked to energy homeostasis disruption.
  • Indirect evidence suggests a connection between ALS and impaired body temperature regulation.

Conclusions:

  • While not a classic symptom, thermoregulation may be significantly impacted by ALS.
  • Investigating thermoregulation could reveal potential biomarkers for ALS.
  • Thermoregulatory system analysis may offer insights into modifying ALS disease progression.