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Novel therapeutic targets for amyotrophic lateral sclerosis: ribonucleoproteins and cellular autonomy
Yiran Wang1,2, Rickie Patani1,2
1Department of Neuromuscular Diseases, Queen Square Institute of Neurology, University College London , London, UK.
Introduction:
Amyotrophic lateral sclerosis (ALS) is a devastating disease with a lifetime risk of approximately 1:400. It is incurable and invariably fatal. Average survival is between 3 and 5 years and patients become increasingly paralyzed, losing the ability to speak, eat, and breathe. Therapies in development either (i) target specific familial forms of ALS (comprising a minority of around 10% of cases) or ii) emanate from (over)reliance on animal models or non-human/non-neuronal cell models. There is a desperate and unmet clinical need for effective treatments. Deciphering the primacy and relative contributions of defective protein homeostasis and RNA metabolism in ALS across different model systems will facilitate the identification of putative therapeutic targets.
Areas Covered:
This review examines the putative common primary molecular events that lead to ALS pathogenesis. We focus on deregulated RNA metabolism, protein mislocalization/pathological aggregation and the role of glia in ALS-related motor neuron degeneration. Finally, we describe promising targets for therapeutic evaluation.
Expert Opinion:
Moving forward, an effective strategy could be achieved by a poly-therapeutic approach which targets both deregulated RNA metabolism and protein dyshomeostasis in the relevant cell types, at the appropriate phase of disease.
Insights
Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease. This review explores defective RNA metabolism and protein homeostasis as key factors, suggesting a poly-therapeutic approach for effective treatment.
Area of Science:
- Neuroscience
- Molecular Biology
- Genetics
Background:
- Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease with limited treatment options.
- Current therapies often target specific genetic forms or rely on animal models, highlighting an unmet clinical need.
- Understanding the primary molecular events in ALS pathogenesis is crucial for developing effective treatments.
Purpose of the Study:
- To review common primary molecular events in ALS pathogenesis.
- To focus on deregulated RNA metabolism, protein mislocalization, and the role of glia in motor neuron degeneration.
- To identify and describe promising therapeutic targets for ALS.
Main Methods:
- Literature review of current research on ALS pathogenesis.
- Analysis of molecular mechanisms including RNA metabolism and protein homeostasis.
- Examination of the role of glial cells in motor neuron degeneration.
Main Results:
- Deregulated RNA metabolism and protein mislocalization are implicated in ALS.
- Glial cells play a significant role in motor neuron degeneration in ALS.
- Several promising therapeutic targets have been identified for further evaluation.
Conclusions:
- A poly-therapeutic approach targeting both RNA metabolism and protein homeostasis is a promising strategy.
- Addressing these molecular defects in relevant cell types and disease phases is key.
- Further research into these pathways may lead to effective ALS treatments.
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