AMYOTROPHIC lateral sclerosis (ALS) is a degenerative disease of motor
neurons, characterized by depositions of neurofilaments in the perika
rya and proximal axons. The pathogenesis of ALS remains poorly underst
ood, but two lines of evidence suggest that neurofilament accumulation
may play a causal role. First, transgenic mice that overexpress neuro
filament proteins show motor neuron degeneration(1-3) and, second, var
iant alleles of the neurofilament heavy-subunit gene (NF-H) have been
found in some human ALS patients(4). To investigate hom disorganized n
eurofilaments might cause neurodegeneration, we examined axonal transp
ort of newly synthesized proteins in mice that overexpress the human N
F-H gene(1). We observed dramatic defects of axonal transport, not onl
y of neurofilament proteins but also of other proteins, including tubu
lin and actin. Ultrastructural analysis revealed a paucity of cytoskel
etal elements, smooth endoplasmic reticulum and especially mitochondri
a in the degenerating axons, We therefore propose that the neurofilame
nt accumulations observed in these mice cause axonal degeneration by i
mpeding the transport of components required for axonal maintenance, a
nd that a similar mechanism may account for the pathogenesis of ALS in
human patients.