Motor neurone disease is a rapidly progressive neurodegenerative disor
der, characterized by muscular weakness and wasting with fasciculation
and by spasticity. While most cases are sporadic, approximately 10% a
re inherited in an autosomal dominant mode. Recently, mutations in the
gene encoding the free-radical scavenging enzyme superoxide dismutase
-1 have been found to segregate with the disorder in 20% of familial c
ases. This is an exciting development, as free radical damage has long
been implicated in the pathogenesis of motor neurone disease and it r
aises the possibility of novel therapeutic approaches in this otherwis
e fatal condition.