The pathogenesis of amyotrophic lateral sclerosis is poorly understood. In
one or two percentage of patients, mutations in the SOD1 gene are known to
underly the disease. Even in these cases, the mechanism of cell death remai
ns unclear. Most researchers agree that damage by reactive oxygen species i
s involved in this process, but whether the latter plays a primary role or
is an epiphenomenon is uncertain. As evidence for oxidative stress is not o
nly found in mutant SOD1-related familial amyotrophic lateral sclerosis, bu
t also in sporadic amyotrophic lateral sclerosis, it is tempting to specula
te that a similar mechanism is at work in both forms of the disease.