New Therapeutic Strategy to Reduce Neuronal Death in ALS

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that affects neurons in the brain and spinal cord causing loss of muscle control. A study by the University of Barcelona has designed a potential therapeutic strategy to tackle this pathology that has no treatment to date. 

One of the most frequent causes of ALS is the mutation in the C9orf72 gene, found in approximately 33% of patients affected by familial ALS (FALS) and 5% of those affected by sporadic ALS in Spain.

In these patients, dipeptides with a large number of positive charges are generated and they provoke highly toxic effects on motor neurons.

In the first part of the study, the researchers combined computational and experimental techniques to improve the molecular understanding of these dipeptides and how they produce this pathological process.

The results showed that the toxicity of these compounds is partly due to those that bind to ribosomal RNA (rRNA), a molecule involved in the process of translation of genetic information and protein synthesis in the cell.

“We have observed that these dipeptides, specially those rich in the amino acid arginine (poly-glycine-arginine or Poly-GR), bind to a specific region of rRNA, affecting the biosynthesis of ribosomes (small structures responsible for synthesizing proteins in our body) and protein translation in human motor neurons, leading to their death,” says Professor Juan Alberto Ortega Cano.

“Moreover — the researcher adds — this interaction between Poly-GR and the rRNA is stronger than the interaction between the Poly-GR with other ribosomal proteins that had been previously described in other studies, and it tells us why these dipeptides have a high affinity for binding to ribosomes in cells.”

Given these results, the researchers designed an innovative strategy to trick the Poly-GR dipeptides and reduce their toxicity.

They created a trap, a molecule that mimicked the specific rRNA sequence to which Poly-GR dipeptides bind during the pathological process, in order to avoid the neurotoxic effects of this binding.

The application of this strategy in neurons derived from in vitro patient tissue and in in vivo models of the disease (vinegar flies) shows that “it reduces the defects in ribosome biosynthesis in protein translation and toxicity in cells expressing Poly-GR, as well as death in motor neurons of ALS patients with mutations in the C9orf72 gene,” notes the researcher.

Although much research remains to be done to validate and fully understand how this strategy works, the researchers note that these promising results reinforce the idea that the use of RNA traps is useful “not only to study RNA-protein interactions, but also to protect neurons from the detrimental effects of abnormal proteins generated in other neurodegenerative diseases.”


Juan A. Ortega, Ivan R. Sasselli, Marco Boccitto, Andrew C. Fleming, Tyler R. Fortuna, Yichen Li, Kohei Sato, Tristan D. Clemons, Elizabeth D. Mckenna, Thao P. Nguyen, Eric N. Anderson, Jesus Asin, Justin K. Ichida, Udai B. Pandey, Sandra L. Wolin, Samuel I. Stupp, Evangelos Kiskinis. CLIP-Seq analysis enables the design of protective ribosomal RNA bait oligonucleotides against C9ORF72 ALS/FTD poly-GR pathophysiology. Science Advances, 2023; 9 (45) DOI: 10.1126/sciadv.adf7997

University of Barcelona. “New therapeutic strategy to reduce neuronal death in amyotrophic lateral sclerosis.” ScienceDaily. ScienceDaily, 16 November 2023. <>.

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