Amyotrophic lateral sclerosis (ALS) is an incurable neurodegenerative disease that preferentially targets motor neurons. It was recently found that dominant mutations in two related
Amyotrophic lateral sclerosis (ALS)2 is an adult onset, typically fatal, neurodegenerative disorder of poorly understood etiology that destroys motor neurons (1). Dominant mutations in superoxide dismutase 1 were the first established cause of ALS (2, 3); however, ϳ90% of cases occur sporadically with no clear genetic link, and there is no effective treatment for the condition (3).An important breakthrough toward understanding ALS etiology was made by Neumann et al. (4), who showed that TDP-43 is a major constituent of cytoplasmic ubiquitin-positive inclusions that accumulate in the degenerating motor neurons of ALS patients and individuals with ubiquitin-positive fronto-temporal lobar degeneration. TDP-43 is an essential nuclear RNA-binding protein that participates in transcriptional repression, exon splicing inhibition, and mRNA stabilization (5-8). More recently, dominant mutations in the TARDBP gene encoding TDP-43 were found to cause a subset of inherited ubiquitinpositive fronto-temporal lobar degeneration and ALS cases (9 -11), which strongly supports a direct role for TDP-43 aggregation in ALS pathogenesis.The mechanisms whereby mutations in TDP-43 cause neurodegeneration are not known, but models invoking toxic gain of function and loss of critical nuclear function are equally plausible. Virtually all ALS-associated mutations in TDP-43 occur in an unstructured Gly-rich domain that binds to heterogeneous ribonucleoprotein A/B complexes (12-14). ALS-associated mutants of TDP-43 are hyperphosphorylated, ubiquitylated, aggregationprone, and cleaved into 25-and 35-kDa C-terminal fragments that exhibit cytotoxicity in cellulo (15-18). TDP-43 is degraded by proteasome and autophagy-dependent pathways, which may be mediated in part through its association with the ubiquitin-binding protein .Recent studies have shown that expression of mutant or wild-type TDP-43 is neurotoxic to zebrafish, Drosophila, and mice (22)(23)(24)(25)(26). In several of these studies, TDP-43-induced neurodegeneration occurred in the absence of detectable cytosolic TDP-43 aggregation (22,23,25). Combined with the finding that TDP-43 loss of function induces motor neuron deficits in Drosophila (27), it is plausible that too much or too little nuclear TDP-43 disrupts RNA processing events critical for motor neuron function.Remarkably, mutations in a structurally related RNA-binding protein, FUS/TLS, also cause dominantly inherited ALS (28,29). Like TDP-43, FUS/TLS forms cytosolic aggregates in degenerating neurons of ALS patients, and FUS/TLS mutants exhibit increased cytosolic localization in transfected cells (28,29). The mechanisms linking FUS/TLS mutation to motor neuron degeneration are unclear; however, FUS/TLS localizes to dendritic spines following mGluR activation, where it may function in the localized protein translation important for neuron functio...