What is “Hyper” in the ALS Hypermetabolism?

The progressive and fatal loss of upper (brain) and lower (spinal cord) motor neurons and muscle denervation concisely condenses the clinical picture of amyotrophic lateral sclerosis (ALS). Despite the multiple mechanisms believed to underlie the selective loss of motor neurons, ALS aetiology remain...

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Main Authors: Alberto Ferri, Roberto Coccurello
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2017/7821672
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author Alberto Ferri
Roberto Coccurello
author_facet Alberto Ferri
Roberto Coccurello
author_sort Alberto Ferri
collection DOAJ
description The progressive and fatal loss of upper (brain) and lower (spinal cord) motor neurons and muscle denervation concisely condenses the clinical picture of amyotrophic lateral sclerosis (ALS). Despite the multiple mechanisms believed to underlie the selective loss of motor neurons, ALS aetiology remains elusive and obscure. Likewise, there is also a cluster of alterations in ALS patients in which muscle wasting, body weight loss, eating dysfunction, and abnormal energy dissipation coexist. Defective energy metabolism characterizes the ALS progression, and such paradox of energy balance stands as a challenge for the understanding of ALS pathogenesis. The hypermetabolism in ALS will be examined from tissue-specific energy imbalance (e.g., skeletal muscle) to major energetic pathways (e.g., AMP-activated protein kinase) and whole-body energy alterations including glucose and lipid metabolism, nutrition, and potential involvement of interorgan communication. From the point of view here expressed, the hypermetabolism in ALS should be evaluated as a magnifying glass through which looking at the ALS pathogenesis is from a different perspective in which defective metabolism can disclose novel mechanistic interpretations and lines of intervention.
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spelling doaj-art-d4c307a1b610413d888e2d7831cdef062025-02-03T05:51:18ZengWileyMediators of Inflammation0962-93511466-18612017-01-01201710.1155/2017/78216727821672What is “Hyper” in the ALS Hypermetabolism?Alberto Ferri0Roberto Coccurello1Institute of Cell Biology and Neurobiology (IBCN), National Research Council (CNR), Via del Fosso di Fiorano 64, 00143 Rome, ItalyInstitute of Cell Biology and Neurobiology (IBCN), National Research Council (CNR), Via del Fosso di Fiorano 64, 00143 Rome, ItalyThe progressive and fatal loss of upper (brain) and lower (spinal cord) motor neurons and muscle denervation concisely condenses the clinical picture of amyotrophic lateral sclerosis (ALS). Despite the multiple mechanisms believed to underlie the selective loss of motor neurons, ALS aetiology remains elusive and obscure. Likewise, there is also a cluster of alterations in ALS patients in which muscle wasting, body weight loss, eating dysfunction, and abnormal energy dissipation coexist. Defective energy metabolism characterizes the ALS progression, and such paradox of energy balance stands as a challenge for the understanding of ALS pathogenesis. The hypermetabolism in ALS will be examined from tissue-specific energy imbalance (e.g., skeletal muscle) to major energetic pathways (e.g., AMP-activated protein kinase) and whole-body energy alterations including glucose and lipid metabolism, nutrition, and potential involvement of interorgan communication. From the point of view here expressed, the hypermetabolism in ALS should be evaluated as a magnifying glass through which looking at the ALS pathogenesis is from a different perspective in which defective metabolism can disclose novel mechanistic interpretations and lines of intervention.http://dx.doi.org/10.1155/2017/7821672
spellingShingle Alberto Ferri
Roberto Coccurello
What is “Hyper” in the ALS Hypermetabolism?
Mediators of Inflammation
title What is “Hyper” in the ALS Hypermetabolism?
title_full What is “Hyper” in the ALS Hypermetabolism?
title_fullStr What is “Hyper” in the ALS Hypermetabolism?
title_full_unstemmed What is “Hyper” in the ALS Hypermetabolism?
title_short What is “Hyper” in the ALS Hypermetabolism?
title_sort what is hyper in the als hypermetabolism
url http://dx.doi.org/10.1155/2017/7821672
work_keys_str_mv AT albertoferri whatishyperinthealshypermetabolism
AT robertococcurello whatishyperinthealshypermetabolism