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New Evidence: ALS Is Autoimmune Disease

Researchers identified two ALS patient groups with differing immune responses linked to survival times, suggesting new pathways for treatment targeting autoimmune inflammation.

  • On October 1, 2025, scientists at the La Jolla Institute for Immunology and Columbia University Irving Medical Center reported evidence that ALS may be an autoimmune disease, publishing the findings in Nature.
  • Researchers found inflammatory CD4+ T cells mistakenly target nervous‑system proteins, including the neuron-expressed C9orf72 protein, in an autoimmune 'self‑attack', La Jolla Institute for Immunology researchers said.
  • Using samples from 40 ALS patients and 28 people without the disease, researchers found two patient groups; those whose inflammatory CD4+ T cells recognized C9orf72 had shorter predicted survival.
  • LJI Research Technician Tanner Michaelis said future therapies might boost protective CD4+ T cell responses and dial back harmful inflammation, though study authors caution larger follow‑up studies are needed.
  • The study joins other neuroimmunology breakthroughs linking immune involvement to Parkinson's disease, and Alessandro Sette said monitoring or boosting anti-inflammatory responses might improve ALS outcomes.
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Researchers show for the first time how inflammatory T cells mistakenly attack certain proteins of the nervous system in people with ALS and trigger cell death that causes the disease

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Nature broke the news in United Kingdom on Wednesday, October 1, 2025.
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