In 10% of cases MND runs in families, but in 90% only one
family member gets the disease, i.e. it is "sporadic".
The cause of sporadic MND is not known, but we think that
either a toxin or a virus enters motor nerve cells and destroys
them over time.
Metal toxins are suspected in MND, since
at low doses these toxins enter motor neurons selectively
(i.e. other neurons are not affected). Possible environmental
toxins in MND are lead, mercury, bismuth, cadmium or copper.
We have found that about 40% of adult humans have metal toxins
in their motor neurons. However, many people are exposed to
toxins, yet few get MND. So if metals are a cause of MND,
a genetic susceptibility to these toxins is likely to underlie
the disease.
Viruses, especially those belonging to
the family which includes poliovirus (the enteroviruses) have
long been suspected in MND since they enter motor neurons
selectively. However, these viruses are quite common infections,
so some susceptibility to the virus must be present to cause
MND.
To see if humans with MND have a genetic susceptibility
to metal toxins or viruses, we have set up a DNA bank with
blood samples from people both with and without MND. This
research is looking at the interactions between genes and
environmental toxins or viruses that could underlie MND.
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