Non motor symptoms and neuroendocrine functions in ALS and FTD

Presentation

Cohort and epidemiological studies have shown that the clinical phase of ALS and FTD is preceded of several years by preclinical signs, which do not correspond to the core symptoms of the future disease. Our research focuses on the long prodromal periods that precede the onset of the classical clinical symptoms defining these diseases. We have specifically shown the importance of weight loss and sleep defects in the signs and symptoms of ALS. The mechanisms underlying these early signs, their connection to the subsequent disease, and their potential as therapeutic targets remain poorly understood. Addressing this knowledge gap presents a crucial opportunity to advance research and develop treatments for diseases that are still considered incurable. 

 

Our team is investigating changes in neuroendocrine functions in ALS and FTD, with a specific focus on lateral hypothalamus (MCH and orexin neurons) and circadian rhythms. The extent of these early non-motor signs is often correlated with the rate of disease progression. By delaying the onset of these symptoms, we hope to slow the progression of the disease. We use a translational approach keeping the patient in the center of the projet.

People involved

 

Dr Simon J. Guillot - former PhD student

Flora Vinet - M2 student

Publications

  • Guillot SJ#, Lang C#, Simonot M, Lule D, Balz LT, Knehr A, Stuart-Lopez G, Vercruysse P, Weydt P, Dorst J, Kandler K, Kassubek J, Wassermann L, Rouaux C, Arthaud S, Da Cruz S, Luppi PH, Roselli F, Ludolph AC*, Dupuis L*, Bolborea M*. Lateral hypothalamus drives early-onset sleep alterations in amyotrophic lateral sclerosis. In press # co-first authors, *Co senior authors
     
  • Bolborea M*, Vercruysse P, Daria T, Reiners JC, Alami NO, Guillot SJ, Dieterlé S, Sinniger J, Scekic-Zahirovic J, Londo A, Arcay H, Goy MA, de Tapia CN, Thal DR, Shibuya K, Otani R, Arai K, Kuwabara S, Ludolph AC, Roselli F, Yilmazer-Hanke D, Dupuis L.* Loss of hypothalamic MCH decreases food intake in amyotrophic lateral sclerosis. Acta Neuropathol. *Co-corresponding authors. 2023, 145(6):773-791.
     
  • Ludolph A, Dupuis L, Kasarskis E, Steyn F, Ngo S, McDermott C. Nutritional and metabolic factors in amyotrophic lateral sclerosis. Nat Rev Neurol. 2023 Sep;19(9):511-524. doi: 10.1038/s41582-023-00845-8. Epub 2023 Jul 27.
     
  • Vercruysse P, Vieau D, Blum D, Petersén Å, Dupuis L. Hypothalamic Alterations in Neurodegenerative Diseases and Their Relation to Abnormal Energy Metabolism. Front Mol Neurosci. 2018 Jan 19;11:2.
     
  • Guillot SJ, Bolborea M, Dupuis L. Dysregulation of energy homeostasis in amyotrophic lateral sclerosis. Curr Opin Neurol. 2021, 34(5):773-780.
     
  • Shefner JM, Musaro A, Ngo ST, Lunetta C, Steyn FJ, Robitaille R, De Carvalho M, Rutkove S, Ludolph AC, Dupuis L. Skeletal muscle in amyotrophic lateral sclerosis. Brain. 2023 Nov 2;146(11):4425-4436.
     
  • Ludolph AC, Dorst J, Dreyhaupt J, Weishaupt JH, Kassubek J, Weiland U, Meyer T, Petri S, Hermann A, Emmer A, Grosskreutz J, Grehl T, Zeller D, Boentert M, Schrank B, Prudlo J, Winkler AS, Gorbulev S, Roselli F, Schuster J, Dupuis L; LIPCAL-ALS Study Group. Effect of High-Caloric Nutrition on Survival in Amyotrophic Lateral Sclerosis. Ann Neurol.. 2020 Feb;87(2):206-216.

Financial support