Nutrient effects on motor neurons and the risk of amyotrophic lateral sclerosis
Open accessAbstract
Amyotrophic lateral sclerosis (ALS) is an incurable chronic progressive neurodegenerative disease with the progressive degeneration of motor neurons in the motor cortex and lower motor neurons in the spinal cord and the brain stem. The etiology and pathogenesis of ALS are being actively studied, but there is still no single concept. The study of ALS risk factors can help to understand the mechanism of this disease development and, possibly, slow down the rate of its progression in patients and also reduce the risk of its development in people with a predisposition toward familial ALS. The interest of researchers and clinicians in the protective role of nutrients in the development of ALS has been increasing in recent years. However, the role of some of them is not well-understood or disputed. The objective of this review is to analyze studies on the role of nutrients as environmental factors affecting the risk of developing ALS and the rate of motor neuron degeneration progression. Methods: We searched the PubMed, Springer, Clinical keys, Google Scholar, and E-Library databases for publications using keywords and their combinations. We analyzed all the available studies published in 2010–2020. Discussion: We analyzed 39 studies, including randomized clinical trials, clinical cases, and meta-analyses, involving ALS patients and studies on animal models of ALS. This review demonstrated that the following vitamins are the most significant protectors of ALS development: vitamin B12, vitamin E > vitamin C > vitamin B1, vitamin B9 > vitamin D > vitamin B2, vitamin B6 > vitamin A, and vitamin B7. In addition, this review indicates that the role of foods with a high content of cholesterol, polyunsaturated fatty acids, urates, and purines plays a big part in ALS development. Conclusion: The inclusion of vitamins and a ketogenic diet in disease-modifying ALS therapy can reduce the progression rate of motor neuron degeneration and slow the rate of disease progression, but the approach to nutrient selection must be personalized. The roles of vitamins C, D, and B7 as ALS protectors need further study.
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Supplementation of pharmacological treatment with vitamins and changing the diet to a ketogenic diet could reduce the rate of motor neuron degeneration in ALS patients.
“Goncharova et al. (107), found that supplementation of pharmacological treatment with vitamins and changing the diet to a ketogenic diet could reduce the rate of motor neuron degeneration in ALS patients.”
From Modulation of the gut–brain axis via the gut microbiota: a new era in treatment of amyotrophic lateral sclerosis (2023) · cites this paper as [107]
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Hong, D., Zhang, C., Wu, W., Lu, X., & Zhang, L. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2023.1133546 · Cited by 38 · see citing works
- Authors
- Goncharova, P. S., Davydova, T. K., Popova, T. E., Novitsky, M. A., Petrova, M. M., Gavrilyuk, O. A., Al-Zamil, M., Zhukova, N. G., Nasyrova, R. F., & Shnayder, N. A.
- Affiliations
- St.Petersburg V.M.Bekhterev Psychoneurological Research Institute (RU)
- Russian Academy of Sciences (RU)
- Center for Collective Using “Molecular and Cell Technologies”, V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, Russia
- Krasnoyarsk State Medical University (RU)
- Peoples' Friendship University of Russia (RU)
- Department of Neurology and Neurosurgery, Siberian State Medical University, 634050 Tomsk, Russia
- Corresponding author
- Nasyrova, Regina F.
- Shnayder, Natalia A.
- ORCID
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2021-10-26
- Volume
- 13
- Issue
- 11
- Pages
- 3804
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC8622539
- OpenAlex
- W3209681582
- Cited by
- 35
- References
- 101
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 9 · 2023: 8 · 2022: 5 · 2021: 1
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Keywords
- amyotrophic lateral sclerosis, motor neuron degeneration, dietary nutrients, vitamins, vitamin B12, vitamin E, vitamin C, vitamin D, vitamin B6, folic acid, biotin, vitamin A, cholesterol, polyunsaturated fatty acids, uric acid, purines, ketogenic diet, disease-modifying therapy, ALS risk factors, disease progression
- MeSH terms
- Nutrients, Amyotrophic Lateral Sclerosis, Animals, Diet, Disease Models, Animal, Humans, Motor Neurons, Nutritional Physiological Phenomena, Risk Factors, Disease Progression
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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