CAR-T Cell Therapy Shows Promise in Slowing Down ALS Progression
Genetically engineered immune cells, known as CAR-T cells, are being explored as a potential treatment to slow the progression of amyotrophic lateral sclerosis (ALS), a devastating neurodegenerative condition. While not a cure, researchers believe that targeting rogue immune cells in the brain with CAR-T cells could help extend the lifespan of individuals with ALS.
ALS, also known as Lou Gehrig’s disease, is characterized by the loss of motor neurons, leading to muscle weakness and paralysis. The average life expectancy of ALS patients is only two to five years from the time of diagnosis, highlighting the urgent need for effective treatments. Physicist Stephen Hawking, who lived with ALS for several decades, was an exception rather than the norm.
Dr. Davide Trotti from the Jefferson Weinberg ALS Center in Pennsylvania is leading efforts to investigate the potential of CAR-T cell therapy in ALS. He and his team have identified a subgroup of immune cells in the brain, known as microglia, that become overactive and contribute to the death of motor neurons in ALS. By targeting these “damage-amplifying” microglia with CAR-T cells, researchers hope to slow down the progression of the disease.
Initial studies in cell cultures have shown promising results, with CAR-T cells effectively eliminating rogue microglia without harming neurons. Clinical trials in mice with a genetic mutation that causes ALS are currently underway, with early results expected within a year. If successful, these trials could pave the way for expedited human trials, given the urgent unmet medical need in ALS.
Dr. Trotti believes that CAR-T cell therapy may have broader applications beyond ALS, potentially benefiting other neurodegenerative conditions characterized by immune dysfunction. While CAR-T cell therapy does come with challenges, such as potential side effects and high manufacturing costs, ongoing research aims to address these limitations and make this innovative treatment more accessible to patients.
In conclusion, CAR-T cell therapy represents a promising avenue for slowing down the progression of ALS and potentially other neurodegenerative diseases. With further research and clinical trials, this cutting-edge treatment approach could offer new hope for individuals living with these devastating conditions.

