Pyrimethamine significantly lowers cerebrospinal fluid Cu/Zn superoxide dismutase in amyotrophic lateral sclerosis patients with SOD1 mutations

D. Lange,Mona Shahbazi,V. Silani,A. Ludolph,Jochen H Weishaupt,S. Ajroud-Driss,K. Fields,Rahul Remanan,S. Appel,C. Morelli,A. Doretti,L. Maderna,S. Messina,Ulrike Weiland,S. Marklund,P. Andersen

Published 2017 in Annals of Neurology

ABSTRACT

Cu/Zn superoxide dismutase (SOD1) reduction prolongs survival in SOD1‐transgenic animal models. Pyrimethamine produces dose‐dependent SOD1 reduction in cell culture systems. A previous phase 1 trial showed pyrimethamine lowers SOD1 levels in leukocytes in patients with SOD1 mutations. This study investigated whether pyrimethamine lowered SOD1 levels in the cerebrospinal fluid (CSF) in patients carrying SOD1 mutations linked to familial amyotrophic lateral sclerosis (fALS/SOD1).

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