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The Evolving Landscape of Amyotrophic Lateral Sclerosis: Pathophysiology, Biomarkers, and Therapeutic Horizons

Abstract Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disorder characterized by the loss of upper and lower motor neurons. Historically considered a purely motor disorder, ALS is now understood as a multisystem disease with complex genetic and environmental etiologies. This paper reviews the current state of ALS research, focusing on the molecular mechanisms of pathogenesis—including protein aggregation, RNA metabolism, and glutamate excitotoxicity—and highlights recent advancements in biomarker discovery and gene-targeted therapies that are reshaping the clinical management of the disease.

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