ALS is likely an umbrella term for various diseases, as it could stem from multiple causes. In ~10% of the cases, it's of familial origin, but environmental factors, such as eating false morels [1], certain jobs, or playing certain sports, can also trigger ALS, perhaps in a multiple-step manner.
The authors of the Nature article [0] studied whole-blood donations from 40 individuals with ALS and 28 age- and sex-matched healthy controls. This is a very small number to draw conclusions about a disease with such a large disparity of phenotypes that it defeats designing clinical trials.
[0] https://www.nature.com/articles/s41586-025-09588-6
[1] https://www.theatlantic.com/health/archive/2025/03/als-outbr...
mitchbob•1h ago