ALS Research

Crystal Pacut with Drs. Eva Feldman and Stacey Jacoby looking at samples in the lab

From bench to bedside

Leading the way in ALS research.

An unparalleled research team with collaborators across the globe leverages basic science, clinical, and observational studies to work towards alleviating suffering in ALS and one day making it a preventable disease.

Our Key Moments

Our ALS program launches
The overarching goal? Develop ALS therapies. We investigate the potential of insulin-like growth factor I for slowing the death of motor neurons (those involved in ALS).
Photo of Feldman lab in early 2000s Photo of Feldman lab in early 2000s
Testing
We test noninvasive ventilation to help ALS patients breathe with greater ease. (image shows motor neurons)
ssakowski_image ssakowski_image
A new therapy target
We test another treatment candidate, vascular endothelial growth factor, which slows the degeneration of motor neurons. (image shows vascular endothelial growth factor receptor activation (arrows, yellow) in a motor neuron)
image shows vascular endothelial growth factor receptor activation (arrows, yellow) in a motor neuron image shows vascular endothelial growth factor receptor activation (arrows, yellow) in a motor neuron
Preclinical studies
We launch preclinical studies of stem cells as a potential ALS therapy, testing feasibility in animal models. (image shows stem cells)
human_cortical_stem_cells_in_culture_1_copy human_cortical_stem_cells_in_culture_1_copy
Stem cell trials
We report on our phase I trial of stem cells in ALS, our first findings in humans, which deemed the stem cells safe. Plans are set in motion for a phase II trial. (photo courtesy of CNN)
The epigenome
We initiate studies of the so-called “epigenome” in ALS, that is, regulatory elements that control gene expression. In this instance, we look at DNA methylation.
stem-cell-apparatus stem-cell-apparatus
An imaging study
We conducted an imaging study of ALS patients, which revealed changes in neurotransmitters (molecules that aid nerve conduction).
brain imaging brain imaging
The impact of environmental pollutants
We launch our first investigations into the impact of environmental pollutants on ALS risk. We find that pesticides and fertilizers are linked to ALS onset.
farm_304171823 farm_304171823
More discovery related to stem cells
We discover that insulin-like growth factor I expression enhances the potential of stem cells as an ALS therapeutic. (image shows human spinal stem cells expressing insulin-like growth factor I)
2015_igf 2015_igf
A busy year!
We publish the findings of our phase II trial of stem cells for ALS. Again, our results find the treatment is well-tolerated. (image shows human neural stem cells labeled with an MRI-contrast agent (red)
Immunology
We embark on our inquiries into the immune system's involvement in ALS status.
The environment and ALS
We expand our studies on environmental pollutants in ALS, finding a link between persistent organic pollutants and disease risk.
MicroRNAs
We extend our study of the ALS “epigenome” by investigating regulatory elements called microRNAs.
2k_merge_3_ 2k_merge_3_
Immune cell discovery.
We discover that distinct types of immune cells correlate with ALS progression. (image shows immune cells)
nkneuron_cropped nkneuron_cropped
Advocacy and research
We publish a perspective piece in JAMA Neurology advocating more research on the impact of environmental pollutants on ALS risk.
The metabolome
We initiate our studies of the ALS metabolome in patient plasma, that is, the cumulative of all metabolites. This is linked to biological processes occurring in ALS.
ALS and metals
We find that early exposure to specific metals is linked to ALS risk. (image shows metal levels (red/high to blue/low) in a ALS preclinical model brain)
metals measured in a preclinical model brain metals measured in a preclinical model brain
Research expansion
We expand our studies of the immune system in ALS to find sex and age-specific differences.
Extracellular vesicles
We investigate “extracellular vesicles” in ALS, small packages that carry biological material around the body. (image shows extracellular vesicles isolated in a human brain)
2021_extracellular_vesicles_isolated_from_human_brain 2021_extracellular_vesicles_isolated_from_human_brain
The Lancet & ALS
We are invited to write two reviews on recent advances in ALS in the top neurology journal, The Lancet Neurology.
A new drug therapy
We launch preclinical studies of an immune targeting drug, tofacitinib, as a potential ALS therapeutic.
cover cover
Pollution & ALS
We link persistent organic pollutants with ALS risk and survival and establish an environmental risk score to summarize the combined effects of pollutants and pesticides.
Mi-BRAIN
We received a CDC grant to launch the Michigan Brain, Health, and Environment Study, which will investigate ALS risk factors in a prospective cohort of 4000 healthy people.
The microbiome
We Investigate the link between the gut microbiome and ALS disease mechanisms, which may lead to new therapeutic targets, pushing our results in Brain. (image shows the microbiome)
image of the microbiome image of the microbiome
Recreational activities & ALS
Findings of ours that certain recreational activities have higher ALS risk is covered by global media.
Sheila Essey Award
Dr. Eva L. Feldman won the Sheila Essay Award for her work in ALS from the American Academy of Neurology, American Brain Foundation, and ALS Association.
Women Defining Themselves
We co-hosted the “Women Defining Themselves” performance with the School of Dance to raise ALS awareness.
Immune profiles
We found that peripheral immune profiles predict ALS progression in an age- and sex-dependent manner.
ALS & metals
We linked ALS diagnosis and survival to metals in the body.
Harriet Hiller Research Professorship
We celebrated the establishment of the Harriet Hiller Research Professorship and the installation of Dr. Stephen Goutman.
Living with ALS
We published “Living with ALS” with the National Academies of Science, Engineering and Medicine—setting priorities and recommendations to make ALS a livable disease
Linda Novak, Dr. Stephen Goutman and Jim Hiller Linda Novak, Dr. Stephen Goutman and Jim Hiller
Mandatory reporting
ALS became mandatory to report in Michigan.
Sex hormones
We found that sex hormones associate with ALS risk and survival.
ALS blood markers
We published research in Nature Communications that brings us one step closer to a blood test for detecting ALS.
Harmful algal blooms
We found a connection between harmful algal blooms and ALS survival
Stained microscopic image of a neuron Stained microscopic image of a neuron

Research Initiatives

photo of a busy street in chinatown with fast food and paint shops

The Exposome

How exposures experienced over a lifetime—from pollution to diet—affect ALS risk and survival.

Learn More About The Exposome
immunology

Immunology

Studying the immune system and ALS to identify more effective therapies.

Learn More About Immunology
population

Observational Studies

Following people over time to understand who gets ALS what exposures affect ALS risk, as well as brain health.

Learn More About Observational Studies

More Publications

Clinical Trials

The Biorepository

The ALS Biorepository began in 2012 and currently houses over 20,000 samples from over 1,000 patients (both those with ALS and healthy controls). Samples stored include white blood cells, isolated RNA, isolated DNA, plasma, urine, fecal samples and fibroblast lines, as well as spinal cords from patients who died from ALS. Not only do we use the biorepository for our own ALS research, but samples are shared with top institutions worldwide.

A group shot of the 2025 NeuroNetwork for Emerging Therapies lab in lab coats standing outside of the BSRB