The body contains several barriers, for example the skin, the mucus mebranes and the blood brain barrier (BBB). Although they are different they still have basic similarities and that is why a problem in one of the more visible ones, say the skin, may indicate a problem in another more invisible barrier, for example the BBB.
This may for example be illustrated by dissiminated late stages of (Lyme) borreliosis caused by Borrelia
afzelii, where a discoloration and atrophy of the skin of a limb, called acrodermatitis chronica atrophicans (ACA), is indicative of an ongoing peripheral neuropathy (i.e. a compromized barrier in the peripheral nervous system (PNS) caused by chronic spirochetosis). Similar reflections of synchronized barrier breaches may also be seen in tertiary stages of syphilis with
gummas and neurosyphilitic dementia. The molecular similarities and patological links between these different barriers may also be illustrated by an autoimmune disorder like coeliac disease, where the immunological reaction that is causing the gastointestinal problems also may be manifested as a (facial) rash (called dermatitis herpetiformis) and also may cause various neurological symptoms. In the context of this forum it may be noted that the scientific literature minimally contains three cases where coeliac disease mimics ALS, sometimes
quite credibly so.
With regards to gastric ulcers it may be noted that this particular ailment is significantly linked to the development of Parkinson's disease. Plus for example that the ulcer causing Helicobacter
pylori (and borrelia sp.) are a bit special since they have steryl-glucosides in their membranes. In the context of this forum it may of course be noted that steryl-glycosides like BSSG have been implicated as possible etiologic agents behind the
Guamanian ALS Parkinsons Dementia Complex of diseases..
However, In the context of this particular post and to illustrate the complexity of the problem we are dealing with, it may also be noted that
steryl-glycosides (including BSSG) also are reported to be effective for treating/preventing peptic ulcers.
It furthermore deserves to be noted that there is a more recent alternative hypotesis for the development of Parkinson's which (also) is focussing on the gut and the enteric nervous system (ENS), with a prion twist to it, see e.g.
this paper (but there are many more).
Those who are so inclined may even be interested to have a look at one of Judith Miklossy's latest attempts to provide convincing arguments for that
a subset of Alzheimer's cases may be a spirochetosis.I am still not convinced that bacteria or viruses are the direct causes, but I know from familial ALS experiences that gastrointestinal health minimally is linked to the relative succeptibility for percipitating with FALS. I.e. family members with frank peptic ulcers are the ones who percipitate with disease at a young age, while those with more benign GI problems get it later and the relative difference may be up to 20 years - for siblings.
That is why I am inclined to recommend that everyone that is dignosed with SALS (and perhaps especially those with other barrier breaches possibly caused by bacterial pathogens) should be empirically treated with ceftriaxone, say 14 days, just in case.
I don't think that it is a cure, but some may hopfully respond and deteriorate more slowly.
Don't just ask what scientists can do to speed up the solution for ALS or when they will do it, instead ask yourself what you can do right now to solve ALS asap.