# Inverting the logic in amyotrophic lateral sclerosis

**Authors:** Martin R Turner

PMC · DOI: 10.1093/brain/awaf276 · Brain · 2025-07-30

## TL;DR

The paper suggests studying resilient individuals in ALS to shift focus from disease to resistance.

## Contribution

Proposes a novel approach to ALS research by emphasizing survivorship bias and resilience.

## Key findings

- ALS research may benefit from studying resilient individuals rather than those affected.
- Neurodegeneration involves loss of tolerance, not just gain of toxicity.

## Abstract

Turner highlights survivorship bias in the study of neurodegenerative disorders such as ALS, suggesting that meaningful progress may require a fundamental shift in focus from the affected to the resilient, and from what is seen to what is not. Neurodegeneration should be viewed as a loss of tolerance as much as a gain of toxicity.

## Linked entities

- **Diseases:** amyotrophic lateral sclerosis (MONDO:0004976)

## Full-text entities

- **Diseases:** amyotrophic lateral sclerosis (MESH:D000690)

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12588701/full.md

## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC12588701/full.md

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Source: https://tomesphere.com/paper/PMC12588701