More than 100 structurally diverse point mutations leading to aggregation in the dimeric enzyme Cu, Zn superoxide dismutase (SOD1) are implicated in familial amyotrophic lateral sclerosis (FALS). Although SOD1 dimer dissociation is a known requirement for its aggregation, the common structural basis for diverse FALS mutations resulting in aggregation is not fully understood. In molecular dynamics simulations of wild-type SOD1 and three structurally diverse FALS mutants (A4V, G37R, and H46R), we find that a common effect of mutations on SOD1 dimer is the mutationinduced disruption of dynamic coupling between monomers. In the wild-type dimer, the principal coupled motion corresponds to a ''breathing motion'' of the monomers around an axis parallel to the dimer interface, and an opening-closing motion of the distal metal-binding loops. These coupled motions are disrupted in all three mutants independent of the mutation location. Loss of coupled motions in mutant dimers occurs with increased disruption of a key stabilizing structural element (the -plug) leading to the de-protection of edge strands. To rationalize disruption of coupling, which is independent of the effect of the mutation on global SOD1 stability, we analyze the residue-residue interaction network formed in SOD1. We find that the dimer interface and metal-binding loops, both involved in coupled motions, are regions of high connectivity in the network. Our results suggest that independent of the effect on protein stability, altered protein dynamics, due to long-range communication within its structure, may underlie the aggregation of mutant SOD1 in FALS.-plug ͉ A4V ͉ G37R ͉ H46R ͉ protein dynamics P oint mutations in the cytoplasmic homodimeric enzyme Cu, Zn superoxide dismutase (SOD1) (1) have been identified as the primary cause of Ϸ20% cases of the disease familial amyotrophic lateral sclerosis (FALS) (2, 3). There are Ͼ100 distinct and structurally diverse FALS mutations known to result in identical symptoms (4), suggesting that all mutations affect an unknown common property of the protein, leading to toxicity. There is evidence that the motor neuron-specific toxic gain-of-function of the mutants is associated with intracellular aggregation, trafficking, and͞or degradation of misfolded SOD1 (5, 6). The inhibition of aggregation by overexpression of chaperones leads to increased cell viability (7).The molecular mechanism of misfolding and aggregation of SOD1, and how structurally and chemically diverse mutations lead to aggregation, is not fully understood. We and others have previously demonstrated that the in vitro aggregation of SOD1 occurs via a pathway involving dissociation of the dimer and loss of metals, followed by multimeric assembly of the apo-monomeric (metal-free) SOD1 (8-10). FALS mutations are likely to lead to enhanced aggregation by affecting one or more steps in the aggregation pathway leading to an increase in the population of the aggregation-prone apo-monomer. Inhibition of mutant SOD1 dimer dissociation by engineering an int...