“…This is surprising given the overwhelming biological evidence showing early motor system dysfunction occurring well before the onset of clinical symptoms (Wong et al, 1995; Mourelatos et al, 1996; Kennel et al, 1996; Frey et al, 2000; Shefner et al, 2001; Amendola et al, 2004; Fischer et al, 2004; Kirkinezos et al, 2005; Browne et al, 2006; Durand et al, 2006; Gould et al, 2006; Hegedus et al, 2007; Niessen et al, 2007). One possibility for the delayed clinical phenotype may be over-activation of striatal cholinergic neurons (Azzouz et al, 1999). Another possibility is axon regeneration, a phenomena that has been reported following partial muscle denervation such that axonal sprouting from nearby intact motor neurons can go on to form new synaptic connections with denervated muscle fibers (Son and Thompson 1995a, 1995b; Kang and Tian et al, 2003; Love et al,.…”