increases in axonal sodium currents in peripheral nerves are some of the earliest excitability changes observed in Amyotrophic Lateral Sclerosis (ALS) patients. Nothing is known, however, about axonal sodium channels more proximally, particularly at the action potential initiating region -the axon initial segment (AIS). Immunohistochemistry for Nav1.6 sodium channels was used to investigate parameters of AISs of spinal motoneurones in the G127X SOD1 mouse model of ALS in adult mice at presymptomatic time points (~190 days old). In vivo intracellular recordings from lumbar spinal motoneurones were used to determine the consequences of any AIS changes. AISs of both alpha and gamma motoneurones were found to be significantly shorter (by 6.6% and 11.8% respectively) in G127X mice as well as being wider by 9.8% (alpha motoneurones). Measurements from 20-23 day old mice confirmed that this represented a change during adulthood. Intracellular recordings from motoneurones in presymptomatic adult mice, however, revealed no differences in individual action potentials or the cells ability to initiate repetitive action potentials. To conclude, despite changes in AIS geometry, no evidence was found for reduced excitability within the functional working range of firing frequencies of motoneurones in this model of ALS.Amyotrophic Lateral Sclerosis (ALS) is a fatal neurodegenerative disease which preferentially affects motoneurones in the brain and spinal cord. Although a number of different mutations have been found to account for a small proportion of cases, the underlying pathophysiology of the disease is not fully understood and there is currently no cure. Riluzole, the only established treatment, has only modest effects on survival time 1-5 and blocks glutamatergic neurotransmission and Na + and Ca 2+ channels, indicating that excitability plays a role in the degenerative process in ALS.Threshold tracking techniques have suggested a hyperexcitability of motoneurone axons in ALS patients consisting of an increase in sodium currents occurring with a decrease in potassium currents [6][7][8][9][10][11][12][13][14] . The magnitude of the ion current changes appears to correlate with disease progression 15 , with excitability changes occurring before detectable axon loss 7,15 . In humans, the cell body and proximal axons of motoneurones, however, are largely inaccessible, preventing direct investigations of sodium and potassium channel activity centrally in ALS patients. This has therefore been investigated in vitro in motoneurones cultured from induced pluripotent stem cells (iPSCs) from ALS patients with genetic forms of the disease including superoxide dismutase 1 (SOD1), C9orf72 repeat expansions, TAR DNA binding proteins (TARDBP) and fused-in-sarcoma (FUS) mutations [16][17][18][19] . Increased action potential firing is observed at early stages after plating 16,19 due to reductions in delayed rectifier potassium currents 19 and increases in peak sodium currents 16 . At later time points post-plating however, motoneurones ex...