Amyotrophic lateral sclerosis (ALS) is a progressive and fatal neurodegenerative disorder resulting from selective death of motor neurons in the brain and spinal cord. In Ϸ25% of familial ALS cases, the disease is caused by dominantly acting point mutations in the gene encoding cytosolic Cu,Zn superoxide dismutase (SOD1). In cell culture and in rodent models of ALS, mutant SOD1 proteins exhibit dose-dependent toxicity; thus, agents that reduce mutant protein expression would be powerful therapeutic tools. A wealth of recent evidence has demonstrated that the mechanism of RNA-mediated interference (RNAi) can be exploited to achieve potent and specific gene silencing in vitro and in vivo. We have evaluated the utility of RNAi for selective silencing of mutant SOD1 expression in cultured cells and have identified small interfering RNAs capable of specifically inhibiting expression of ALS-linked mutant, but not wild-type, SOD1. We have investigated the functional effects of RNAi-mediated silencing of mutant SOD1 in cultured murine neuroblastoma cells. In this model, stable expression of mutant, but not wild-type, human SOD1 sensitizes cells to cytotoxic stimuli. We find that silencing of mutant SOD1 protects these cells against cyclosporin A-induced cell death. These results demonstrate a positive physiological effect caused by RNAi-mediated silencing of a dominant disease allele. The present study further supports the therapeutic potential of RNAi-based methods for the treatment of inherited human diseases, including ALS.A myotrophic lateral sclerosis (ALS) is an age-dependent, paralytic disorder resulting from selective death of motor neurons in the brain and spinal cord. ALS is characterized by progressive muscle weakness and atrophy and is usually fatal within 5 years of clinical presentation (1). Although the majority of ALS cases are sporadic, Ϸ10% of cases are familial (FALS) and display autosomal dominant inheritance (2). Approximately 25% of FALS cases are caused by mutations in the gene encoding the cytosolic Cu,Zn superoxide dismutase (SOD1) (3), an abundant cellular homodimeric enzyme whose normal function is the scavenging of superoxide radicals. To date, Ͼ100 FALS-linked mutations in human SOD1 have been identified (4), and the vast majority of these are missense mutations resulting in single amino acid substitutions.Both the association of SOD1 mutations with dominantly inherited human disease and compelling data gleaned from expression of FALS-linked mutant SOD1 in experimental model systems suggest that mutant SOD1 causes ALS through an acquired toxic property (or properties) of the mutant proteins. Transgenic mice (5-7) and rats (8) that express clinically relevant forms of mutant human SOD1 quite remarkably recapitulate the major features of the disease; in contrast, mice in which endogenous SOD1 expression has been eliminated by means of targeted deletion develop normally and do not exhibit ALS-like symptoms (9). Further, in vitro studies demonstrate that forced expression of mutant, but not wild...