Lorenzo's Oil is the true life story of Augusto and Micheala Odone (portrayed by Nick Nolte and Susan Saradon) who are suddenly faced with the challenge of their child, Lorenzo, being stricken with Adrenoleulzodystrophy (ALD). The film chronicles the affects of the disease and their desperate search for a cure. ALD is an extremely diabilatating neurodegenerative disease that destroys the lipids that form the myelin sheaths of axons in the brain. This reduces the connectivity of the neurons of the brain. It is X-linked recessive, and is fatal in many cases. It mostly affects males, but has been shown to manifest in females. ALD is caused by a mutation in ABCD1, a gene located on the X-chromosome. The disease can cause blindness, paralysis, sexual dysfunction, and dementia.
The film begins with Lorenzo as a normal, active 5 year old boy. He suddenly begins to demonstrate neurological problems such as erratic behavior, loss of hearing, and seizures. He is eventually diagnosed with ALD and given a life expectancy of 2 years. Lorenzo's condition rapidly deteriorates, leading to him completely losing his sight, hearing, and his ability to speak.
Despite his dire prognosis, the Odones fiercely search for a cure, culling through endless amounts of scientific research. They eventually find a therapy that involves a mixture of oils isolated from rapeseed oil and olive oil that contain 2 specific long chain fatty acids. They contact over 100 firms to attempt to find a company who can synthesize this oil. They find a British chemist who is willing to perform the complicated distillation of the oil, which is later to be found to be erucic acid. Their discovery retards the progression of Lorenzo's ALD and even helps him regain his hearing and some cognitive faculties. Despite its positive effects, erucic acid, later named Lorenzo's Oil, is not able to rebuild Lorenzo's deteriorated myelin sheaths. The film ends with a montage of real-life ALD suvivors who have been treated with Lorenzo's Oil. Lorenzo's Oil is still used today, in conjunction with other methods (stem cell research, gene therapy), as a treatment option for ALD.